Medical Coding Specialist
3 weeks ago
The Certified Medical Coder plays a crucial role in the Billing Department by ensuring precise and compliant coding of medical services. This position involves validating and auditing coding practices to guarantee accuracy in billing, supporting optimal reimbursement, and maintaining adherence to regulatory guidelines.
Key Responsibilities:
Serve as the primary liaison between providers and the Billing Department, effectively communicating to clarify diagnoses, procedures, coding, and documentation requirements.
Recommend appropriate ICD-10-CM, CDT diagnosis codes, CPT codes, and HCPCS codes.
Regularly review diagnosis and procedure coding within NextGen to ensure optimal billing accuracy.
Collaborate with clinicians on the correct use of ICD-10 codes to enhance HEDIS, HCC, and other performance incentives submitted through claims data.
Work with the Quality Insurance Team to ensure coding supports Meaningful Use and other clinical incentive payments.
Provide compliance and coding training to new providers during onboarding and orientation.
Ensure all codes are current and active.
Code based on documentation in the medical record.
Report missing or incomplete documentation.
Evaluate and ensure that all codes are submitted to third-party payers and IPA.
Act as a resource for insurance resolutions and coding questions.
Follow coding guidelines and legal requirements to ensure compliance with federal and state regulations.
Support the Billing Supervisor in improving current medical billing practices.
Conduct monthly coding audits and maintain up-to-date outcome reports.
Requirements:
High School diploma or GED.
Medical Coding Certificate; RHIT or CPC certification from AAPC or AHIMA; meet state licensure requirements.
Maintain coding certification and attend in-service training as required.
Two years of medical coding experience.
Understanding of medical terminology, anatomy, and physiology.
Ability to work independently or as part of a team.
Strong computer skills in data entry, coding, and knowledge of Electronic Medical Record software; proficiency in Microsoft Office Suite.
Exceptional attention to detail.
Ability to multitask, prioritize, and manage time efficiently.
Excellent verbal and written communication skills.
Benefits:
JWCH Institute, Inc., offers competitive salaries for all positions. Employees working 30 hours per week or more are provided a monthly allowance which can be used towards medical, dental, and vision premiums. The agency offers sick leave, vacation time, 13 paid holidays, 401(k) Safe Harbor Profit Sharing plan, mileage reimbursement, short term and long term disability plans, life insurance policies, employee parking and more
-
Medical Care Specialist
10 hours ago
Commerce, California, United States Concentra Full timeMedical Care SpecialistLocation: US-CA-City Of CommerceJob Summary:Deliver high-quality patient care and create exceptional experiences in a clinic environment.Responsibilities:* Spend 100% of time in a center providing direct patient care and creating an exceptional patient experience.* Ensure day-to-day execution of medical model, collaborating with...
-
Medical Billing Specialist
3 weeks ago
Commerce, California, United States JWCH Institute Full timeJob Summary:The Medical Billing Specialist will play a critical role in ensuring the accuracy and efficiency of the revenue cycle at JWCH Institute. This position is responsible for reviewing patient encounters, investigating discrepancies, and processing claims for various payer sources. The ideal candidate will possess a strong understanding of healthcare...
-
Nurse Specialist
3 weeks ago
Commerce, California, United States Detroit Medical Center Full timeThe Detroit Medical Center is seeking a skilled Registered Nurse to join its team in Commerce Township, Michigan. As a Nurse Specialist, you will be responsible for providing high-quality patient care in the Orthopedics department.The ideal candidate will have a strong background in nursing and excellent communication skills. You will work closely with the...
-
Medical Authorization Coordinator
3 weeks ago
Commerce, California, United States Covenant Physician Partners Full timeCovenant Physician Partners is seeking a highly skilled Prior Authorization Specialist to join our team at De La Pena Eye Group in Commerce, California. The ideal candidate will have a strong background in customer service and experience working in a medical office or healthcare setting.About the OpportunityThe primary function of the Prior Authorization...
-
Medical Biller
3 weeks ago
Commerce, California, United States JWCH Institute Full timeJob Summary: We are seeking a highly skilled Medical Biller to join our team at JWCH Institute. The successful candidate will be responsible for reviewing patient encounters, ensuring billing accuracy, and processing claims for various payer sources. This role plays a critical role in maximizing revenue by adhering to payer guidelines, investigating...
-
Medical Care Specialist
3 weeks ago
Commerce, California, United States Salud Family Health Full timeAbout the Role:We are seeking a skilled Medical Assistant to provide exceptional patient care and support to our team at Salud Family Health.Key Responsibilities:Provide welcoming care to patients, ensuring a positive and respectful experience.Determine the nature of patient visits and obtain vital signs.Maintain accurate and concise chart documentation for...
-
Quality Assurance Specialist
4 weeks ago
Commerce, California, United States Aerotek Full timeJob Title: Quality Assurance SpecialistJob DescriptionWe are seeking a meticulous Quality Assurance Specialist with experience in quality inspection and packing. In this role, you will ensure that products meet the highest standards before reaching our customers.Key Responsibilities:• Conduct quality inspections to ensure products meet specifications•...
-
Occupational Therapist
3 weeks ago
Commerce, California, United States Ensign Therapy Full timePost Acute Care Specialist OpportunityWe are seeking a skilled Occupational Therapist to join our in-house therapy team at Ensign Therapy. As a Post Acute Care Specialist, you will be responsible for providing rehabilitative, skilled, and medically necessary treatment interventions to patients with cognitive and/or ADL physical functioning disorders.Key...
-
Aquatics Facility Maintenance Specialist
4 weeks ago
Commerce, California, United States City of Commerce, CA Full timeAquatics Facility Maintenance SpecialistWe are seeking a highly skilled Aquatics Facility Maintenance Specialist to join our team at the City of Commerce, CA. As a key member of our facilities maintenance team, you will be responsible for ensuring the smooth operation of our aquatic facilities, including swimming pools and aquatics facilities.Key...
-
Environmental Health and Safety Specialist
4 weeks ago
Commerce, California, United States Aerotek Full timeJob Title: Environmental Health and Safety SpecialistJob Summary:The Environmental Health and Safety Specialist will be responsible for directing and coordinating EHS compliance initiatives through the utilization of functional team structures in support of the overriding priority that all injuries are preventable.Key Responsibilities:Develop and implement...
-
Aquatic Facility Maintenance Specialist
4 weeks ago
Commerce, California, United States City of Commerce, CA Full timeAquatic Facility Maintenance SpecialistJoin the City of Commerce team as an Aquatic Facility Maintenance Specialist and play a crucial role in ensuring the safety and maintenance of our aquatic facilities.Key Responsibilities:Inspect and maintain aquatic facilities, prioritizing necessary repairs and improvements.Oversee the work of others in aquatics...
-
Medical Assistant
3 weeks ago
Commerce, California, United States Oak Street Health Full timeJob SummaryWe are seeking a motivated and detail-oriented Medical Assistant to join our team at Oak Street Health. As a Medical Assistant, you will play a vital role in delivering exceptional patient care and supporting our healthcare teams.Key ResponsibilitiesAssist healthcare providers with patient exams, procedures, and administrative tasksObtain vital...
-
Health and Safety Specialist
3 weeks ago
Commerce, California, United States Aerotek Full timeJob Summary:Aerotek is seeking a highly skilled Health and Safety Specialist to join our team. As a key member of our organization, you will be responsible for directing and coordinating EHS compliance initiatives to ensure a safe and healthy work environment.Key Responsibilities:Develop and implement effective EHS programs, processes, and procedures to...
-
Nurse Specialist in Preoperative Care
2 weeks ago
Commerce, California, United States Detroit Medical Center Full timeJob Description:Seeking a skilled Registered Nurse (RN) to join our Preoperative team at Detroit Medical Center's Huron Valley-Sinai Hospital in Commerce Township, Michigan.The ideal candidate will possess excellent patient care skills and have experience in preoperative nursing. Join our team and contribute to providing high-quality care to our...
-
Certified Medication Aide
4 weeks ago
Commerce, California, United States Oak Manor Nursing & Rehab Commerce Full timeJob DescriptionWe're seeking a dedicated Medication Aide to join our team at Oak Manor Nursing & Rehabilitation. As a key member of our care team, you'll play a vital role in ensuring the health and well-being of our residents.Key Responsibilities:Administer medication to residents under the supervision of a Licensed NurseAssist residents with activities of...
-
Registered Nurse
2 weeks ago
Commerce, California, United States Detroit Medical Center Full timeJob DescriptionThe Detroit Medical Center is currently seeking a highly skilled Registered Nurse to join our team in the Progressive Care Unit. As a Registered Nurse, you will be responsible for providing exceptional patient care and promoting a positive work environment.ResponsibilitiesProvide direct patient care, including administering medications,...
-
Nurse Specialist
3 weeks ago
Commerce, California, United States Detroit Medical Center Full timeJob Title: Registered Nurse - PCUJob Summary:The Detroit Medical Center is seeking a Registered Nurse (RN) for a nursing job in Commerce Township, Michigan. This is a full-time position working 36 hours per week, with a 12-hour night shift schedule.Job Responsibilities:Provide high-quality patient care in the Progressive Care Unit (PCU)Collaborate with the...
-
Respiratory Therapist
3 weeks ago
Commerce, California, United States Detroit Medical Center Full timeJob SummaryAs a Respiratory Therapist at the Detroit Medical Center, you will play a vital role in providing high-quality cardiopulmonary care to patients throughout the continuum of care. Under general supervision and according to established policies and procedures, you will act as a professional member of the healthcare team by providing therapeutic and...
-
Orthopedic Surgeon Independent Contractor
3 weeks ago
Commerce, California, United States Concentra Full timeOrthopedic Surgeon OpportunityConcentra, a leading healthcare company, is seeking an orthopedic surgeon to join our team as an independent contractor. This role is a contract position that complements your current practice.As an orthopedic surgeon with Concentra, you will provide specialist services, both non-surgical and surgical, for orthopedic and...
-
Nursing Contract Opportunities in Georgia
2 weeks ago
Commerce, California, United States CareStaff Partners Full timeAbout the Opportunity:CareStaff Partners is seeking experienced Registered Nurses (RNs) for contract assignments in a K-12 setting in Georgia. This is a great opportunity for RNs to work in a fast-paced environment and make a positive impact on students' lives.Job Details:• Full-time contract position• ASAP start date• Guaranteed hours on most...