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Conducts compliance audits on medical billing functions performed by TruBridge employees or TruBridge contracted or sub-contracted staff. Provides informal guidance to billers and solves straightforward problems. Discusses findings with Compliance Consultant and/or Department Leader to identify needs for corrective and preventative action, such as education, development of policies and procedur...

Working at Yale means contributing to a better tomorrow. Whether you are a current resident of our New Haven-based community- eligible for opportunities through the New Haven Hiring Initiative or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome. Discover your opportunities at Yale!
Hourly Range
$31.05
Overview
Under the direction of Yale...

Who We Are
Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care. We do not replace existing care teams; we enhance them, providing an extra laye...

About Us
We empower family caregivers through our innovative Caregiver-Enabled Dementia Program, leveraging technology, AI, data, and personalized coaching to improve health outcomes, reduce hospitalizations, and generate significant cost savings for value-based healthcare organizations. Our fast-growing, collaborative environment values creativity, accountability, and impact-giving every team ...

SUMMARY:
Reports to the Coding Manager. Reviews the outpatient clinical documentation of extract data and assign appropriate ICD-10-CM and CPT codes in accordance with the outpatient ICD-10-CM Official Guidelines for Coding and Reporting and the AHA HCPCS Coding Clinics. Reviews the medical records to ensure the documentation supports the code assignment. Utilizes 3M 360 Finder for code assignm...

SUMMARY:
Reports to the Coding Manager. Reviews the outpatient clinical documentation of extract data and assign appropriate ICD-10-CM and CPT codes in accordance with the outpatient ICD-10-CM Official Guidelines for Coding and Reporting and the AHA HCPCS Coding Clinics. Reviews the medical records to ensure the documentation supports the code assignment. Utilizes 3M 360 Finder for code assignm...

Pay: $21.56 - $24.57 per hour
Job description:
We are seeking a highly organized and detail-oriented Revenue Cycle Specialist to manage the full lifecycle of healthcare claims-from documentation review and coding to claim submission, denial management, and payment reconciliation.
The ideal candidate has strong experience with Medicaid billing, ICD/CPT coding, claim documentation, and resolving ...

We are seeking a Coding Specialist II who will be responsible for understanding all aspects of coding, quality assurance and compliance with Federal payer documentation guidelines. Works closely with departmental management and coordinates with Clinical Practice Association, Office of Billing Quality Assurance to include review of documentation.
Specific Duties & Responsibilities
Procedural Kno...

Come work at the best place to give and receive care!
Job Description:
Who We Are
Southern New Hampshire Health has been a cornerstone of the region since 1893, delivering high-quality, compassionate care close to home. Anchored by Southern New Hampshire Medical Center-a 188-bed, DNV-accredited hospital in downtown Nashua with a Level III-N trauma center, Level II Special Care Nursery, and Mag...

Description
Bluespine is an innovative new startup in the health-IT domain. By employing cutting-edge technologies, Bluespine is developing an engine that detects errors in medical billing, which causes billions of dollars in losses across the entire industry. Bluespine can offer personalized precision by tailoring assessments to each unique medical claim, considering the relevant provider, pay...

Overview
To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
The OP Clinical Denial Specialist supports the organization by reducing financial liability and ...

Job Description
Job Summary
The Physician Coder is responsible for reviewing, analyzing, and assigning accurate CPT, HCPCS, and ICD-10 codes for professional fee services documented in the medical record. This role ensures proper sequencing, modifier use, and place-of-service coding in compliance with governmental regulations, third-party payer policies, and corporate standards. The Physician C...

Coding Denials Analyst
Are you looking for a rewarding career with an award-winning company? We're looking for a qualified Coding Denials Analyst like you to join our Texas Health family.
Work location: Remote
Work hours: Monday through Friday (full time hours)
HIMS Coding Department Highlights:
* 100% remote work
* Flexible hours/scheduling
* Terrific work/life balance
Here's What...

Site: Mass General Brigham Incorporated
Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbr...

Overview
In the role of Concept Development Analyst (CDA) within our CCV business unit, you will support the enhancement and ongoing optimization of claim selection processes and tools, including AI-enabled methodologies. This role is primarily focused on applying deep clinical, coding, analytical, and reimbursement expertise to strengthen and operationalize existing selection strategies.
Lever...

General Summary:
U.S. Urology Partners, LLC (USUP) and its physician groups are committed to promoting conduct that is responsible, ethically sound, and compliance with applicable law. USUP's Compliance Department (CD) fosters a corporate culture of ethical behavior and integrity in all matters related to compliance with the laws and regulations that govern the delivery and reimbursement of hea...

The primary purpose of the Coding Specialist III is to code and verify data necessary to ensure correct coding, abstracting, and billing on inpatient (IP) encounters. This position requires the coder to be highly proficient in the proper assignment of ICD-10 CM, PCS, CPT, HCPCS. HCC, HEDIS CAT II and modifier codes for both professional and hospital charging, coding and billing. Demonstrates th...

Exam Works is looking for a Medical Coding Specialist to join our team remotely!
*Must possess current coding certification in CPC. CPMA certification & Certified Life Care Planner certification preferred.
The Medical Coding Specialist (Internally called a Coding Specialist) is responsible to create and write reports based on medical records and appropriate guideline criteria. This position...

Job Requirements
Position Summary
The Billing Integrity Analyst will provide professional skills necessary for insuring compliance relating to Medicare billing requirements for both facility and professional billing processes, audit related processes for compliance, work with IT to ensure all appropriate build and edits are in place and communicate and update staff on changes as they relate to...

* DEPARTMENT: 68221 - Business Office NCHHG
* LOCATION: 1100 Immokalee Road, Naples, FL, 34110
* WORK TYPE: Remote - Full Time
* WORK SCHEDULE:
ABOUT NCH
NCH is an independent, locally governed non-profit delivering premier comprehensive care. Our healthcare system is comprised of two hospitals, an alliance of 700+ physicians, and medical facilities in dozens of locations through...