certified medical coding specialist

DataAnnotation

<div>
 We are looking for a Certified Coding Specialist (CCS) to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of each model.
 
 
 In this role, you will need to be an expert in healthcare. We are interested in a wide range of expertise, so relevant backgrounds include Revenue Cycle Management &amp; Patient Finance, Pharmacy Operations (Pharm Tech), Laboratory Services and Operations (Lab Tech), and Clinical Support &amp; Ambulatory Operations.
 
 
 
 Benefits
 
 
 
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 Full-time or part-time remote position
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 Choose which projects you want to work on
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 Flexible schedule
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 Projects are paid hourly starting at $25-$30+/hr, with bonuses on high-quality and high-volume work
 
 
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 Responsibilities
 
 
 
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 Provide AI chatbots with diverse and complex healthcare-related problems
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 Evaluate AI outputs for logic, accuracy, and performance
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 Ensure the medical accuracy and overall quality of model responses
 
 
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 Qualifications
 
 
 
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 Fluency in English (native or bilingual level)
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 A current or in-progress medical or healthcare-related degree
 
 
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 Notes: Payment is made via PayPal. We will never ask you for any money. PayPal will handle any currency conversions from USD. Only applicants in the United States will be considered for this role. This is an independent contractor position.
 
 
 #generalist
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Certified Coding Specialist (CCS)

Affinia Healthcare

<div>
 
 Position Summary:
 
 Verifies and ensures the accuracy, completeness, specificity and appropriateness of diagnosis codes on services rendered. Complete appropriate paperwork/documentation/system entry regarding claim and encounter information. Support and participate in process and quality improvement initiatives. Assist with clinician billing and documentation training.
 
 
 
 Education:
 
 Requires an associate degree from Accredited Heath Information Technology program, Bachelor's degree preferred. Coding certificate with AHIMA approval status. RHIA, RHIT, CCS or CCS-P certification status required.
 
 
 
 Experience
 
 
 
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 Three (3) years' experience as a Certified Medical Biller/Coder Experience at a Federally Qualified Health Center (FQHC) preferred.
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 Lab coding experience required.
 
 
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 Skills And Abilities
 
 
 
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 Strong written and verbal communication skills, strong analytical skills, organizational and time management skills .
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 Knowledge and experience in a healthcare environment of billing and reimbursement of Medicaid, Medicare and other
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 Knowledge of LCD/NCD coding policies regarding Laboratory Services
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 Ability to devise training materials to teach staff correct
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 Professional demeanor and appearance, strong ethics, team player with positive attitude.
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 Strong knowledge of Microsoft XP products(Word, Excel, and PowerPoint)
 
 
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 Transportation Requirement:
 
 None
 
 
 
 License(s)/Certification(s) Required:
 
 HIA, RHIT, CCS or CCS-P certification status required.
 
 
 
 Essential Functions
 
 
 
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 Reviews medical record documentation to identify all services provided by
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 Renews appropriate CPT-4 procedure code(s) to accurately report the clinician services provided to
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 Renews appropriate ICD-10 diagnosis code(s) to accurately support the need for each clinician service.
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 Assists with the submission of billing
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 Obtains and submits copies of medical documentation with clinician charges to support billing to third party
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 Identifies clinician services provided but not adequately documented in the medical advise supervisor and clinicians of deficiencies to support charge capture of all billing services.
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 Analyzes and resolves clinician claim rejects and denials from the billing system or insurance carriers related to coding
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 Assists with clinician billing and documentation training in daily interactions with clinicians and other routine training
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 Compiles monthly reports as
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 Identifies trends/problems in medical documentation and recommends possible solutions.
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 Provides training support to billing department in handling of rejections and denials of
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 Correction and submission of reference lab billing requests.
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 Performs other duties as assigned.
 
 
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 Marginal Functions
 
 
 
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 Assists in audits.
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 Codes input forms as required.
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 Provides backup support to billing department.
 
 
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 Supervises:
 
 None
 
 
 
 NOTE: SMOKING IS PROHIBITED IN THE WORK ENVIRONMENT
 
 
 
 
 NOTE: ALL APPLICANTS MUST PROVIDE CONTACT INFORMATION FOR THREE REFERENCES
 
 
 
 
 AN EQUAL OPPORTUNITY SERVICES PROVIDED ON A NON-DISCRIMINATORY BASIS
 
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Certified Medical Coder

Parallon

<div>Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Clinical Denials Coding Review Specialist with Parallon you can be a part of an organization that is devoted to giving back!
This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA).
<h5 class="jobSectionHeader">Job Summary and Qualifications</h5>
As a work from home Clinical Denials Coding Review Specialist, you will be responsible for applying correct coding guidelines and payor requirements as it relates to researching, analyzing, and resolving outstanding clinical denials and insurance claims. This job requires regular outreach to payors and Practices.
What you will do in this role:<ul><li>
Triage incoming inventory, validating appeal criteria is met in compliance with departmental policies and procedures
</li><li>Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as appropriate
</li><li>Compose technical denial arguments for reconsideration, including both written and telephonically
</li><li>Overcome objections that prevent payment of the claim and gain commitment for payment through concise and effective appeal argument
</li><li>Identify problem accounts/processes/trends and escalate as appropriate
</li><li>Utilize effective documentation standards that support a strong historical record of actions taken on the account
</li><li>Post denials, post or correct contractual adjustments, and post other non-cash related Explanation of Benefits (EOB) information
</li></ul>Requirements:<ul><li>
Minimum two years related experience in accounts receivable follow-up, insurance follow-up and appeals, insurance posting, professional medical/billing, medical payment posting, and/or cash application preferred</li><li>
Prior experience reading and interpreting Explanation of Benefits (EOB) required</li><li>
Coding certification through AHIMA or AAPC strongly preferred</li></ul>
<h5 class="jobSectionHeader">Benefits</h5>
Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services</li><li>
Wellbeing support, including free counseling and referral services</li><li>
Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence</li><li>
Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling</li><li>
Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing</li><li>
Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts</li></ul>
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
&quot;
Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
&quot; 
&quot;There is so much good to do in the world and so many different ways to do it.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
Be a part of an organization that invests in you! We are reviewing applications for our Clinical Denials Coding Review Specialist opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</div>

Clinical Denials Coding Review Specialist

Norton Healthcare

<div>Responsibilities:
<div>
The Coder Specialty Office assures the integrity of the Norton Medical Group billing, insurance, coding, and accounting and referral functions. The incumbent serves as a liaison between the practice and the billing office as well as the accounting department of Norton Healthcare. In performing job functions, utilizes age appropriate principles of growth and development for patients of all ages according to the practice specialty.</div><div></div><div> 
**This position offers a fully remote work opportunity. Employees in this role must reside in one of the following states to be considered for fully remote positions: Kentucky, Indiana, Missouri, Ohio, Tennessee, Alabama, Virginia, Mississippi, North Carolina, South Carolina**</div>
Qualifications:
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Required:</div><ul><li>
One year medical coding in a specialty office</li><li>
One of: CCA or CCS or CIC-ICD or COC or CPC or RHIA or RHIT</li></ul><div>
Desired:</div><ul><li>
Diploma</li><li>
Certified Coding Associate OR Certified Coding Specialist OR Certified Inpatient Coder ICD-10 OR Certified Outpatient Coding OR Certified Professional Coder OR Registered Health Information Administrator OR Registered Health Information Technician</li></ul></div>

Coder - Specialty Office, Revenue Integrity/Coding, Days, Fully Remote

Write RN

We are seeking a highly qualified Certified Medical Assistant (CCMA) to serve as a Subject Matter Expert for a comprehensive certification prep review. In this role, you will ensure our study materials reflect the highest standards of clinical accuracy and current practice guidelines.Key Responsibilities:<ul><li>Review and update 100+ study cards and 100 practice questions.</li><li>Incorporate recent practice changes and updates in standards of care.</li><li>Utilize provided resources, including the Certification Outline and existing test materials, to provide detailed feedback.</li><li>Complete the full review within a 3&ndash;4 week timeline.</li></ul>Qualifications:<ul><li>Must hold a current CCMA certification (Please ensure this is clearly listed on your resume).</li><li>Strong background in medical assistant education or clinical practice.</li><li>Acute attention to detail and ability to meet strict deadlines.</li></ul>Pay: $500.00 per monthLicense/Certification:<ul><li>CCMA Certification (Required)</li><li>RN License (Required)</li></ul>Work Location: Remote

Subject Matter Expert (SME) – CCMA (Certified Medical Assistant)

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Certified Coding Specialist (CCS)

Certified Coding Specialist (CCS)

Certified Coding Specialist (CCS)

Certified Medical Coder

Clinical Denials Coding Review Specialist

Coder - Specialty Office, Revenue Integrity/Coding, Days, Fully Remote

Subject Matter Expert (SME) – CCMA (Certified Medical Assistant)