Maintains the practice management system by entering accurate data, verifying and updating insurance and claims information, handles carrier correspondence, manages EOBs, and keys payments received into the system.
Prepares, reviews, submits, and follows up with clean claims to various companies/individuals.
Collects, posts, and manages patient account payments.
US Anesthesia Partners provides comprehensive anesthesia care. They are committed to clinical excellence and outstanding patient experience.
Accurately translate patients’ medical records into standardized codes for diagnoses and treatments.
Ensure compliance with legal, regulatory, and organizational standards.
Ensure claims are processed correctly and on time with efficient management of records.
Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation with care centers throughout California. As an affiliate of Dignity Health, they work hand-in-hand with physicians and providers throughout California to provide comprehensive health care services.
Responsible for maintaining the integrity, accuracy, and compliance of the hospital’s charge description master (CDM).
Ensures that all clinical services, supplies, and procedures are correctly coded and mapped for appropriate billing and revenue reporting.
Works closely with Clinical, Finance, Revenue Cycle, and IT Teams to analyze and implement new service request, coding updates, price changes, and regulatory modifications.
Ingalls Memorial Hospital is a world-class academic healthcare system. A skilled Medical Staff and talented employees dedicated to prevention, diagnosis, treatment and rehabilitation of illness and injury provide a firm foundation for our reputation for quality.
Reviewing and resolving missed or miscoded charges.
Ensuring coding and billing practices comply with guidelines.
Following Medicare/Medicaid and other payer requirements.
Marshfield Clinic Health System enriches lives through accessible, affordable, and compassionate healthcare, prioritizing patients' needs. They value connection with colleagues and community recognition, offering affordable living and leisure opportunities.
Review encounter documentation to confirm reported services.
Resolve pre-bill edits to confirm correct coding (modifier, diagnosis, CPT, and HCPCS review).
Educate providers on correct coding and documentation guidelines.
Northwestern Medicine is committed to prioritizing every patient interaction to cultivate a positive workplace. Because of its patient-first approach, the company stands as a leader in the healthcare industry with competitive benefits that take care of its employees.
Performs the final reconciliation on clinic or provider visits.
Reviews, abstracts, and codes multiple or sub specialty services and complex or unusual cases, and assigns appropriate coding classifications.
Interacts with coding staff, business office, providers, hospital staff, clinic managers, and other clinical personnel on billing related issues.
University of Utah Health is a patient-focused organization that enhances the health and well-being of people through patient care, research, and education. They are a Level 1 Trauma Center and are nationally ranked and recognized for their academic research and quality standards.
Review documentation to assign appropriate CPT, HCPCS, and ICD-10 diagnosis codes
Resolve edits in WQs (charge review, claim edit, and follow up) and review denials for possible corrected claims or appeals
Work with clinic supervisors and/or providers to resolve coding issues and questions, following applicable payer rules and guidelines
CommonSpirit Health has more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services. They are committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
Enters data into scheduling and billing software for all incoming surgical cases received from facilities and surgeon office staff via email, fax, or phone calls.
Identifies and resolves any discrepancies, conflicts, or missing information through communication with facilities and surgeon office staff.
Posts cases according to division specific requirements to include general patient demographics, procedure, diagnosis, location, time of case, and estimated time required for completion.
US Anesthesia Partners, Inc. provides anesthesia related services. They are committed to equal employment opportunities and value diversity.
Codes and abstracts Outpatient records for data retrieval, analysis, reimbursement and research.
Codes and enters diagnostic and procedure codes into the designated coding and abstracting system.
Meets quality and productivity coding standards and demonstrates the ability to navigate an EMR.
CommonSpirit Health has over 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services. They are committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen both inside our hospitals and out in the community.
Assigns ICD-10 and CPT Codes and performs charge reconciliation.
Cooper University Health Care is committed to providing extraordinary health care. They are continuously discovering clinical innovations. Cooper offers career growth through professional development and is the employer of choice in South Jersey.
Performs Current Procedural Terminology (CPT) and International Classification of Diseases, volume 10 (ICD10) coding through abstraction of the medical record.
Trains physicians and other staff regarding documentation, billing and coding, and performs various administrative and clerical duties to support the roles core function.
Acts as a key collaborator with Providers and Clinical areas to ensure the medical record accurately reflects the patient's service.
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. As an integral part of their team, you'll have the opportunity to join their quest for better health care, no matter where you work within the Northwestern Medicine system.
Abstract information from patient medical records to assign correct codes and charges to outpatient surgical records, and/or observation cases.
Assign correct CPT, ICD-10-CM; HCPCS or ICD-10-PCS and DRGs for facility and/or professional charges, which would involve complex procedure and diagnostic coding within highly specialized coding areas.
Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance program (OMAP).
OHSU is Oregon's only public academic health center. As Portland's largest employer, they offer learning and advancement opportunities in a system of hospitals and clinics across Oregon and Southwest Washington.
Perform in-depth medical claim reviews using UB-04 and itemized statements.
Verify itemized charge accuracy based on policy and industry standards.
Validate system denials and suggest system enhancements for efficiency.
Machinify is a healthcare intelligence company that delivers value, transparency, and efficiency to health plan clients. They bring together an AI-powered platform, are deployed by over 85 health plans, and represent more than 270 million lives.
Researches and analyzes data to answer questions and find trends.
Reviews carrier websites, regulations, and policies related to coding and reimbursement.
Prepares and presents quality reports, reviews, and analysis.
OSU Physicians provides exceptional patient care while fostering a collaborative work environment. They include more than 1,800 nurses, medical assistants, physicians, advanced practice providers, administrative support staff, IT specialists, financial specialists and leaders.
Responsible for managing patient registration and insurance-related tasks, including verifying insurance benefits and providing cost estimates.
Acts as a liaison between practice operations and financial advocates, addressing registration, insurance issues, patient concerns and billing questions.
Explains financial obligations, billing processes, collects payments, and establishes payment arrangements with patients as necessary.
Lucile Packard Children’s Hospital Stanford combines advanced technologies and breakthrough discoveries with family-centered care. They provide their caregivers with continuing education and state-of-the-art facilities. They strongly value diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment.
Design, build, test, validate, maintain and provide ongoing support of Epic Hospital Billing systems.
Work across interdisciplinary workgroups to accomplish set goals as a team.
Establish, foster and maintain positive business relationships with Emory co-workers, interdisciplinary workgroups and Epic partners.
Emory Healthcare is a healthcare system that provides comprehensive medical services and research. They are committed to providing reasonable accommodations to qualified individuals with disabilities upon request.
Responsible for accurate and timely submission of billing claims.
Responsible for the timely follow-up of unpaid inpatient, outpatient and clinic claims.
Provides appropriate medical documentation to the insurance carrier.
Plumas District Hospital provides essential health care services to the residents of Quincy and the surrounding area. They are located in Quincy, California, nestled against the Western slope of the Sierra Nevada mountain range.
Responsible for the accurate and timely resolution of patient accounts.
Work assigned accounts through the collections system, analyzing them for appropriate action.
Follow all third-party payer guidelines and procedures for collection; keep current on policy changes.
UChicago Medicine has been at the forefront of medicine since 1899. They provide superior healthcare, mindful that each patient is an individual, advancing medical innovation, serving the health needs of the community, and moving collective knowledge forward.
Initiate communication to communities regarding expensive and non-formulary medication orders.
Keep detailed records of all orders that require communication to the community.
Review Medicare D rejections and prior authorizations, and coordinate with pharmacists or physicians.
Symbria Rx Services delivers patient-centered care to the geriatric population in senior-living and post-acute settings. As one of the few 100% employee-owned companies in healthcare, our business practices are guided strictly by the values to which our employee owners are committed to.
Follow VitalCaring billing Standard Operating Procedures and regulatory billing guidelines
Collaborate with your supervisor and the billing team to address payor and billing concerns
Ensure documentation accuracy and submit claims in accordance with Medicare and other payor requirements
VitalCaring is a leading provider of home health and hospice services. Founded in 2021, VitalCaring has grown into a leading provider of home health and hospice services, with over 65 locations across the country. They foster a culture of support, growth, and excellence.