KHS reasonably expects to pay starting compensation for the position of Claims System Process Improvement Program Manager in the range of $83,625 -106,622 Annual On-site Position About us Kern Health Systems is dedicated to improving the health status of our members through an integrated managed health care delivery system. About the role Under management direction, responsible for supervising the testing, configuration and auto adjudication activities in the Claims Department to ensure accuracy

Job Description Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: This positon trains and audits Inpatient and Outpatient Clinical Documentation Specialists (CDS) across all HCS entities that are owned or managed that have opted into shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may travel from entity

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary As a Senior Business Analyst - Healthcare at Gainwell, you can contribute your skills as we harness the power of technology to

Liberty Cares With Compassion At Liberty Home Care we know that following an illness, trauma or surgery, the ability to recover at home can greatly improve patient outcomes. Our healthcare professionals are dedicated to offering recovery with independence to our patients. We are currently seeking an experienced: HIM FIELD CODER Full Time Job Summary: Provides LHRS facilities with accurate pre-authorization ICD coding and reports codes to facility designated staff within a turn-around time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary As a Senior Business Analyst - Healthcare at Gainwell, you can contribute your skills as we harness the power of technology to

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary As a Senior Business Analyst - Healthcare at Gainwell, you can contribute your skills as we harness the power of technology to

Claims Examiner, Tucson, AZ The Claims Examiner needs experience with ICD-10, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), In-Patient Billing, Rejections, Accounts Receivable (A/R), Account Reconciliation, and Prior Authorizations. Candidates also need experience with Medicare/Medicaid Billing, Medicare/Medicaid Claims, In-Patient Billing, and Rejections. Under general supervision from the Director of Operations, the responsibility of Claims Examiner

About Us We are a fast-growing healthtech company revolutionizing the medical coding industry with cutting-edge technology. Our platform leverages AI and automation to streamline medical coding workflows, ensuring accuracy, compliance, and efficiency for healthcare providers across the country. We are looking for a Principal Full Stack Engineer to lead the development of our core platform. This role is ideal for someone who thrives in a startup environment, enjoys building end-to-end systems, a

Medical Claims Examiner, Tucson, AZ The Medical Claims Examiner needs experience with ICD-10, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), In-Patient Billing, Rejections, Accounts Receivable (A/R), Account Reconciliation, and Prior Authorizations. Candidates also need experience with Medicare/Medicaid Billing, Medicare/Medicaid Claims, In-Patient Billing, and Rejections. Under general supervision from the Director of Operations, the responsibility of

Medical Claims Coder, Tucson, AZ The Medical Claims Coder needs experience with ICD-10, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), In-Patient Billing, Rejections, Accounts Receivable (A/R), Account Reconciliation, and Prior Authorizations. Candidates also need experience with Medicare/Medicaid Billing, Medicare/Medicaid Claims, In-Patient Billing, and Rejections. Under general supervision from the Director of Operations, the responsibility of Medica

Required Qualifications: Bachelor s degree in Finance, Business Administration, Healthcare Management, or related field Minimum 5 years of experience conducting financial analysis and reporting within a healthcare environment Proven experience interpreting medical records using CPT, ICD-10, and HCPCS coding frameworks Strong technical expertise with healthcare data systems and electronic health records (e.g., Epic, Cerner) Review healthcare contracts and perform ROI analyses for strategic initia

Data Manager Healthcare: Overview: Our direct client, a fast-growing healthcare and data analytics firm based in the Boston area is seeking to bring on an experienced Data Analyst Manager to lead a dynamic, multinational data team. This role offers the opportunity to provide leadership, strategic insight, and hands-on expertise in healthcare data analysis while helping shape the future of data-driven solutions in the healthcare industry. The ideal candidate will bring not only strong technical s

Job Title: Facility Coding Supervisor Job Type: Permanent (Direct Hire) Job Location: 100% Remote (Must reside in approved states: AK, AL, AR, AZ, FL, ID, KS, LA, MO, MS, MT, ND, NE, NM, NV, OK, SD, TX, UT, WY) MUST be able to obtain a static IP Reporting To: Manager of the coding group Team Size: ~10 members (Inpatient, Same Day Surgery, Observation Coding) Assessment: Required for consideration POSITION SUMMARY Responsible for supervising and coordinating the timely and accurate coding and abs

Software Guidance & Assistance, Inc., (SGA), is searching for an Outpatient/Profee coder for a Contract assignment with one of our premier Healthcare clients in Chicago, IL. (100% remote) Responsibilities : Review clinical documentation in order to assign diagnostic and procedural codes for outpatient medical records according to the appropriate classification system Ensures accurate, timely, and appropriate assignment of ICD-10, CPT/HCPCS, and modifiers for the purposes of billing, interna

Job Title: Senior .NET Developer (.NET, SQL, Angular JS) Health Insurance Location: Philadelphia, PA / Hybrid - (Locals only from PA, NJ, VA) Duration: 12 Months Contract: C2C Experience: 10+ Years Job Summary: We're seeking an experienced Senior Software Developer with a strong background in .NET, SQL, and AngularJS to join our healthcare technology team. The ideal candidate will have a proven track record of developing scalable, efficient, and reliable software solutions for the healthcare ind

Summary Looking for Sr Data Analyst / Tech leads to support teams in US and Nepal. This position is responsible for analyzing, implementing, and maintaining data pipelines into an industry-leading analytics platform. This position requires individuals who will provide leadership and guidance and strategic insights. This role is an excellent opportunity for a senior analyst who wants to take the next step to management by moving from an individual contributing data analyst to a leader within

Position: Medical Billing Specialist Location: Remote / On-site Department: Revenue Cycle Management Overview: CMCI is seeking a detail-oriented and experienced Medical Billing Specialist to oversee claims processing, revenue cycle management, and contribute valuable insights to develop AI-powered tools that enhance medical billing workflows. The ideal candidate will have expertise in medical coding, claims submission, payer interactions, and denial management, ensuring optimized billing practic

Overview GENERAL SUMMARY OF POSITION: Under the general direction of the Director or designee, the Sr. Healthcare Data Analyst needs to be insightful, detail-oriented professional with excellent analytical skills who is able to apply that skill set to data analysis, data mining and data management within a medically-oriented, dynamic analytic team. Responsibilities MAJOR RESPONSIBILITIES: Conduct advanced data mining as required by the program.Lead analyses and produce standard reports using

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us adv

Remote NICU Clinical Documentation Integrity Specialist - Healthcare Jobs Remote NICU Clinical Documentation Integrity Specialist Apply now to join our healthcare team as a NICU Clinical Documentation Integrity (CDI) Specialist. In this remote role, you will ensure precise and comprehensive documentation for neonatal intensive care patients, collaborating with a dedicated team to enhance documentation quality and ensure compliant reimbursement. Join our healthcare team today! <>Job Details Emplo