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

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

Job Title- Outpatient Professional Coder Location- Farmington Hills, MI (Hybrid) Position- 13 Months contract position (Possibility of extension) Description- Using established coding principles and procedures, reviews, analyzes and codes diagnostic and/or procedural information from the patient's medical record for reimbursement/billing purposes. Requirements: High school graduate with additional training in ICD-10, CPT-4 and evaluation and management coding. CCS, CCS-P, CPC, or COC certi

Allied Digestive Health is one of the largest integrated networks of gastroenterology care centers in the nation with over 200 providers and 60 locations throughout New Jersey and New York. As a fast-growing physician-led organization, our dynamic structure encourages physician input and decision-making, while simultaneously offering operational support. Our dedicated, compassionate team of providers prioritize personalized treatment plans for patients that deliver the highest quality of care. A

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

Specialty Coder Senior- Remote- Cardiology-Temp to Perm Candidates must reside in in Texas, Louisiana, Arkansas, Georgia or New Mexico to be further considered Must have at least 5 years experience- Must be available full time Candidate must have a laptop and two monitors available to work from. Summary: Focus on coding skills and expertise on designated Inpatient or Outpatient high dollar or specialty account types. Specialty Coder is responsible for maintaining current and high-quality ICD-10

Specialty Coder Senior- Remote- Neurology - Temp to Perm Candidates must reside in in Texas, Louisiana, Arkansas, Georgia or New Mexico to be further considered Must have at least 5 years experience- Must be available full time Candidate must have a laptop and two monitors available to work from. Summary: Focus on coding skills and expertise on designated Inpatient or Outpatient high dollar or specialty account types. Specialty Coder is responsible for maintaining current and high-quality ICD-1

Specialty Coder Senior-Remote- Multispecialty; experience required: strong pro -fee Anesthesia coder, Anesthesia specialty certification preferred, but not required if they have over 5 years of Anesthesia experience. Candidates must reside in in Texas, Louisiana, Arkansas, Georgia or New Mexico to be further considered Must have at least 5 years experience- Must be available full time Candidate must have a laptop and two monitors available to work from. Summary: Focus on coding skills and expe

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

Facets Developer Remote - CST Time zone Job Description/ Responsibilities: Oversee the integration of data with Facets systems to ensure seamless workflow and system functionality.Provide expertise in Facets Benefit Configuration to optimize benefit structures and improve overall efficiency. Substantial intelligence of Facets system applications and understanding in multiple product lines (HMO, POS, PPO, Dental, Indemnity, Medicare and Medicaid).Understanding of Provider tables, i.e.; Practition

Required Qualifications: Bachelor s degree Preferred Qualifications: Master s degree Responsibilities: 5 years of experience in financial analysis and reporting Working knowledge of CPT, HCPCS, and ICD/Dx coding systems Perform financial modeling to evaluate contract changes and new reimbursement models.

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 DescriptionBeware of hiring scams where fraudulent actors impersonating our company and employees contact you directly to solicit your job application. Healthcare Fraud Shield will not contact you prior to having received your application. Healthcare Fraud Shield, a leader in healthcare fraud prevention and payment integrity solutions, is looking for a talented Coder or Clinical Coder/Fraud Investigator to join our team. RESPONSIBILITIES Work with SIU Team (Clinical Reviewers, CPCs, Investig

Job DescriptionAbout Founded in 2010, All About Therapy specializes in occupational and speech therapy services for children from birth to through age 17 with a wide range of diagnoses and abilities. Our Mission is to work with children with developmental delays and special needs to create beneficial outcomes that otherwise might not be possible. Our therapists go to wherever the child is, whether they are at home, school, daycare or various other settings for their services. We place a high emp

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

Immediate need for a talented Provider contracting representative. This is a 06+months contract opportunity with long-term potential and is located in U.S(Remote). Please review the job description below and contact me ASAP if you are interested. Job ID:25-69255 Pay Range: $27 - $28.78/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Delivers professional ac

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