• US National

Review documentation to code diagnoses and surgical CPT procedures for hospital-based claims and data needs. Validate APC calculations, abstract clinical data, and interact with client staff and providers.

• US National

Review documentation to code diagnoses and surgical CPT procedures, validate APC calculations, interact with client staff and providers. Requires AHIMA or AAPC credential and two years of relevant coding experience.

• US National

Completes quality reviews on cancer registry abstracts for the CCRS Division. Develops relationships with clients, performs representative case selection, enters review results, and responds to client and operational leaders' questions.

• USA, or US National

Provide consistent support for clients, design and deploy application configurations, translate business requirements into functional specifications, ensure successful completion of quality product and solution implementations.

• US National

Abstract and collect data, meet quality and productivity benchmarks, participate in meetings and reviews, maintain certification and memberships, troubleshoot technical issues, and adhere to compliance policies.

• MA, RI, NH, VT, ME

Verify patient, billing, and claim information for accuracy using various hospital/physician systems. Perform compliant primary/secondary, tertiary, and rebill billing functions for medical claims. Edit claims to meet billing...

• US National

Responsible for verifying eligibility and authorization, updating patient information, researching and resolving unpaid or denied claims, contacting payers for claim payment, and maintaining patient confidentiality.

• US National

Assign and sequence diagnosis and procedural codes for outpatient and in-patient professional services. Verify and sequence ICD-10 and/or CPT/HCPCS codes. Work on insurance follow-up and collaborate with Accounts Receivable Team.

• US National

Assign and sequence diagnostic and procedural codes for specific patient types, validate APC calculations, review and assess documentation for accurate abstracting of clinical data, maintain patient and provider confidentiality, participate in contin..

• MA, RI, NH, VT, ME

Maintain and oversee the correspondence process, including posting payments, adjustments, and transfers. Review insurance explanation of benefits and post payments. Investigate unidentified cash and resolve misdirected payments.

• US National

Review clinical documentation and assign diagnostic and procedural codes for billing and reimbursement. Validate APC calculations and ensure accurate abstracting of clinical data. Maintain knowledge of coding guidelines and participate in continuing ..

• US National

Monitor staff performance, quality and address any training or performance issues accordingly. Perform colleague chairsides. Conduct routine account activity quality audits to ensure accounts are being worked appropriately.

• US National

Assign and sequence diagnostic and procedural codes for specific patient types. Review and analyze facility records to ensure accurate coding. Maintain knowledge of coding guidelines and participate in continuing education activities. Maintain patien..

• US National

Verifies or obtains patient eligibility and/or authorization for healthcare services performed by searching payer web sites or client eligibility systems, or by conducting phone conversations with the insurance carrier or healthcare providers.

• US National

Verifies or obtains patient eligibility and/or authorization for healthcare services performed by searching payer web sites or client eligibility systems, or by conducting phone conversations with the insurance carrier or healthcare providers.

• Remote, USA, or US National

Ensure timely collection of healthcare insurance receivables by verifying eligibility, updating information, conducting research, monitoring claims, contacting payers, and securing medical documentation. Minimum 2 years experience in healthcare insur..

• US National

Maintains weekly abstracting productivity benchmarks as defined by assigned project. Utilizes centralized productivity tool to enter all productive time work related task (time and volumes). Completes concurrent QA process and project ramp up reviews...

• US National

Maintains ODS-C certification and NCRA membership, as well as appropriate state association memberships. Company provides reimbursement for one annual job-related professional due based on the preference of the colleague.