Medical Coding Specialist Under direct supervision, assigns accurate ICD-10 diagnoses, CPT-4 procedure coding and appropriate modifiers derived from medical record documentation for complex and multi-specialties that include Emergency Room (ER), ER E/M charging, OP Trauma, Hospital and ASC Surgeries, Observation,
Inpatient Coding Team Lead Under direct supervision, the Inpatient Coding Team Lead provides day to day supervision and instruction for the coders. The Inpatient Coding Team Lead oversees specific hospital inpatient accounts based on acuity for the purpose of
Senior Outpatient Coding Specialist - Remote Monday - Friday 6AM-6PM ET (28 hours/week) We are seeking a Senior Outpatient Surgery Coder with experience in IR & Cardiology coding to join our team. This role is responsible for the
Clinical Coding Auditor Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or CPT-4 procedure
Medical Director 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
Conducts such activities as account investigation, follow-up and collections on unusual and complex accounts. Serves as lead worker and trainer for junior level staff; and other duties as assigned. EDUCATION and/or EXPERIENCE High school diploma or
Patient Account Representative III - Pediatric Billing Conducts such activities as account investigation, follow-up and collections on unusual and complex accounts. Serves as lead worker and trainer for junior level staff; and other duties as assigned.
Utilization Management Coordinator Pay Range: $20.24hr - $24.24hr The Utilization Management Coordinator will provide administrative and operational support for utilization management activities, including authorization processing, benefit verification, claims inquiries, and coordination with members and providers. The
Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system accurately