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- Overview Inpatient Coding Quality Auditor - Parallon, HCA Healthcare (Remote). This is a fully work-from-home position requiring inpatient coding and DRG validation experience. Schedule: Monday-Friday Day Shift. Responsibilities Leads, coordinates and performs all functions...SuggestedTemporary workRemote workWork from homeMonday to FridayFlexible hoursDay shift
$23.62 - $35.44 per hour
...Introduction** Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an Inpatient Coding Specialist with Work from Home you can be a part of an organization that is devoted to giving back! **This position is a fully work...SuggestedHourly payFull timeTemporary workPart timeRelocation packageFlexible hours$29.05 - $67.97 per hour
...operation hours 6 AM to 6 PM (Team will work on set schedule) Looking for a RN with experience with appeals, claims review, and medical coding. Job Summary Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable...SuggestedHourly payWork experience placementWork at officeRemote workMonday to Friday- ...the state. One (1) to two (2) years of clinical home health experience required. Working knowledge of OASIS and ICD-9/ICD-10 coding. OASIS certification (COS-C) preferred; OASIS Home health ICD-9/ICD-10 coding certification preferred. Knowledge of federal regulations...SuggestedLocal area
Horizon Home Health & Hospice, Inc
Caldwell, ID3 days ago $77.97k - $155.51k
...especially in the areas of provider reimbursement and claims payment integrity. Strong working knowledge of managed care claims coding (Current Procedural Terminology (CPT), International Classification of Diseases (ICD), Healthcare Common Procedure Coding System (HCPCS...SuggestedTemporary workWork experience placementRemote workMolina Healthcare
Caldwell, ID2 days ago$21.16 - $38.37 per hour
...compliance standards. Familiarity with systems used to manage claims inquiries and adjustment requests Understanding of billing and coding procedures Experience with Medicaid, Medicare, and Marketplace claims To all current Molina employees: If you are interested...SuggestedHourly payWork experience placementWork at officeMolina Healthcare
Caldwell, ID4 days ago- ...Review medical records and provider documentation for completeness and accuracy. Assign accurate ICD-10, CPT and other applicable codes based on documentation and coding guidelines. Ensure coding compliance with federal regulations, payer policies, and industry...Suggested
- ...negotiates settlements. + Communicates claim action with claimant and client. + Ensures claim files are properly documented and claims coding is correct. + May process low-level lifetime medical and/or defined period medical claims which include state and physician...SuggestedContract workWork at officeFlexible hours
Sedgwick
Meridian, ID1 day ago $77.97k - $155.51k
JOB DESCRIPTION Job Summary Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application ...SuggestedPermanent employmentContract workWork experience placementRemote workMolina Healthcare
Caldwell, ID11 hours ago$77.97k - $155.51k
...Ability to translate contract rates and terms to evaluate the financial impact to effectively negotiate new or amended contracts (e.g. coding and chargemaster impact analysis) Strong written and verbal communication skills required to present analytical results and...SuggestedContract workWork experience placementRemote workMolina Healthcare
Caldwell, ID2 days ago$77.97k - $155.51k
...and compliance + Knowledge of value based programs, risk adjustment models, quality metrics such as HEDIS and STARS, knowledge of coding + Knowledge of medical economics and financial reporting. Must be able to walk stakeholders (internal and external) through basic financial...SuggestedContract workWork experience placementLocal areaRemote work$23.11 - $35.77 per hour
...required information is included to make a case determination. Review the correct application of ICD-10, CPT, HCPCS and other medical coding guidelines. Review, process and adjust claims for all lines of business. Perform other duties and responsibilities as...SuggestedContract workTemporary workLocal areaShift work$21.16 - $34.88 per hour
...• Graduate of an accredited medical assistant (MA) program. • Demonstrated understanding of patient care, medical terminology, coding procedures, reference tools and appropriate clinical pharmacology for medical assistant practice scope. • Excellent customer service...SuggestedHourly payWork experience placementWork at officeMolina Healthcare
Caldwell, ID3 days ago- About the job Data Entry Operator | Junior (Remote) Important: You Will Receive An Email Within Next 2 Minutes After Applying , Check Your Inbox or Spam Folder For next steps. A Data Entry Clerk, is responsible for inputting data and making changes to existing...SuggestedRemote work
Only Data Entry Clerk
Caldwell, ID11 hours ago $21.16 - $42.2 per hour
...Evaluates the adjudication of claims using standard principles and state specific policies and regulations in order to identify incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims. (Use for claims specific positions...SuggestedHourly payContract workWork experience placementWork at office$24 - $51.06 per hour
...JOB DESCRIPTION Job Summary The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position uses information from a tip, member benefits, and medical records to document relevant...Hourly payContract workWork experience placementLocal areaRemote work$3,000 per month
...for multi-session studies) There are many payment options available including PayPal, direct checks, and online virtual gift cards codes. Opportunities to earn bonuses & rewards. Responsibilities: Take part in focus groups, clinical trials, online surveys/...Extra incomeTemporary workPart timeRemote workWork from homeFocusGroupPanel
Caldwell, ID2 days ago$26.41 - $61.79 per hour
...operation hours 6 AM to 6 PM (Team will work on set schedule) Looking for a RN with experience with appeals, claims review, and medical coding. JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying...Hourly payWork experience placementWork at officeRemote workHome officeMonday to Friday$186.2k - $363.09k
...measures, claims processing, etc.) - Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). - Advanced understanding of key...Work experience placementWork at office$77.97k - $128.52k
...regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. + Strong Medical Claims Audit knowledge To all current Molina employees: If you are interested in applying for this...Work experience placementWork at officeRemote work$110 per hour
...objective is to assess the overall health and well-being of member beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care. This role is 1099 and offers flexibility. NP Responsibilities Perform annual in-home...Daily paidPart timeFor contractorsReliefImmediate startFlexible hoursWeekday work$18 - $20 per hour
Overview Dispatcher Monday - Friday with alternating weekends $18 - $20 What you will do: Scheduling and dispatching drivers based on customer requests or immediate needs Using telephone system to contact technicians Relaying information such as...Immediate startMonday to FridayWeekend workRIGHT NOW HEATING and AIR CONDITIONING
Caldwell, ID4 days ago$140.8k - $274.55k
...License, Certification, Association** - Certified Professional in Health Quality (CPHQ) - Nursing License - Certified Risk Adjustment Coding (CRC) To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job...Work experience placementLocal area$20 - $24 per hour
...estimation and spatial reasoning. Reading Skills : Interpret manuals, safety instructions, reports, and understand images, graphs, and coding systems in the work area. Oral Skills : Communicate effectively, respond to questions, and collaborate with supervisors and...Hourly paySummer workWork at officeFlexible hoursShift workNight shiftWeekend workAfternoon shiftFiberon
Meridian, ID1 day ago$107.03k - $250.45k
..., RADV, or Risk Adjustment-like projects, and other state specific audit projects and deliverables related to accurate billing and coding. This role also works with the Health Plan Risk/Quality leaders to strategically plan for supplemental data source (SDS) acquisition...Work experience placementImmediate start- ...knowledge of ISO 22000. Understanding of OSHA regulations in a food manufacturing environment. Familiarity with GMP and chemical symbols/coding. Agri‑food technology experience preferred. Skills / Abilities Proficient in math, algebra, geometry, and mechanical physics....Currently hiring
$21.16 - $42.2 per hour
...days of error issuance. Evaluates adjudication of claims using standard principles and state-specific policies to identify incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors (for claims-specific positions). Prepares,...Hourly payWork experience placementWork at office$100,000 per day
...leading technology tools Comply with all regulatory guidance including but not limited to HIPAA, Medicare rules and billing and coding Communicate effectively with patients/clients, the public and all members of the healthcare team Partner with leadership to select...Full timePart timeRelief- ...consultants and developers to optimize data structures and queries Document migration procedures and creating knowledge transfer materials Coding new Crelate application capabilities using .NET, C#, JavaScript, TypeScript, HTML, CSS, Elastic and SQL Working with customers when...Temporary workWork at officeWorldwideFlexible hours
$45 per hour
...completion Researching payments for other departments and performing journal entry reclassifications as-needed Answering account coding questions for other divisional team members Qualifications HS Diploma or GED required A fundamental understanding of accounting...Contract workWork at office
