Get new jobs by email
- ...by the provider. Complete appropriate forms or requisitions needed for referrals or lab testing, including appropriate CPT/ICD-10 coding. Answer questions and provide teaching to patients and family members. Provide appropriate and timely documentation in the patient...SuggestedDaily paidTemporary workPart timeWork at officeMonday to Friday
$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 office$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 work$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 work$77.97k - $141.37k
**JOB DESCRIPTION** **Job Summary** Serves as a subject matter expert on system capabilities, conducting research and root cause analysis to resolve complex business and technical issues. Ensures system configuration aligns with business rules, regulatory requirements, ...SuggestedContract workWork experience placement$49.34 - $76.59 per hour
...Experience with an Electronic Medical Record (EMR) system. Preferred Qualifications: • Bachelor's Degree - Nursing. • Home Care Coding Specialist - Diagnosis, Hospice, or OASIS. Why Join Providence? Our best-in-class benefits are uniquely designed to support you and...SuggestedFull timeWork at officeRemote workShift workDay shiftWeekday work$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$45.53k - $61.49k
...for a talented software engineer to aid our business objectives. This role will allow exposure to multiple technology platforms and coding languages while collaborating across several departments. Come ready to create, innovate and be an active member of our team. Join...SuggestedFull timeTemporary workInternshipLocal areaRemote work- 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
- ...problems, utilizing your problem-solving skills and technical knowledge. Go beyond issue resolution: Educate users on effective vibe-coding techniques and guide them toward best-practice build approaches that help them realize their vision. Proactively communicate...SuggestedFull timeCasual workWork at officeAfternoon shift3 days per week
$55k - $107k
...eligible for a security clearance **Qualifications We Prefer:** + Comfortable working with C, C++, Python and/or Linux + Some experience coding in an embedded environment + Security focused mindset + Familiar with multi-threaded and object-oriented development + Familiar...SuggestedFull timeTemporary workWork experience placementInternshipWork at officeRemote workRelocationFlexible hours$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...SuggestedHourly payContract workWork experience placementLocal areaRemote work$120k
...processing with the client; maintains professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned staff. **ADDITIONAL FUNCTIONS...SuggestedWork at officeLocal areaRemote workFlexible hours$77.97k - $141.37k
...be active and unrestricted in state of practice. - Experience demonstrating knowledge of ICD-9, Current Procedural Technology (CPT) coding and Healthcare Common Procedure Coding (HCPC). - Experience demonstrating knowledge of Centers for Medicare and Medicaid Services (...SuggestedWork experience placementWork at officeRemote workMonday to Friday- ...directed by provider • Complete appropriate forms or requisitions needed for referrals or lab testing, including appropriate CPT/ICD-10 coding. • Provide appropriate and timely documentation in the participants electronic medical record using standardized workflows and...SuggestedDaily paidFull timeTemporary workWork at officeRelocation packageMonday to FridayShift workWeekend work
- ...The Client Office P hlebotomist - Out of State reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory...Part timeWork at officeImmediate start
$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- ...customers and team members; direct calls to appropriate escalation path as needed. Provide detailed notes on phone calls, and track and code documentation according to standard processes. Educate and inform customers about processes, timelines and status of inquiries...Work at office
$54.7k - $72.5k
...time delivery + Effectively manages transitions between projects/tasks + Ability to support 5-10% travel + Experience in Python or in coding in C and derivative languages is a plus. You may also be asked to perform other duties outside of your function or trade, for which...Work experience placementInternshipRelocation package- ...ll be responsible for: + Accounts Payable: Reviewing and processing ~300 invoices weekly using third-party software for scanning, coding, and routing. + Accounts Receivable: Handling AIA billing and standard invoicing; working closely with project managers. + Payroll...Permanent employmentFull timeContract workTemporary workCasual workWork at officeMonday to Friday
- ...be responsible for: Accounts Payable : Reviewing and processing ~300 invoices weekly using third-party software for scanning, coding, and routing. Accounts Receivable : Handling AIA billing and standard invoicing; working closely with project managers. Payroll...Full timeCasual workWork at officeMonday to Friday
$66k - $130k
...Engineering or Mathematics (STEM) and minimum 2 years of prior relevant experience **or** an Advanced Degree in a related field + RTL coding and simulation in VHDL or Verilog + Digital circuit architecture, design, resource tradeoffs, timing analysis and timing closure +...Temporary workWork experience placementRelocation packageFlexible hours- ...while providing quality service to the client and has a working knowledge of construction laws and practices. * Understands building codes and other design requirements as well as plans, blueprints, and specifications. * Effective working as a team member and knows how...Full timeContract workTemporary workFor subcontractorFlexible hours
- ...activities including but not limited to clinical record review, quality indicator monitoring, and quality management OASIS and/or coding experience is strongly desired Acts as a Preceptor to coordinate orientation and training for all RN Clinical new hires...
$77.97k - $128.52k
...regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal...Work experience placementWork at officeRemote work$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- ...management. 2-3 years of leadership experience Experience in accounts receivable, to include billing, collection, ICD-9 and CPT coding. Clinical operations experience preferred. Preferred experience in personnel management, facility management, financial...Daily paidTemporary workWork at officeShift workDay shift
$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...Contract workWork experience placementRemote work$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


