Job Search Results for coding

Coding Educator

Insight global is seeking a Coding Educator for a healthcare system in Virginia. The educator will provide consulting services to physicians, residents, allied health professionals and billing staff... More to support patient care documentation, coding and billing practices according to federal, state and local regulatory compliance standards. Creates and delivers presentations to clinical faculty and billing staff.Develops training programs and delivers training and education sessions for physicians, allied health professionals, residents, and coding and billing staff to support compliance with third party documentation and billing regulatory standards, including but not limited to classroom training, web-based training and one-on-one provider observation and training sessions.Participates on clinical department Billing Quality Councils as a member of the respective councils and acts as the primary resource providing technical and regulatory expertise to the Councils.Presents findings and recommendations from internal and external audits to clinical departments and recommends solutions for implementing appropriate changes.Conducts internal reviews and provides quality review of external billing quality audits.Works with providers and department billing staff to address and resolve documentation deficiencies.Develops and implements Clinical Documentation Improvement Programs in partnership with the clinical departments.We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form. The EEOC "Know Your Rights" Poster is available here. To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .Less

DRG Coder (Inpatient)

Insight Global is hiring Inpatient Coding Specialists for a healthcare client located in Dothan, AL.In this role, the Inpatient Coding Specialist will be responsible for accurately assigning... More diagnostic and procedural codes to patient records using ICD-10-CM and ICD-10-PCS coding systems. The position requires a strong understanding of industry standards and coding guidelines to ensure the integrity and precision of all coded data.Key responsibilities include:Reviewing medical records to determine appropriate codes.Ensuring compliance with regulatory requirements and coding best practices.Collaborating with healthcare providers to support accurate documentation and coding consistency.This is an excellent opportunity for detail-oriented professionals with a passion for healthcare data accuracy and compliance.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

DRG Auditor

Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote. The work authorization is not specified and the salary ranges anywhere from $80,000-$95,000. This person... More should have an extensive background in either facility-based nursing, clinical documentation, and/or inpatient coding and has a high level of understanding of reimbursement guidelines specifically an understanding of the MS-DRG, AP-DRG, and APR-DRG payment systems. This position is responsible for auditing inpatient medical records and generating high-quality recoverable claims for the benefit of our client and their clients. They are responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Below are the key responsibilities for this role:?Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions. Performs work independently.?Utilizes the clients proprietary auditing systems with a high level of proficiency to make audit determinations and generate audit letters.?Maintains production goals set by the audit operations management team.?Achieves the expected level of accuracy and quality set by the audit for the auditing concept, for valid claim identification and documentation (letter writing).?Identifies potential claims outside of the concept where additional recoveries may be available. Suggests and develops high-quality, high-value concepts and or process improvement, tools, etc.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

REMOTE HCC Coder (CPC)

JOB DESCRIPTIONInsight Global is hiring HCC/Risk Adjustment Medical coders to support a backlog for inpatient and outpatient Medicare advantage projects . Must obtain an active Coding certification... More (CPC) through AAPC or AHIMA, or a CCS. Will be coding more risk adjustment vs profee. Most of the markets are strictly risk adjustment focusing on HCC ICD-10 codes only. We do code from the problem list with supporting documentation, so experience with problem list coding is a plus, but not required as not all risk adjustment coders will have experience there. Will also be responsible to validate the CPT codes and non-HCC codes. These markets are still only reviewing Medicare Advantage members. I would say 20-30% of our work require CPT review. Also, most of the projects are concurrent coding. (Current progress notes, only reviewing one progress note at a time). Our concurrent coding projects will also require the coders to query the providers for conflicting documentation or lack of specificity, and occasionally suspect. We do sometimes have retro projects that will encompass reviewing all progress notes for one patient in a one-to-two-year period. All our retro projects are HCC coding only. DAY TO DAY/EXPLANATION OF ROLE: Will be coding more risk adjustment vs profee Also, most of our projects are concurrent coding. (Current progress notes, only reviewing one progress note at a time). Our concurrent coding projects will also require the coders to query the providers for conflicting documentation or lack of specificity, and occasionally suspect. We do sometimes have retro projects that will encompass reviewing all progress notes for one patient in a one-to-two-year period. All our retro projects are HCC coding only. We have opportunities to review the following chart types. Outpatient Including all specialties acceptable for risk adjustment. Common specialties include, but not limited to Family Medicine Internal Medicine Cardiology Pulmonology Podiatry Ophthalmology Neurology Behavior Health Cancer Centers Inpatient (Hospital and/or SNF) Home visitsWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

GYN Clinic Coder

We are seeking a detail-oriented and experienced GYN Clinic Coder to join our team. The ideal candidate will be responsible for accurately coding and abstracting medical records for gynecologic... More oncology clinic visits, ensuring compliance with all applicable coding guidelines and regulations.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

GYN Surgical Coder

We are seeking a detail-oriented and experienced Gyn Surgery Coder to join our team. The ideal candidate will be responsible for accurately coding and abstracting medical records for gynecologic... More oncology procedures, ensuring compliance with all applicable coding guidelines and regulations.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Remote Sr ABAP Developer

Pay Rate: $50hr - $70hrThe senior SAP ABAP Developer is responsible for complex business and system analysis, design, coding, and testing for current and proposed enterprise application environments.... More Responsibilities include:? Conducting translation of business area customer information into detailed enterprise application design? Interacting with SAP Functional Consultants and client team members to perform analysis of alternatives and provide recommendations? Conducting the preparation of programming specifications, diagrams, and coding logic flowcharts for enterprise application modifications and installations? Experience with budgeting, staffing, forecasting and work planning? Manage a team, including mentoring and training junior team membersWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Remote Revenue Integrity Analyst ? Professional Billing

Key Responsibilities:- Identify charge capture opportunities and compliance issues for physicians and advanced practice providers.- Maintain and monitor Revenue Integrity charge router and review... More work queues; identify trends and implement improvements.- Review reporting to mitigate revenue variances at the department, bill area, provider, and CPT/HCPCS level.- Develop action plans to resolve revenue variances prospectively and retrospectively.- Collaborate with PB Coding, Charge Capture, Clinical Operations, and Revenue Cycle teams to ensure accurate and compliant billing.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Remote E/M Coder (Pro Fee)

The Professional coder will be responsible for handling clinic charges, scrubbing chart for completeness, reviewing diagnoses codes, verifying procedures, along with communicating with providers... More regarding missing info and working edits.We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form. The EEOC "Know Your Rights" Poster is available here. To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .Less

REMOTE Inpatient Facility Claim and Denial Representative

Day to Day: Insight Global is looking for Inpatient Insurance Claim Follow Up Representative to support a large hospital system in the Maryland/DC area. The Insurance Follow-Up Representative is... More responsible for managing post-billing insurance claim activity for non-government payers across three acute hospitals in Washington DC. This team focuses on facility claims only, and this role is focused only on inpatient claims follow up. The role focuses on resolving technical denials (underpayment or partial payment issues, authorization issues, COB issues, coding issues, misinterpretation of contract issues, etc.). Primary Responsibilities:Claims Management:?Take ownership of inpatient hospital claims after billing, especially those that are denied or underpaid.?Review EOBs and contracts to determine what was paid, what was denied, and why.?Identify and resolve technical denials related to coding, coordination of benefits (COBs), charge discrepancies, contract interpretation, etc. ?Utilize payer portals to follow up and resolve outstanding claim issues.Payer Interaction:?Handle all commercial payers including Aetna, Blue Cross, UnitedHealthcare, Cigna, and Medicare Advantage plans.?Understand and navigate multiple contracts per payer.Analytical Review:?Differentiate between pricing errors vs. payment errors.?Accurately price claims based on contract terms and identify variances.Scope of Work:?Inpatient facility claims ONLY ?Technical denials ONLYWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less