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Job Description Quick Hitters: * Fully remote! Applicants may reside in any state aside from the following: CA, WA, OR, CO, NV, NY. * Full health, dental, and vision benefits! * Full-time Monday-Friday working off of CST. Required Skills & Experience: * Certified Professional Coder (CPC) certification required. • Minimum of 2-5 years of experience in general surgical coding, with a focus on colorectal procedures (professional fee based)., • Experience in oncology coding., • Additional certifications such as Certified General Surgery Coder (CGSC) or Certified Gastroenterology Coder (CGIC). Insight Global is looking for a dedicated and experienced Colorectal Surgical Medical Coder to join our team remotely. The ideal candidate will be responsible for accurately coding colorectal surgical procedures and diagnoses using ICD-10, CPT, and HCPCS codes. This role requires a strong understanding of medical terminology, anatomy, and surgical procedures, as well as excellent communication skills to interact with healthcare providers and ensure accurate coding and billing.

Job Description Surgical Biller High volume surgical company is seeking an Experienced Surgical Biller. This position requires detailed knowledge of coding guidelines along with a working knowledge of medical terminology. Additionally, you must possess the ability to audit and interpret clinical documentation to support billing and compliance requirements. Significant coding history is a must. Responsibilities. • Ensure compliance with coding guidelines and regulations to support proper billing., • Collaborate with healthcare providers to clarify documentation and coding queries., • Update and maintain patient records with precise coding information., • Participate in regular coding audits and quality assurance processes., • Stay updated with changes in coding standards, practices, and regulatory requirements., • Certified Professional Coder (CPC) or equivalent certification required., • At least 5 years of experience in medical coding/billing, preferably in a surgical setting., • Proficiency with UB40/Form1500, • In-depth knowledge of CPT, ICD-10, and HCPCS coding systems., • Strong understanding of medical terminology and surgical procedures., • Excellent attention to detail and accuracy in coding and documentation., • Ability to work independently and meet tight deadlines.

Job Description Must haves: • Certified Professional Coder (CPC)., • Minimum of 2 years of medical coding experience with gynecologic oncology coding., • Strong knowledge of ICD-10-CM, CPT, and HCPCS coding systems., • Familiarity with electronic health records (EHR) and coding software., • Excellent attention to detail and organizational skills., • Strong communication and interpersonal skills., • Additional certifications such as Certified General Surgery Coder (CGSC) or Certified Gastroenterology Coder (CGIC)., • Experience with Athena/Epic EMR, • Review and analyze medical records for gynecologic surgery and oncology patients., • Assign accurate ICD-10-CM, CPT, and HCPCS codes., • Ensure coding compliance with federal, state, and payer-specific guidelines., • Collaborate with providers to clarify documentation as needed., • Participate in coding audits and quality improvement initiatives., • Assist in developing and refining coding policies and procedures., • Provide coding education and support to clinical staff.

Job Description QMACS, Inc., a well-established medical billing company located in Richardson, Texas, has an opening for an experienced emergency department coder. The right candidate should be able to code both professional and facility charts; adhere to coding policies and procedures consistent with the industry standard guidelines for CPT, ICD-10, HCPCS and ACEP coding and reporting. The ideal candidates should have the ability to work within a team environment to ensure optimal revenue attainment and complete compliance with governmental and private payor requirements. AAPC and/or AHIMA Medical Coding Certification is required. Experience is preferred. Requirements • Experience coding Emergency Department charts, • Knowledge of HITECH & HIPAA compliance rules and regulations required, • Ability to work well with Microsoft Office suite of products, particularly Excel, • Ability to work in and/or familiarization with a variety of EHR products is a plus, • Knowledge of facility AND professional charts, • Excellent organizational and attention-to-detail skills, • Strong oral and verbal communication skills, • Experience Preferred, • AAPC and/or AHIMA Coding Certification RequiredCompany DescriptionQMACS is a privately held corporation based in Richardson, TX, with over 30 years of experience in the healthcare industry. We specialize in revenue cycle management, practice management, and EHR training and implementation services for a wide range of medical specialties and practice sizes across the country. At QMACS, we combine deep industry expertise with advanced technology to help our clients thrive in an ever-evolving regulatory and reimbursement landscape. Our strong financial and technological resources allow us to not only keep up with the latest changes in government mandates, but to stay ahead, reducing the administrative burden on our clients and empowering them to focus on patient care. As a company, we are committed to innovation, integrity, and building long-term partnerships through exceptional service and results.QMACS is a privately held corporation based in Richardson, TX, with over 30 years of experience in the healthcare industry. We specialize in revenue cycle management, practice management, and EHR training and implementation services for a wide range of medical specialties and practice sizes across the country. \r\n\r\nAt QMACS, we combine deep industry expertise with advanced technology to help our clients thrive in an ever-evolving regulatory and reimbursement landscape. Our strong financial and technological resources allow us to not only keep up with the latest changes in government mandates, but to stay ahead, reducing the administrative burden on our clients and empowering them to focus on patient care. \r\n\r\nAs a company, we are committed to innovation, integrity, and building long-term partnerships through exceptional service and results.

Job DescriptionDescription: We are seeking a detail-oriented and experienced Medical Coder and Biller to join our Rheumatology practice. The ideal candidate will have a strong understanding of medical billing processes, coding guidelines, and insurance claim procedures, with a minimum of three years of hands-on experience in a medical office or specialty clinic setting. This is a full-time, onsite position. • Accurately assign ICD-10, CPT, and HCPCS codes for rheumatology services, • Review clinical documentation to ensure proper coding and billing, • Submit and follow up on insurance claims and denials, • Identify areas of coding weakness and develop training plans to address them., • Work closely with providers and staff to resolve coding and billing discrepancies, • Maintain compliance with current billing regulations and payer requirements, • Review/Audits patient disputes surrounding inappropriate coding in a timely manner and assists with patient billing inquiries. Requirements: Qualifications: • High School Diploma/GED, • Minimum of 3 years of experience in medical coding and billing, • Strong knowledge of medical terminology and billing processes, • Familiarity with insurance guidelines, including Medicare and commercial payers, • eClinicalWorks (eCW) experience preferred, but not required, • Certification (CPC, CCS, CBCS, CCA, HCPCS or CPC-A), • Excellent communication, organizational, and problem-solving skills Additional Requirements: • Ability to work independently and as part of a team, • High attention to detail and accuracy, • Professional references available on request

Job DescriptionJob Summary: Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment complies with the official coding guidelines as supported by clinical documentation in health records. Validates abstracted data elements that are integral to appropriate payment methodology. Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials, etc. Job Responsibilities/Duties: · Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Reviews claim to validate abstracted data including but limited to discharge disposition which impacts facility reimbursement and/or MS-DRG assignment. Adheres to Standards of Ethical Coding (AHIMA). Reviews medical records to determine accurate required abstracting elements (facility/client/payer-specific elements) including appropriate discharge disposition · IP, OP Coding: Reviews medical records for the determination of accurate assignment of all documented ICD-10-CM codes for diagnoses and procedures. Abstracts accurate required data elements (facility/client specific elements) including appropriate discharge disposition. · Coding: Uses discretion and specialized coding training and experience to accurately assign ICD-10, CPT-4 codes to patient medical records. · Abstracting: Reviews medical records to determine accurate required abstracting elements (client specific elements) including appropriate discharge disposition. · Coding Quality: Demonstrates ability to achieve accuracy and consistency in the selection of principal and secondary diagnoses (including MCC & CC) and procedures. Demonstrates ability to achieve accuracy and consistency in abstracting elements defined by SOW. · Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and CPT coding. Attends mandatory coding seminars on an annual basis (IPPS and OPPS, ICD-10-CM, and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls · Create audit schedules and manage workflows to adhere to the audit schedule. · Develop methods to effectively communicate information through presentations, graphs, reports, educational materials, etc. · Develop, establish, and review policies and objectives consistent with those of the organization to ensure efficient departmental operations. · Performs charge audits by comparing itemized bills to medical record documentation to ensure appropriate charging. · Review, assess, study, and analyze the overall coding, billing, documentation, and reimbursement system for potential compliance problems. · Performs all other duties as assigned. Qualifications & Experience: · Ability to consistently code at 95% accuracy and quality while maintaining client-specified production standards · Must successfully pass a coding test · Knowledge of medical terminology, ICD-9-CM and CPT-4 codes · Must be detail-oriented and can work independently · Computer knowledge of MS Office · Must display excellent interpersonal skills · The coder should demonstrate initiative and discipline in time management and assignment completion · The coder must be able to work in a virtual setting under minimal supervision · Intermediate knowledge of disease pathophysiology and drug utilization · Intermediate knowledge of MS-DRG classification and reimbursement structures · Intermediate knowledge of APC, OCE, NCCI classification and reimbursement structures EDUCATION / EXPERIENCE · Associate degree in a relevant field preferred or a combination of the equivalent of education and experience · Three years of coding experience including hospital and consulting background CERTIFICATES, LICENSES, REGISTRATIONS · AHIMA Credentials, and or AAPC · Certified Professional Medical Auditor by AAPC PHYSICAL DEMANDS · Requires visual acuity to inspect and analyze work close to the eyes and ability to hear sound with or without correction; Ability to climb, stoop, kneel, reach, stand, walk pull, push lift, and able to exert up to 40 pounds of force occasionally and/or up to 10 pounds of force constantly to move objects. · Moderate physical activity performing somewhat strenuous daily activities of a primarily administrative nature. · The physical demands for this position include adequate vision, hearing, and repetitive motion. · Ascending or descending stairs, ramps, and the like, using feet and legs and/or hands and arms. · Substantial movements (motion) of the wrist, hands, and/or fingers in a repetitive manner - Bending legs downward and forward by bending leg and spine - Standing, particularly for sustained periods of time. Using upper extremities to exert force to draw, drag, haul or tug objects in a sustained motion. · Raising objects from a lower to a higher position or moving object horizontally from position to position WORK CONDITIONS • While performing the duties of this job, the employee is frequently required to stand, walk, sit, reach with hands and arms, and talk or hear., • The employee is occasionally required to stoop, kneel, crouch, or crawl and taste or smell., • The employee is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures, transcribing, and viewing a computer terminal. Powered by JazzHR gVCkZcc1h2

Job DescriptionSalary: AMS Solutions Medical Coder Job Description: AMS Solutions, Inc. is a full-service revenue cycle management company for health care practices. For over 30 years, we have been focused on being a superior Revenue Cycle Management Services for the health care industry. We are currently seeking Medical Coders to join our growing team. This is a fully remote position. Responsibilities: • Analyze and interpret patient medical records to assign appropriate diagnosis (ICD-10) and procedure (CPT/HCPCS) codes., • Ensure coding accuracy and compliance with CMS, HIPAA, and other regulatory standards., • Analyze and interpret patient medical records to assign appropriate diagnosis (ICD-10) and procedure (CPT/HCPCS) codes., • Ensure coding accuracy and compliance with CMS, HIPAA, and other regulatory standards. Qualifications: • Full Revenue Cycle Management knowledge of the health care industry required, • Strong knowledge the medical billing industry required, • Knowledge of CPT and ICD-10 codes required, • Strong ability to be pro-active and take ownership of projects, • Strong ability to handle problems consisting of multiple variables in an organized manner, • Computer experience and Microsoft Office products required

Job DescriptionSalary: AMS Solutions Medical Coder Manager Job Description: AMS Solutions, Inc. is a full-service revenue cycle management company for health care practices. For over 30 years, we have been focused on being a superior Revenue Cycle Management Services for the health care industry. We are currently seeking a Medical Coder Manager to join our growing team. This is a fully remote position. Responsibilities: • Analyze and interpret patient medical records to assign appropriate diagnosis (ICD-10) and procedure (CPT/HCPCS) codes., • Ensure coding accuracy and compliance with CMS, HIPAA, and other regulatory standards., • Analyze and interpret patient medical records to assign appropriate diagnosis (ICD-10) and procedure (CPT/HCPCS) codes., • Ensure coding accuracy and compliance with CMS, HIPAA, and other regulatory standards., • Providing leadership and supervision to the Coding Team to ensure excellent service to our clients, • Designing, executing, and ensuring policies and procedures are adhered to for your team, • Provide motivation and support to Billing Team to achieve their best performance and high degree of productivity Qualifications: • Certified Professional Coder (CPC) required, • Full Revenue Cycle Management knowledge of the health care industry required, • Strong knowledge the medical billing industry required, • Experience working in a supervisory or management position, • Knowledge of CPT and ICD-10 codes required, • Strong ability to be pro-active and take ownership of projects, • Strong ability to train and supervise the work of employees in office and virtually, • Strong ability to handle problems consisting of multiple variables in an organized manner, • Computer experience and Microsoft Office products required

Job Description Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of a patient's health status. You will: • Review, analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for the project., • The coder will ensure compliance with established ICD-10 CM, third party reimbursement policies, regulations and accreditation guidelines., • Coders must meet and maintain a 95% coding accuracy rate., • AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC, or CRC)., • A minimum of 2 years HCC coding experience, while certified., • Full understanding and knowledge of ICD-10, medical terminology, medical abbreviations, pharmacology and disease processes., • Ability to be flexible in the work environment., • Ability to work in a fast paced production environment while maintaining high quality., • Must be able to follow instructions, meet deadlines and work independently., • Excellent written and verbal communication skills, problem solve, ability to work in a remote environment, and time management skills., • Working knowledge of the business use of computer hardware and software to ensure effectiveness and quality of the processing and security of the data., • Must be able to use Microsoft Office with no training. We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services. The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job. The estimated total cash compensation range for this role is:$19.60—$19.60 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy.

Job Description Medical Coding and Billing Instructor/Externship Coordinator Job Description: Have you ever wanted to make an impact on the future generation of Medical Coding and Billing professionals? Do you have a passion for helping people reach their full potential? Do you love working closely with people? If your answer is yes, this career may be just perfect for you. You responsibilities will include delivering curriculum content to our Medical Coding and Billing students. This includes mentoring and helping the students to become professionals. Qualifications: • 3+years of Medical Coding and Billing PLDZC9ZVdz

Job Description THIS IS NOT A REMOTE POSITION We are hiring a Medical Records Clerk/Coder to assign procedure, and diagnosis codes for insurance billing, review claims data, research, and correspond with insurance companies to obtain accurate reimbursement for healthcare claims. This person will also be responsible for analyzing, abstracting, compiling data, and generating reports. This position must provide customer service excellence when dealing with internal and external contacts. Duties include but are not limited to: • Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing., • Review claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place before submission., • Conduct medical records research and correspond with insurance companies and healthcare professionals to resolve issues resulting from denied claims, • Adhere to coding policies and procedures consistent with the industry-standard guidelines for CPT, ICD-9 and ICD-10., • Answer coding questions, • Review clinical documentation to ensure it meets the level of CPT codes and ICD-10 codes, • Assemble and analyze medical charts to meet department accuracy and productivity requirements., • Follows established protocol for assembling charts., • Revise and/or update forms and policies, and ensure permanent location and security of data (PHI)., • Manages daily workload and consistently finishes daily., • Ensures that Outpatient charts are received daily., • Runs missing chart report and notifies appropriate personnel., • Follows through and investigates missing charts., • Clarify documentation with the Physician and Director as needed., • Completes reports and logs as needed., • Periodically covers the duties of receptionist., • Provides backup clerical support to various departments., • Researches, prioritizes, and follows up on incoming issues and concerns, including those of a sensitive or confidential nature., • Determines appropriate course of action, referral, or response., • Handle requests for information and data: reports as requested., • Respond to and resolve problems and inquiries., • General clerical duties including photocopying, fax, mailing, filing(electronic and paper), sorting and distributing correspondence, preparing and modifying documents including correspondence, reports, drafts, memos, and emails, • Performs related duties, as requested., • Education: Certificate or associate's degree in medical coding/CPC. These additional certifications are not required but a plus: Certified Professional Coder (CPC), CPC-Hospital, CPC-Payer, Certified Interventional Radiology Cardiovascular Coder (CIRCC) and Certified Professional Medical Auditor (CPMA), • Experience: A minimum of 1 year coding experience required preferably with psychiatric services, • Knowledge, Skills & Abilities:, • Knowledge of medical terminology; basic and advanced ICD-9-CM coding; anatomy and physiology; computer data entry; and medical law, privacy and ethics., • Knowledge of CMS rules and regulations and current coding resources, • Knowledge of Healthcare Common Procedure Coding Systems (HCPCS), Current Procedural Terminology (CPT) coding and healthcare reimbursement methods., • Critical thinking skills and ability to resolve complex coding issues, • Knowledge of mathematical computations using addition, subtraction, multiplication, division, percentages in order to perform personnel/payroll assignment. Ability to integrate multiple facts, statistics, and/or mathematical values when solving mathematical equations., • Ability to accurately enter data, prepare and maintain records, files, and reports., • Outstanding skills in giving attention to details with display of dexterity in maintaining confidentiality, • Must have advanced PC skills that include a combination of working in a Windows Operating System and Microsoft Outlook, Word and Excel as well as ability to use financial software and payroll systems (Kronos a plus)., • Communicate effectively with a variety of individuals and function calmly in situations, which require a high degree of sensitivity, tact, and diplomacy., • Ability to exercise appropriate judgment in answering questions and releasing information; analyze and project consequences of decisions and/or recommendations., • Skill to research and analyze various personnel/payroll matters to recommend alternative actions and/or take an appropriate course of action., • Skill to independently interpret reference materials to comply with law, rules, regulations, policies, procedures, etc., • Ability to apply time management practices to prioritize, schedule and complete work effectively to comply with mandated policies and deadlines., • Ability to work on multiple tasks or parts of tasks simultaneously to ensure timely completion of work activities., • Screening: Must successfully pass background check, drug screen, physical and be able to provide positive employment references. If you are among the most competitive and qualified candidates for the job, you will be contacted directly by one of our hiring managers. Due to the high volume of applications we receive, we are unable to respond to individual inquiries regarding your application status. Good Luck & we hope to meet you soon! Dallas Behavioral Healthcare Hospital is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status. Benefits Full-time employees are eligible for medical, dental, vision, company paid disability, 401(k) and a generous amount of paid time off.

Job Description Job Title: Director of Risk Adjustment and Quality Department: Risk Adjustment & Quality Product Operations Reports to: VP of Product Position Summary: The Director of Risk Adjustment and Quality leads the strategy, execution, and optimization of risk adjustment and quality initiatives for our SaaS platform serving Medicare Advantage, provider organizations, and payer markets. This role ensures our platform delivers accurate risk scoring, quality measure tracking, and regulatory compliance while supporting clients’ value-based care and financial performance goals. Key Responsibilities: • Own the risk adjustment and quality product roadmap for Medicare Advantage, provider organizations, and commercial payer clients., • Lead the development of HCC coding, suspecting, recapture tracking, and gap closure modules within the platform., • Oversee analytics, reporting, and client enablement programs focused on risk adjustment accuracy and quality measure performance (HEDIS, STAR Ratings, CAHPS, etc.)., • Ensure compliance with CMS guidelines, NCQA standards, and other regulatory requirements specific to Medicare Advantage and commercial risk programs., • Partner with Product, Engineering, and Data Science teams to deliver scalable, high-performing SaaS solutions supporting MA plans, provider groups, and health plans., • Work directly with client leadership teams to translate regulatory and business requirements into actionable platform configurations and reporting strategies., • Provide subject matter expertise on CMS file formats (BCDA, CCLF, EDGE) and value-based care models including ACO REACH, MSSP, and commercial risk arrangements., • Lead internal teams including clinical coders, quality analysts, and client success staff focused on risk and quality performance improvement., • Analyze and report on key KPIs including RAF score accuracy, gap closure rates, and STAR metric performance, driving continuous improvement strategies., • Monitor industry trends, regulatory updates, and competitor activity to inform product and business strategy. Qualifications: • Bachelor’s degree in Healthcare Administration, Public Health, Data Science, or a related field; Master’s preferred., • 8+ years of experience in Medicare Advantage, risk adjustment, and quality improvement within a payer, provider, or SaaS environment., • Proven leadership experience overseeing risk adjustment and quality programs, including team management and cross-functional collaboration., • Deep understanding of Medicare Advantage program requirements, including HCC coding, STAR ratings, HEDIS measures, CAHPS, and VBP models., • Experience with payer-provider collaboration and managing risk programs across different organizational structures., • Familiarity with healthcare data formats: FHIR, HL7, BCDA, CCLF, EDGE files, and claims data., • Exceptional communication, client-facing, and presentation skills. Preferred Skills: • Certified Risk Adjustment Coder (CRC) or Certified Professional Coder (CPC)., • Experience deploying AI or machine learning solutions for risk adjustment or quality gap closure., • Strong understanding of data integration workflows supporting payers, providers, and Medicare Advantage plans. Lightbeam Internal Use Only: Position Security Classification CRITERIA: POSITION RISK LEVEL High Risk (if any of these are true) Access to Restricted information, including PHI and PII Elevated access privileges Access to the Security Infrastructure Medium Risk Access to Confidential, but not to Restricted information Low Risk Access to Unclassified information only Director of Risk Adjustment and Quality : High CRITERIA: SECURITY ROLES & RESPONIBILITIES Security Roles & Responsibilities: · Approve security-related changes · Execute security-related changes · Not applicable Policy/procedures for Lightbeam Cyber Security Incident Response (CSIRT) team Director of Risk Adjustment and Quality: Not Applicable SECURITY ROLE-SPECIFIC TRAINING Annual Incident Response Exercises

Job Description Medical Coding and Billing Instructor Job Description: Have you ever wanted to make an impact on the future generation of Medical Coding and Billing professionals? Do you have a passion for helping people reach their full potential? Do you love working closely with people? If your answer is yes, this career may be just perfect for you. You responsibilities will include delivering curriculum content to our Medical Coding and Billing students. This includes mentoring and helping the students to become professionals. Qualifications: • 3+years of Medical Coding and Billing, • No Teaching experience required.

Job Description Our client has openings for two specialty coders: ANESTHESIA - ProFee coder (physician office only) ORTHOPEDIC - surgeries AND office Requirements: • candidates must reside one of the following states: Texas, Louisiana, Arkansas, Georgia or New Mexico, • Minimum 2yrs experience in the applicable specialty, • Professional Coding certification required, • Specialty Coding certification preferred, • candidate must have a laptop and two monitors available to work from Monday to Friday / 8hrs per day schedule Pay Rate: $38-40/hr, depending on certifications Visa Sponsorship NOT available at this time

CenterWell a subsidiary of Humana Inc., has a great opportunity for a Primary Care Physician for our North Buckner, Dallas, TX medical center.Humanas Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating over 175 centers across eight states under two brands: CenterWell & Conviva. Operating as a payor-agnostic, wholly owned subsidiary of Humana, our centers put the unique needs of seniors at the center of everything we do. Our Clinics offer a team-based care model where our physicians lead a multi-disciplinary care team supporting patients physical, emotional, and social wellness. At CenterWell Senior Primary Care, we want to help those in the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their careers. Our culture is focused on teamwork and providing a positive and welcoming environment for all.The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a value based care provider focused on quality of care for the patients we serve. Our care team consists of Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators and more. Our approach allows us to provide an unmatched experience for seniors. Our model is positioned to provide higher quality care and better outcomes for seniors by providing a concierge experience, multidisciplinary services, coordinated care supported by analytics and tools, and deep community relationships. This robust support allows our PCP to see fewer patients and spend more time with those they do. Responsibilities:Evaluates and treats center patients in accordance with standards of care. Follows level of medical care and quality for patients and monitors care using available data and chart reviews. Assists in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. Acts as an active participant and key source of medical expertise with the care team through daily huddles. Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in practice by displaying a professional and approachable demeanor. Completes all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. Follows policy and protocol defined by Clinical Leadership. Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. Participates in potential growth opportunities for new or existing services within the Center. Participates in the local primary care on-call program of CenterWell as needed. Assures personal compliance with licensing, certification, and accrediting bodies. Spend 100% of your time clinically focused on direct patient care, inclusive of patient facing time and general administrative time (charting, meetings, etc.) as it relates to direct patient care. Required Qualifications: Current and unrestricted medical license or willing to obtain a medical licenses in state of practice; eligible and willing to obtain licenses in other states in the region of assignment, as required ? Graduate of accredited MD or DO program of accredited university Excellent verbal and written communication skills Demonstrate a high level of skill with interpersonal relationships and communications with colleagues/patients Fully engaged in the concept of Integrated team based care model Willingness and ability to learn/adapt to practice in a value based care setting Superior patient/customer service Basic computer skills, including email and EMR This role is considered patient facing and is a part of our Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. Preferred Qualifications: Board Certification or Eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric Medicine preferredActive and unrestricted DEA license Medicare Provider Number Medicaid Provider Number Minimum of two to five years directly applicable experience preferred Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value based relationship environment Knowledge of Medicare guidelines and coverageBilingual is a plusKnowledge of HEDIS quality indicators. Additional Information:Guaranteed base salary + quarterly bonusExcellent benefit package health insurance effective on your first day of employmentCME Allowance/TimeOccurrence Based Malpractice Insurance Relocation and sign-on bonus options.401(k) with Employer MatchLife Insurance/DisabilityPaid Time Off/HolidaysMinimal Call

CenterWell a subsidiary of Humana Inc., has a great opportunity for a Primary Care Physician for our Grand Prairie, TX medical center.Humanas Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating over 175 centers across eight states under two brands: CenterWell & Conviva. Operating as a payor-agnostic, wholly owned subsidiary of Humana, our centers put the unique needs of seniors at the center of everything we do. Our Clinics offer a team-based care model where our physicians lead a multi-disciplinary care team supporting patients physical, emotional, and social wellness. At CenterWell Senior Primary Care, we want to help those in the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their careers. Our culture is focused on teamwork and providing a positive and welcoming environment for all.The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a value based care provider focused on quality of care for the patients we serve. Our care team consists of Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators and more. Our approach allows us to provide an unmatched experience for seniors. Our model is positioned to provide higher quality care and better outcomes for seniors by providing a concierge experience, multidisciplinary services, coordinated care supported by analytics and tools, and deep community relationships. This robust support allows our PCP to see fewer patients and spend more time with those they do. Responsibilities:Evaluates and treats center patients in accordance with standards of care. Follows level of medical care and quality for patients and monitors care using available data and chart reviews. Assists in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. Acts as an active participant and key source of medical expertise with the care team through daily huddles. Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in practice by displaying a professional and approachable demeanor. Completes all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. Follows policy and protocol defined by Clinical Leadership. Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. Participates in potential growth opportunities for new or existing services within the Center. Participates in the local primary care on-call program of CenterWell as needed. Assures personal compliance with licensing, certification, and accrediting bodies. Spend 100% of your time clinically focused on direct patient care, inclusive of patient facing time and general administrative time (charting, meetings, etc.) as it relates to direct patient care. Required Qualifications: Current and unrestricted medical license or willing to obtain a medical licenses in state of practice; eligible and willing to obtain licenses in other states in the region of assignment, as required ? Graduate of accredited MD or DO program of accredited university Excellent verbal and written communication skills Demonstrate a high level of skill with interpersonal relationships and communications with colleagues/patients Fully engaged in the concept of Integrated team based care model Willingness and ability to learn/adapt to practice in a value based care setting Superior patient/customer service Basic computer skills, including email and EMR This role is considered patient facing and is a part of our Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. Preferred Qualifications: Board Certification or Eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric Medicine preferredActive and unrestricted DEA license Medicare Provider Number Medicaid Provider Number Minimum of two to five years directly applicable experience preferred Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value based relationship environment Knowledge of Medicare guidelines and coverageBilingual is a plusKnowledge of HEDIS quality indicators. Additional Information:Guaranteed base salary + quarterly bonusExcellent benefit package health insurance effective on your first day of employmentCME Allowance/TimeOccurrence Based Malpractice Insurance Relocation and sign-on bonus options.401(k) with Employer MatchLife Insurance/DisabilityPaid Time Off/HolidaysMinimal Call

Coding Lead will work with Coders as a resource to maintain current and high-quality ICD-10-CM, ICD-10-PCS and/or CPT coding for the Inpatient and/or Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accurac

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. Analyzes

Job Description Tutor Me Education is reshaping how students learn. We are looking for tutors and teachers to provide 1:1 instruction for the Certified Professional Coder (CPC) Exam! Here are the details: • Virtual instruction from your home computer, preferably Monday and Wednesday mornings (PST), • Exam includes the following topics: Insurance Terminology, Medical Terminology, Anatomy, Physiology, Pathophysiology, ICD10, HCPCS Material, • Set your own hourly rate and negotiate on a per job basis, • We are a tutoring and test-preparation platform that connects tutors with clients and school districts, • Tutors set their own hourly rate and decide which tutoring jobs to accept based on their availability Job requirements: • Experience with the Certified Professional Coder (CPC) Medical Exam and ability to teach the necessary components of the exam, • Previous tutoring/teaching experience highly preferred, • At least a Bachelor's degree, • Ability to make learning fun and interactive, with the focus of the tutoring often determined by student questions and comments, • Ability to pass a background check if required Flexible schedule! Work from home on your personal computer! Set your own hourly rate!

Specialty coder certs preferred. Get notified about new Coder jobs in. Pro fee Coder, NeuroSurgery/Neurology.

We are looking for a certified medical coder with experience in neurosurgical procedures, including craniotomy and spine surgeries. Certified medical coder with AAPC or AHIMA credentials (e.

Job Description Amaze Health delivers concierge-style virtual care that feels like having a trusted “doctor friend” on call 24/7, for everything from sudden illnesses to chronic conditions and mental health. As a true partner, we simplify the healthcare maze, guiding patients with clarity, compassion, and confidence while empowering them to take control of their health. Beyond treatment, we provide partnership, helping people feel heard, supported, and cared for throughout their journey. Join us as we transform healthcare, one patient at a time. Amaze is seeking a compassionate and skilled Patient Advocate to join our dedicated team at our Denver office. We welcome professionals who are driven by empathy, continuous learning, and delivering patient-first solutions while working collaboratively in our dynamic office environment. As a Patient Advocate, you guide patients through the twists and turns of the healthcare system, making complex insurance and care processes clear, accessible, and less stressful every step of the way. This role is perfect for someone who finds purpose in helping others navigate complex systems, enjoys meaningful connections, and thrives in a collaborative, hybrid office-based environment. Responsibilities • Make insurance understandable: Explain insurance coverage and costs in everyday language., • Denials and appeals: Support patients through denials and appeals, managing paperwork and updates., • Referrals: Coordinate referrals and prior authorizations for smooth access to care., • Collaborate as a team: Offer empathetic support by phone, chat, or email, collaborating with teams to resolve patient issues., • Experience: At least 4 years working in a hospital or health insurance setting with direct experience in insurance processes, including financial counseling, patient financial services, and insurance follow-up., • Certification: Certified Professional Biller (CPB) or Certified Professional Coder (CPC) preferred., • Education: High school diploma or equivalent required; Associate’s degree preferred., • Language: Bilingual (Spanish/English) strongly preferred., • Key Attribute: Tech-savvy and confident, with excellent communication skills to explain details clearly and calmly in a fast-paced office environment., • Workspace: Ability to maintain a professional, focused environment and manage sensitive information with care., • An inclusive, team-driven culture where your voice is valued and collaboration is the norm., • Opportunities to deepen your expertise in patient advocacy, insurance processes, and healthcare operations., • A sense of mission—be part of a team that helps patients find clarity, access, and peace of mind at critical moments., • A comprehensive benefits package that includes medical, dental, and vision coverage, paid time off, and a 401(k) plan., • Pay range for this position is $58,000 – $75,000 annually. If you’re ready to help patients overcome obstacles and simplify the healthcare journey, we’d love to meet you. Join us and see the difference you can make—one conversation at a time.

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.

Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) American Academy of Professional Coders (AAPC) and adheres to official coding guidelines.

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.

Title: Medical Biller (Medical and Vision).Our optometry practice is seeking a.The ideal candidate will have hands-on experience with optometry billing, specifically both.Accurately prepare, submit, and track insurance claims (vision and medical).Review EOBs (Explanation of Benefits), scan and attac

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.

Synergy Medical Staffing is seeking a travel Certified Occupational Therapy Assistant for a travel job in Dallas, Texas.Job Description & Requirements.Certified Occupational Therapy Assistant.Shift: 5x8 Days, 08:00:00-16:00:00, 8.When you join Synergy Medical Staffing, you'll have a dedicated re

Title: Medical Biller (Medical and Vision).Our optometry practice is seeking a.The ideal candidate will have hands-on experience with optometry billing, specifically both.Accurately prepare, submit, and track insurance claims (vision and medical).Review EOBs (Explanation of Benefits), scan and attac

Homecare Homebase is searching for a Home Health and Hospice Medical Biller who will be responsible for complete and accurate billing and collections of all claims submitted for payment to Medicare, Medicaid, and commercial insurance health care programs.At Homecare Homebase, we help home health and

Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) American Academy of Professional Coders (AAPC) and adheres to official coding guidelines.

Homecare Homebase is searching for a Home Health and Hospice Medical Biller who will be responsible for complete and accurate billing and collections of all claims submitted for payment to Medicare, Medicaid, and commercial insurance health care programs.At Homecare Homebase, we help home health and

To be eligible to enlist in the U.Navy, candidates must be between the ages of 18-34.The Navy relies on exceptional medical personnel to keep our servicemen and women healthy.As a Hospital Corpsman, youll get to try your hand at just about everything while making a huge difference for the Sailors yo

We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up to $25 per survey.Share your opinion and help influence brand decisions on services and products you u

Location: 1616 Woodall Rodgers Fwy Dallas TX 75202 (Onsite 4-5 days in a week).Contract : 6 months (with possibility of extension).Provides secretarial and administrative support to Technology leadership.Processes invoices, expense reports, job orders, and travel and purchase card statements using v

We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up to $25 per survey.Share your opinion and help influence brand decisions on services and products you u

Monday – Friday, 8:00 AM – 5:00 PM (must be flexible for occasional board meetings).Wheeler Staffing Partners is seeking a.This role will serve as the first point of contact for employees, guests, and executive leadership at a busy corporate office.The ideal candidate is professional, organized,

We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up to $25 per survey.Share your opinion and help influence brand decisions on services and products you u

Data Entry Clerk Job Duties: Maintains database by entering new and updated customer and account information.Prepares source data for computer entry by compiling and sorting information.Processes c

We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up to $25 per survey.Share your opinion and help influence brand decisions on services and products you u

Data Entry Clerk Job Duties: Maintains database by entering new and updated customer and account information.Prepares source data for computer entry by compiling and sorting information.Processes c

We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up to $25 per survey.Share your opinion and help influence brand decisions on services and products you u

Medical Receptionist Job Duties: Serves patients by greeting and helping them, scheduling appointments, and maintaining records and accounts.Welcomes patients and visitors in person or on the telephone, and

Join UT Southwestern on our mission to educate, discover, and heal.With over 75 years of excellence in Dallas-Fort Worth, Texas, we are committed to excellence, innovation, teamwork, and compassion.Our Office of Advanced Practice Providers (OAPP) supports more than 1,000 advanced practice providers

Medical Receptionist Job Duties: Serves patients by greeting and helping them, scheduling appointments, and maintaining records and accounts.Welcomes patients and visitors in person or on the telephone, and

Join UT Southwestern on our mission to educate, discover, and heal.With over 75 years of excellence in Dallas-Fort Worth, Texas, we are committed to excellence, innovation, teamwork, and compassion.Our Office of Advanced Practice Providers (OAPP) supports more than 1,000 advanced practice providers

Medical Receptionist Job Duties: Serves patients by greeting and helping them, scheduling appointments, and maintaining records and accounts.Welcomes patients and visitors in person or on the telephone, and

Online Work At Home Panelist - Part Time Administrator Assistant Welcome.Our company is looking for qualified candidates to take part in paid national and local focus groups, clinical trials, and market research studies.For most of our paid market research tasks, you can choose to participate either