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Exciting career opportunities that graduates of an allied health school may be prepared to work as a medical assistant, sonographer, paramedic, massage therapist,or medical office biller. Careers in the allied health field are diverse and with additional training can lead to a variety of rewarding career opportunities within the Healthcare field.

Top 10 Jobs

Director, Regulatory and Coding Compliance
Details: Department : PE Administration Shift : Days Hours : Bachelor Degree Certified Coding Specialist 5-10 yrs. POSITION SUMMARY: Responsible for education and oversight of Providence Health Services physician practices relative to coding, compliance, and revenue cycle, to ensure compliance with all relevant government, insurer, Providence, and Ascension regulations, requirements and policies to minimize liability and optimize revenue. DIMENSIONS: Financial Accountability: TBD Supervisory Accountability: 4 direct reports PRINCIPAL ACCOUNTABILITIES: 1. Essential Job Functions: a. Responsible for initial and ongoing education for providers and non-provider associates, as well as office and billing staff, developing materials and programs to ensure accurate coding and compliance with all relevant processes and procedures. Serves as a resource for physicians, practice associates, and the CBO (Centralized Billing Office) for compliance, coding, and revenue optimization. b. Maintains current knowledge base of third party payor and governmental regulations concerning coding and billing processes and incorporates changes into educational training and materials as appropriate. c. Implements an internal audit process for all providers and departments to ensure compliance with federal, insurer and organizational standards. Identifies issues that may result in adverse findings by insurance company and government external auditors. Documents findings, maintains audit result and error rate statistics for each provider, and oversees process improvement and education activities. d. Manages the process of external audits and coordinates with external auditors to facilitate the process and minimize liability. e. Develops and implements an evaluation program of all operational processes and develops recommendations for changes to enhance the revenue cycle process and optimize revenue. 2. Other Job Functions: a. Recruits, trains, schedules, motivates and evaluates staff. b. Works with Providence Corporate Responsibility Officer to ensure compliance with Providence and Ascension policies and procedures. c. Responsible for implementation of ICD-10-CM across PHS to meet compliance date, including developing training materials, provider education in documentation and code selection and staff education.
Business Information Consultant--Medical Coding Clinical Chart Abstraction--58980
Details: WellPoint is one of the nation's leading health benefits companies and a Fortune 50 company. Works with clinicians to perform analyses related to billing claims, health information, and health resource utilization, aimed toward finding opportunities to improve quality and efficiency of healthcare services; Creates and maintains collections of diagnosis and procedure codes included in medical billing claims, in support of various member targeting initiatives. Highly skilled in data analysis, reporting and formulating recommendations and providing guidance to other analysts. Primary duties may include, but are not limited to: Creates and maintains databases to track business performance. Analyzes data and summarizes performance using summary statistical procedures. Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data) and provides notations of performance deviations and anomalies. Creates and publishes periodic reports, as well as any necessary ad hoc reports. May require taking business issue and devising best way to develop appropriate diagnostic and/or tracking data that will translate business requirements into usable decision support tools. May make recommendations based upon data analysis. Provides analytic consultation to other business areas, leadership or external customers. Data analysis and reporting encompasses a much higher level of complexity. Requires a BS/BA degree in health information management, public health, or a related field; minimum of 5 years experience; or any combination of education and experience, which would provide an equivalent background. Experience with relational databases and knowledge of query tools and statistical software is required. Ability to manipulate large sets of data. Strong analytical, organizational, presentation, and problem solving skills. Training in clinical chart abstraction, for purposes of generating billing claims or assessing quality of care; certification preferred (e.g., RHIA, RHIT, CCS); Education in biostatistics or epidemiology preferred; Familiarity with Federal coding guidelines; HIPPA code sets, Emerging standards for quality data interchange; HEDIS quality measures; EHR fundamentals, and its representation of clinical information...
Medical Biller (Minimum 1 year Experience)
Details: MEDICAL BILLERWe are a busy Falls Church Ophthalmology Practice seeking a qualified individual for a full-time Medical Billing position.We prefer to have someone with experience and someone who has a general background in medical coding and insurance claim submission and follow-up.The successful candidate must be a team player, a hard worker, well-organized, and be extremely detail-oriented.Excellent work environment. Workdays are Monday - Friday; hours may vary.************************ POSITION SUMMARY************************ Full-time Medical Biller for an Ophthalmology Practice in Northern Virginia Workdays are Monday - Friday; hours may varyMEDICAL BILLER...
Reimbursement Specialist - OBGYN
Details: To coordinate and monitor reimbursement activities of the MFA OBGYN Department. Essential Duties and Responsibilities include the following. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Other duties may be assigned. Coordinate billing activities with the MFA Business Office to include regular meetings to identify, address and resolve billing related issues. Develop and implement departmental policies on managing MFA Business Office correspondence (i.e. account action forms, back-outs, information requests). Analyze end-of-month reports to provide information on the status of the department's charges, allowances, bad debt and overall revenue; prepares appropriate billing reports and various summaries of billing activity. Act as a liaison with third party carrier professionals regarding reimbursement issues. Assist physicians, staff and the MFA Business Office in the development of mechanisms to challenge claims as necessary. Review coding structures to ensure conformity with CPT requirements. Work monthly third party referral requests via research in Seimen's Document Imaging (hospital scanning system), and then scan in Touch works for the Business office to view and rebill claims to insurance. Assess charge edits daily and correct all failed claims via electronic claims processing system. Work Claim Edits Report from the Business Office on all claims holding for corrections in IDX. Promptly respond to Business Office requests for authorizations/referrals for claims that have been billed and denied. Manage held claims pending diagnosis and referring physicians. Request retro-authorizations as needed for services that were not pre-authorized. Assist with patient billing inquiries regarding statements received from the MFA business office. Analyze and work monthly Claims Rejection Report. Analyzes and recommends appropriate ICD-9 & ICD-10, and CPT code related charges Assists in developing and presenting training materials for faculty and staff on all ICD-9, ICD-10, and CPT coding....
Medical Coder
Details: Classification: Medical Coder Compensation: $18.00 to $22.00 per hour Robert Half Healthcare is seeking a nationally certified (AHIMA, CPC-H, CPC-I, CPC-MA, AAPC, AHAAM) medical coder with 2 plus years of coding or billing experience for a world renowned hospital. The medical coder must have a strong knowledge of inpatient/outpatient billing, ancillary coding, DRGs, and insurance reimbursement. Candidate will be responsible for reviewing clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD 9-CM codes for billing, internal and external reporting, research, and regulatory compliance. The medical coder will be responsible for accurately coding inpatient conditions and procedures as documented in the ICD-9-CM Official Guidelines for Coding and Reporting. Additional duties will include resolving error reports associated with billing process identify and report error patterns, and when necessary assist in design and implementation of workflow changes to reduce billing errors. Will also manage outstanding claims and will oversee reimbursement and collections of appeals.Additional duties include:Assigns codes specific for diagnoses, treatments, and procedures according to the appropriate classification system for inpatient encounters.Reviews appropriate provider documentation and applying knowledge of coding to determine principal diagnosis, co-morbidities and complications and secondary conditionsUtilize technical coding principals and MS-DRG reimbursement expertise to assign appropriate ICD-9-CM diagnoses and procedures,Extracts required information from source documentation and enters into encoder and abstracting system.Identifies non-payment conditions (HAC) and when required, report through established procedures.Reviews home care documentation to verify and, when necessary, correct the patient disposition upon discharge.Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding procedures.1.AHIMA, AAPC, AHAAM certified medical coder2.Must be actively carry CPC-H, CPC-I, CPC-MA, CPC or CMC certification3.Knowledge of general office practices, home care organizations and processes4. Skilled in verbal communication5. Working knowledge of Microsoft Office suite applications (Word, Excel, Outlook) and other database experience6.Skilled in answering a telephone in a pleasant and helpful manner.7.Ability to read, understand and follow oral and written instructions.8.Must be well organized and detail oriented.Applicants MUST submit resume via email to to be considered. NO PHONE CALLS will be accepted, please.Robert Half International is the world's first and largest specialized staffing firm and a recognized leader in professional staffing services. Headquartered in Menlo Park, CA, RHI is a publicly traded company (NYSE: RHI) and a member of the S&P 500. Our company again was named to FORTUNE� magazine's...
Certified Medical Coder - Medicine
Details: Position Summary: To assign professional/technical charges and ICD-9 codes from clinical information, and to train physicians and staff in coding and billing in order to maximize revenue generation for the Department of Medicine.Essential Duties and Responsibilities include the following:To perform this job successfully an individual must be able to perform each essential duty satisfactorily. Other duties may be assigned. Abstracts professional and technical charges from clinical information on Department of Medicine medical records for the purpose of patient billing. Analyze and interpret medical records to identify and assign CPT and ICD-9 codes on all billable services Assign and sequence appropriate diagnostic/procedure billing codes in compliance with Medicare and third party payors Review documentation to establish compliance with teaching physician billing guidelines Respond to billing and coding questions from providers, staff and administrators Review patient records and recommend appropriate coding/documentation for deficient records Provide coding overview and training to physicians and staff Responsible for maintaining a daily work flow of 45 charts per hour accurately coded. Assist the Coding Manager to ensure that all Department of Medicine FEE tickets have appropriate Providers, CPT Codes and modifiers listed.Other Related Duties: Keep up-to-date on coding information by attending coding conferences, workshops and in-house sessions....
Billing/Collections Specialist
Details: Classification: Administrative - Medical Compensation: $13.47 to $18.97 per hour Robert Half Healthcare has an exciting opportunity for a medical biller for a rapidedly expanding physicians group in Kensington, Maryland. The medical biller position is with a rapidly expanding and progressive organization, recently established in the past 5 years. The medical biller will be responsible for full patient revenue cycle management, including but not limited to: submitting invoices to insurance, follow up on appeals, patient follow up, collections, and other tasks as assigned. The medical biller will be responsible for submitting appeals and ensure all claims are processed in a timely fashion. Applicants must have at least 2 years of medical billing in a physician's practice or hospital inpatient/outpatient setting. Knowledge of GE Centricity a must. Customer service is a must. Candidates who are energized by a progressive, fast paced environment, where you are encouraged to rise to the challenge are encouraged to apply. Additional tasks may include medical records coding, prepare records electronically and audit them for appropriate diagnosis mix. Knowledge of Medicare and Medicaid is a must.Patient account managementKnowledge of ICD-9, DRG, and HCPCS codesReimbursement reporting requirements.Abides by the Standards of Ethical coding as set forth by the American Health Information Management Association and adheres to official coding guidelines.Ensures compliance of HipaaExcellent customer service skillsCoding and denial management skills Excellent PC skills are a mustReviews and maintains reports and records to ensure accuracyCandidate with successful completion of a coding certificate program, collections certificate, hospital billing certificate, or similar program preferred. No phone calls will be acceptedQualified applicants please send your resume to...
Quality Assurance Specialist
Details: Classification: Administrative - Medical Compensation: $19.95 to $23.10 per hour Robert Half Healthcare has an exciting opportunity for a medical biller for a world renowned hospital in downtown DC. The medical biller position is a great way to get your foot in the door to grow with a progressive organization. The medical biller will be responsible for full patient revenue cycle management, including but not limited to: submitting invoices to insurance, follow up on appeals, patient follow up, collections, and other tasks as assigned. The medical biller will be responsible for submitting appeals and ensure all claims are processed in a timely fashion. Applicants must have at least 2 years of hospital billing in both an inpatient and outpatient setting. Knowledge of PeopleSoft, Centricity, Epic Hyperspace or similar medical management software preferred. Additional tasks may include medical records coding, prepare records electronically and audit them for appropriate diagnosis mix. Knowledge of Medicare and Medicaid is a must.Patient account managementKnowledge of ICD-9, DRG, and HCPCS codesReimbursement reporting requirements.Abides by the Standards of Ethical coding as set forth by the American Health Information Management Association and adheres to official coding guidelines.Ensures compliance of HipaaExcellent customer service skillsCoding and denial management skills Excellent PC skills are a mustReviews and maintains reports and records to ensure accuracyCandidate with successful completion of a coding certificate program, collections certificate, hospital billing certificate, or similar program preferred. No phone calls will be acceptedQualified applicants please send your resume to Software includes: AS400, PeopleSoft, SAP, Microsoft Office...
Billing Associate
Details: Medical Management Professionals (MMP) is a dynamic, growth-oriented company that partners with hospital-based physician practices to provide billing and customized practice management services. Founded in 1993, MMP serves more than 4,200 physicians in 35 states across the nation and maintains the highest client retention rate in the industry through its commitment to retain and develop qualified, quality professionals. Based in Atlanta, Georgia, MMP has more than 50 offices and 1,400 employees nationwide. MMP is a wholly-owned subsidiary of CBIZ, Inc. MMP has an immediate opening for a Billing Associate to join our Frederick, MD Service Center Team. Primary responsibilities for this position will include: entering of patient demographics/insurance info/charges, posting of insurance/patient payments/adjustments, following up on accounts receivables, answering phone calls, processing correspondence, appealing denied claims, researching credit balances, reviewing/coding of charges and assisting with projects as needed.Qualifications: High School Diploma or equivalent education/experienceProficient MS Word, Excel and typing skills Excellent written communication and organizational skillsEffective oral communication and interpersonal skillsFlexible mentality: willing and capable of performing varied tasks and adapting to changeAttentive to the documentation of detail Ability to prioritize tasksAbility to work in a team environmentAbility to successfully pass background and credit checksIf you are interested in joining a growing company dedicated to providing outstanding quality service to our physician clients in a team approach to practice management, please apply today.To learn more about our organization, please visit our website at www.cbizmmp.comE-Verify, Affirmative Action and Equal Opportunity Employer...
Billing Clerk
Details: Classification: Billing Clerk Compensation: $14.25 to $16.50 per hour Our client is a Healthcare company seeking a Billing Clerk to join their team on the a long term temporary assignment. As the Billing Clerk, you will communicate with clients, patients and third party vendors on billing inquiries and discrepancies. In this role, the Billing Clerk will be working a high volume, fast paced environment utilizing their insurance and medical billing knowledge to facilitate ensure the accuracy of data entered for records....

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Medical Coding and Billing

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