Preferred Qualifications Experience with medical terminology, Current Procedural Terminology (CPT), International Classification of Diseases (ICD-9, ICD-10) codes, etc. Intermediate Microsoft Excel ...
Preferred Qualifications Experience with medical terminology, Current Procedural Terminology (CPT), International Classification of Diseases (ICD-9, ICD-10) codes, etc. Intermediate Microsoft Excel ...
Sr Financial Navigation Specialist-REMOTE
Manhattan, NY · On-site +1
$33.24 - $36.32/hr
Title: Sr Financial Navigation Specialist-REMOTE Location: Midtown Org Unit: CBO Pre-Authorization ... Expert-level understanding of health insurance benefits, CPT/ICD-10 coding, and payer coverage ...
Sr Financial Navigation Specialist-REMOTE
Manhattan, NY · On-site +1
$33.24 - $36.32/hr
Title: Sr Financial Navigation Specialist-REMOTE Location: Midtown Org Unit: CBO Pre-Authorization ... Expert-level understanding of health insurance benefits, CPT/ICD-10 coding, and payer coverage ...
Specialist, Provider Network Administration - Remote
New York, NY · On-site +1
$18.04 - $42.20/hr
Preferred Qualifications • Experience with medical terminology, Current Procedural Terminology (CPT), International Classification of Diseases (ICD-9, ICD-10) codes, etc. • Intermediate Microsoft ...
Specialist, Provider Network Administration - Remote
New York, NY · On-site +1
$18.04 - $42.20/hr
Preferred Qualifications • Experience with medical terminology, Current Procedural Terminology (CPT), International Classification of Diseases (ICD-9, ICD-10) codes, etc. • Intermediate Microsoft ...
... of ICD-10-CM, CPT, HCPCS, facility-specific charging methodologies, and applicable modifiers for Emergency Department (ED) facility encounters. This role ensures coding accuracy, regulatory ...
... of ICD-10-CM, CPT, HCPCS, facility-specific charging methodologies, and applicable modifiers for Emergency Department (ED) facility encounters. This role ensures coding accuracy, regulatory ...
... of ICD-10-CM, CPT, HCPCS, facility-specific charging methodologies, and applicable modifiers for Emergency Department (ED) facility encounters. This role ensures coding accuracy, regulatory ...
... of ICD-10-CM, CPT, HCPCS, facility-specific charging methodologies, and applicable modifiers for Emergency Department (ED) facility encounters. This role ensures coding accuracy, regulatory ...
Clinical Documentation Integrity DRG Downgrade Specialist - Remote
Parsippany, NJ · On-site +1
$35 - $47/hr
Analyze payer DRG downgrade notifications to determine validity based on ICD-10-CM/PCS coding guidelines, clinical indicators, and documentation sufficiency * Conduct comprehensive medical record ...
Clinical Documentation Integrity DRG Downgrade Specialist - Remote
Parsippany, NJ · On-site +1
$35 - $47/hr
Analyze payer DRG downgrade notifications to determine validity based on ICD-10-CM/PCS coding guidelines, clinical indicators, and documentation sufficiency * Conduct comprehensive medical record ...
Inpatient Medical Coder - PRN - Up to $1,000 Sign on Bonus
New York, NY · Remote
$32 - $42/hr
... remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! What You Will Do: * Assign diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS ...
Quick apply
Inpatient Medical Coder - PRN - Up to $1,000 Sign on Bonus
New York, NY · Remote
$32 - $42/hr
... remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! What You Will Do: * Assign diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS ...
Inpatient Medical Coder - FT - Up to $5,000 Sign on Bonus
New York, NY · Remote
$32 - $42/hr
... remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! What You Will Do: * Assign diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS ...
Quick apply
Inpatient Medical Coder - FT - Up to $5,000 Sign on Bonus
New York, NY · Remote
$32 - $42/hr
... remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! What You Will Do: * Assign diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS ...
MEDICAL CODING AND BILLING ANALYST
New York, NY · Remote
$20.50 - $27.25/hr
... in ICD-9/ICD-10 guidelines. JOB RESPONSIBILITIES: * Responsible to deliver accurate and timely ... Review coding and billing process for operational enhancements. Responsible for reviewing and ...
MEDICAL CODING AND BILLING ANALYST
New York, NY · Remote
$20.50 - $27.25/hr
... in ICD-9/ICD-10 guidelines. JOB RESPONSIBILITIES: * Responsible to deliver accurate and timely ... Review coding and billing process for operational enhancements. Responsible for reviewing and ...
Risk Adjustment Expert - Fully Remote | Upto $110/hr
New York, NY · Remote
$110/hr
Remote Role Responsibilities * Lead risk adjustment and HCC coding operations across Medicare ... Strong knowledge of ICD-10-CM coding guidelines as applied to HCC risk adjustment . * Experience ...
New
Quick apply
Risk Adjustment Expert - Fully Remote | Upto $110/hr
New York, NY · Remote
$110/hr
Remote Role Responsibilities * Lead risk adjustment and HCC coding operations across Medicare ... Strong knowledge of ICD-10-CM coding guidelines as applied to HCC risk adjustment . * Experience ...
New
Billing Coordinator II - Urology
Mineola, NY · Remote
$21.25 - $27.50/hr
Review charge encounter forms for complete CPT code, ICD-10 code, and other required billing information on a daily basis. * Compare coding to notes/documentation and communicate with providers to ...
Billing Coordinator II - Urology
Mineola, NY · Remote
$21.25 - $27.50/hr
Review charge encounter forms for complete CPT code, ICD-10 code, and other required billing information on a daily basis. * Compare coding to notes/documentation and communicate with providers to ...
Billing Coordinator II - Urology
Mineola, NY · Remote
$21.25 - $27.50/hr
Review charge encounter forms for complete CPT code, ICD-10 code, and other required billing information on a daily basis. * Compare coding to notes/documentation and communicate with providers to ...
Billing Coordinator II - Urology
Mineola, NY · Remote
$21.25 - $27.50/hr
Review charge encounter forms for complete CPT code, ICD-10 code, and other required billing information on a daily basis. * Compare coding to notes/documentation and communicate with providers to ...
Compliance Lead - RCM & Clinical Documentation (Clinical Background Required)
Bronx, NY · On-site +1
$75K - $90K/yr
Identify coding discrepancies and billing vulnerabilities with focus on ICD-10-CM, CPT, E&M level selection, and Medical Decision Making (MDM) accuracy. * Develop, own, and drive Corrective Action ...
Compliance Lead - RCM & Clinical Documentation (Clinical Background Required)
Bronx, NY · On-site +1
$75K - $90K/yr
Identify coding discrepancies and billing vulnerabilities with focus on ICD-10-CM, CPT, E&M level selection, and Medical Decision Making (MDM) accuracy. * Develop, own, and drive Corrective Action ...
Clinical Documentation Specialist - CDI
New York, NY · Remote
$50 - $150/hr
Remote Role Responsibilities * Review AI-agent attempts at realistic CDI/coding tasks . Judge ... Current or recent hands-on work under ICD-10-CM/PCS and MS-DRGs . * Reflexive professional judgment.
Quick apply
Clinical Documentation Specialist - CDI
New York, NY · Remote
$50 - $150/hr
Remote Role Responsibilities * Review AI-agent attempts at realistic CDI/coding tasks . Judge ... Current or recent hands-on work under ICD-10-CM/PCS and MS-DRGs . * Reflexive professional judgment.
This role is fully remote with a flexible schedule, allowing you to help shape the future of health ... Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate ...
Quick apply
This role is fully remote with a flexible schedule, allowing you to help shape the future of health ... Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate ...
CDI Leader - Clinical Documentation
New York, NY · Remote
$84/hr
Remote Role Responsibilities * Lead clinical documentation integrity programs for inpatient and ... Deep knowledge of MS-DRG methodology , CC/MCC hierarchies , and ICD-10-CM/PCS coding guidelines
Quick apply
CDI Leader - Clinical Documentation
New York, NY · Remote
$84/hr
Remote Role Responsibilities * Lead clinical documentation integrity programs for inpatient and ... Deep knowledge of MS-DRG methodology , CC/MCC hierarchies , and ICD-10-CM/PCS coding guidelines
CPC Tutor
Paterson, NJ · Remote
$18 - $40/hr
Deep knowledge of CPC examination content covering medical coding using CPT, ICD-10-CM, and HCPCS Level II code sets, anatomy and physiology, medical terminology, coding guidelines, compliance, and ...
CPC Tutor
Paterson, NJ · Remote
$18 - $40/hr
Deep knowledge of CPC examination content covering medical coding using CPT, ICD-10-CM, and HCPCS Level II code sets, anatomy and physiology, medical terminology, coding guidelines, compliance, and ...
CPC Tutor
Summit, NJ · Remote
$18 - $40/hr
Deep knowledge of CPC examination content covering medical coding using CPT, ICD-10-CM, and HCPCS Level II code sets, anatomy and physiology, medical terminology, coding guidelines, compliance, and ...
CPC Tutor
Summit, NJ · Remote
$18 - $40/hr
Deep knowledge of CPC examination content covering medical coding using CPT, ICD-10-CM, and HCPCS Level II code sets, anatomy and physiology, medical terminology, coding guidelines, compliance, and ...
CPC Tutor
Yonkers, NY · Remote
$18 - $40/hr
Deep knowledge of CPC examination content covering medical coding using CPT, ICD-10-CM, and HCPCS Level II code sets, anatomy and physiology, medical terminology, coding guidelines, compliance, and ...
CPC Tutor
Yonkers, NY · Remote
$18 - $40/hr
Deep knowledge of CPC examination content covering medical coding using CPT, ICD-10-CM, and HCPCS Level II code sets, anatomy and physiology, medical terminology, coding guidelines, compliance, and ...
CPC Tutor
Elizabeth, NJ · Remote
$18 - $40/hr
Deep knowledge of CPC examination content covering medical coding using CPT, ICD-10-CM, and HCPCS Level II code sets, anatomy and physiology, medical terminology, coding guidelines, compliance, and ...
CPC Tutor
Elizabeth, NJ · Remote
$18 - $40/hr
Deep knowledge of CPC examination content covering medical coding using CPT, ICD-10-CM, and HCPCS Level II code sets, anatomy and physiology, medical terminology, coding guidelines, compliance, and ...
Remote Icd 10 Coding information
See Newark, NJ salary details
$18.10 - $18.72
7% of jobs
$19.31 is the 25th percentile. Wages below this are outliers.
$18.72 - $19.33
19% of jobs
$19.33 - $19.95
5% of jobs
$19.95 - $20.57
3% of jobs
$20.57 - $21.18
14% of jobs
The median wage is $21.34 / hr.
$21.18 - $21.80
6% of jobs
$21.80 - $22.42
0% of jobs
$22.42 - $23.04
0% of jobs
$23.04 - $23.65
0% of jobs
$24.14 is the 75th percentile. Wages above this are outliers.
$23.65 - $24.27
26% of jobs
$24.27 - $24.89
20% of jobs
$18
$22
$24
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Full-time
Posted 8 days ago
Molina Healthcare rating
8.0
Based on 199 frontline employees who took The Breakroom Quiz
163rd of 307 rated insurance
Job description
Provides support for provider network administration activities. Responsible for accurate and timely validation and maintenance of critical provider information on all claims and provider databases, and ensures adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
Essential Job Duties
Receives information from outside parties for update of provider-related information in applicable computer system(s).
Reviews/analyzes data by applying job knowledge to ensure appropriate information has been provided.
Maintains department quality standards for provider demographic data with affiliation and fee schedule attachment.
Ensures accurate entries of information into health plan systems.
Audits loaded provider records for quality and financial accuracy, and provides documented feedback.
Assists in resolution of configuration issues with applicable teams.
Provides support for provider network administration projects.
Required Qualifications
At least 3 years of health care experience, to include experience in claims, provider services, provider network operations, and/or hospital/physician billing, or equivalent combination of relevant education and experience.
Claims processing experience, including coordination of benefits, subrogation, and/or eligibility criteria.
Attention to detail, and ability to facilitate accurate data entry/review.
Data entry/processing skills.
Customer service skills.
Ability to manage multiple priorities and meet deadlines.
Effective verbal and written communication skills.
Microsoft Office suite and applicable software programs proficiency.
Preferred Qualifications
Experience with medical terminology, Current Procedural Terminology (CPT), International Classification of Diseases (ICD-9, ICD-10) codes, etc.
Intermediate Microsoft Excel skills.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
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About Molina Healthcare
Sourced by ZipRecruiter
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Long Beach, CA, US
Year founded
1980