Ensure compliance with cancer registry operations and accreditation standards while managing data entry and quality assurance. Maintain confidentiality and demonstrate strong organizational skills to effectively prioritize workload and communicate with...

Title: CODING SPECIALIST - Medical Group - Remote Location: Albany United States Job Description: Description: Medical Coding Specialist II - Remote - OB /GYN - FT If you are looking for a Coding Specialist position in a remote environment, to support a Medical Group, this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places. Position Highlights: - Quality of Life: Where career opportunities and quality of life converge - Advancement: Strong orientation program, generous tuition allowance and career development - Work/Life: Monday - Friday; Office hours - We offer great Benefits including: Competitive Pay, Paid Leave, Blue Cross/Blue Shield Health Insurance just to name a few. What you will do: The Coding Specialist analyzes physician/provider documentation contained in health records (electronic, paper or hybrid) to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of Internal Classification of Diseases, Clinical Modification diagnosis and procedure codes, and Current Procedural Terminology / Healthcare Common Procedure Coding System (HCPCS) procedure codes and all required modifiers What you will need: - Two years of current Coding Experience - OB/GYN or Surgical coding preferred - Certified Coding Specialist (CCS), Certified Procedural Coder (CPC), Registered Health Information - Completion of an AHIMA-approved coding program or an AAPC-approved coding program, or Associate's degree in Health Information Management or a related field or an equivalent combination of years of education and experience is required. - Current experience utilizing encoding/grouping software is preferred. Ability to utilize both manual and automated versions of the ICD and CPT coding classification systems is preferred. - Ability to use a standard desktop and windows based computer system, including a basic understanding of e-mail, internet, and computer navigation. Ability to use other software as required to perform the essential functions on the job. Familiarity with distance learning or using web-based training tools desirable. - Well-developed written and oral communication skills that may be used either on-site or in virtual working environments. Ability to communicate effectively with individuals and groups representing diverse perspectives. - Ability to work with minimal supervision and exercise independent judgment. - Ability to research, analyze and assimilate information from various on-site or virtual sources based on technical and experience-based knowledge. Must exhibit critical thinking skills and possess the ability to prioritize workload. - High School Diploma Required/ AAS preferred - Ability to lift 20 lbs. Pay Range: $23.40 - $33.11 Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Title: Patient Account Analyst II Location: Columbus United States Category: Finance & Revenue Management Job Description: Employment Type: Full time Shift: Description: Position Purpose: - The Patient Account Analyst II is responsible for performing the day-to-day tasks in the assigned area of responsibility. - Location: currently hybrid, four days at home and one day in office - Hours of office: Monday - Friday: 8:00 a.m. - 4:30 p.m. What You Will Do: - Meets population specific and all other competencies according to department requirements. - Meet established standards to provide excellent service - Ensure timely, accurate and complete data and balance on patient accounts - Meet regulatory and compliance requirements Minimum Qualifications: - Education: High school graduate or equivalent diploma required. Associate's degree or equivalent experience preferred - Experience: One to five years of experience in medical billing or collections or customer service or accounting - Effective Communication Skills - Ability to conceptualize the flow of information through systems in order to trouble shoot and problem-solve to eliminate and/or prevent processing delays Position Highlights and Benefits: - Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one. - Retirement savings account with employer match starting on day one. - Generous paid time off programs. - Employee recognition programs. - Tuition/professional development reimbursement. - Relocation assistance (geographic and position restrictions apply). - Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing. - Employee Referral Rewards program. - Mount Carmel offers DailyPay - if you're hired as an eligible colleague, you'll be able to see how much you've made every day and transfer your money any time before payday. You deserve to get paid every day! - Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups. Ministry/Facility Information: Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our four hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you're seeking a rewarding career where your purpose, passion, and desire to make a difference come alive, we invite you to consider joining our team. Here, care is provided by all of us For All of You! Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

About Our Company: At Infinx, we're a fast-growing company focused on delivering innovative technology solutions to meet our clients' needs. We partner with healthcare providers to leverage automation and intelligence, overcoming revenue cycle challenges and improving reimbursements for patient care. Our clients include physician groups, hospitals, pharmacies, and dental groups. We're looking for experienced associates and partners with expertise in areas that align with our clients' needs. We value individuals who are passionate about helping others, solving challenges, and improving patient care while maximizing revenue. Diversity and inclusivity are central to our values, fostering a workplace where everyone feels valued and heard.A 2025 Great Place to Work® In 2025, Infinx was certified as a Great Place to Work® in both the U.S. and India, underscoring our commitment to fostering a high-trust, high-performance workplace culture. This marks the fourth consecutive year that Infinx India has achieved certification and the first time the company has earned recognition in the U.S. Location: Fully remote role with work hours 8am-5pm CT. Summary Description: Under general direction, this position is responsible for obtaining pre-certifications and pre-authorizations for procedures and medications, and could include scheduling appointments for outpatient testing with other providers, coordinates patient appointments/orders. Daily Responsibilities: - Obtain timely prior authorization or pre-determinations from all insurances, to include commercial plans, Medicaid, Medicaid and Medicare Advantage plans, following the company's established policies and protocols - Selecting accurate and pertinent medical records from patients' charts from client's EMR - Obtaining demographic information and verifying insurance information - Provide all required clinical information to insurance companies necessary to facilitate the authorization process - Perform complete documentation (within company software or client's EMR) on all prior authorizations follow-ups and determinations appropriately and in a timely manner - Maintain and update internal listing of insurance carriers that require authorization, their processes, and phone and fax numbers - Maintain the strictest confidentiality in accordance with HIPAA regulations and clinic requirements Skills and Education: - High School Diploma or GED as a basic qualification - 2 years of experience working in a physician's office, pharmacy, or healthcare facility - 2+ years of experience reviewing and processing prior authorization requests for cardiology, oncology, or genetic testing for multiple payers (Commercial, Medicare, Medicaid, marketplace plans) - Strong computer literacy, including 2+ years of experience with Windows 11, Microsoft Office 365, Adobe Acrobat, proper phone etiquette, EMR/EHR systems, and a 43 wpm typing speed - Ability to read, interpret, and apply medical terminology and clinical documentation - Strong teamwork capabilities, self-motivation, and reliability - Ability to multitask and work effectively in a high-volume, fast-paced, and deadline-driven environment - Strong communication skills with the ability to interact with insurance companies via phone, fax, and electronic portals - Ability to navigate insurance phone trees with ease - Ability to work from 8am - 5pm Central - Strong organizational skills and attention to detail - Ability to maintain confidentiality and follow HIPAA regulations - Problem-solving ability to investigate denials and determine next steps - Comfortable navigating payer websites and electronic authorization systems Preferred Experience, Skills, and Education: - Medical Assistant certification - 5 years processing pre-determinations and insurance verification of benefits - 5+ years working in a doctor's office or clinic and with medical terminology, payer portals, and TPA portals - Ability to probe insurance representatives to obtain accurate authorization information - 5+ years reading and interpreting clinical documentation - 5+ years processing prior authorizations for genetic and molecular lab testing or cardiology/cardiovascular procedures - Experience in Cerner EMR Company Benefits and Perks: Joining Infinx comes with an array of benefits, flexible work hours when possible, and a genuine sense of belonging to a dynamic and growing organization. - Access to a 401(k) Retirement Savings Plan. - Comprehensive Medical, Dental, and Vision Coverage. - Paid Time Off. - Paid Holidays. - Additional benefits, including Pet Care Coverage, Employee Assistance Program (EAP), and discounted services. If you are a dedicated and experienced PA Specialist ready to contribute to our mission and be part of our diverse and inclusive community, we invite you to apply and join our team at Infinx.