Medical coder jobs in Delray Beach, FL - 257 jobs

Do you love to care for patients in a warm and welcoming environment? Gastro Health is currently looking for an enthusiastic full-time Coding Specialist to join our team! Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours - and we enjoy paid holidays per year plus paid time off. In this role, the you will work closely with Manager, Coding Operations and management team. The Team Lead will ensure that the company core values are being met. Job Description Drop claims for office, hospital, nutrition, pathology, biologics, imaging, pediatricians, anesthesia, and endoscopy center for accurate processing by payers Review medical documentation from EMR and hospital systems for accurate coding and billing to insurance companies Apply current billing and coding guidelines Evaluate that charges provided by the physicians support the level being billed based on the documentation Prepare claims with necessary fields for processing, such as linking authorizations to charges, code blood work, and assigning appropriate modifiers as needed Provide feedback to office managers and physicians regarding clinical documentation to ensure compliance with coding guidelines and reimbursement reporting requirements Manage claims for auditing purposes, including placing them on hold and billing once the process is complete Email office managers and physicians where updates are needed to operative reports Minimum Requirements High School Diploma or GED equivalent Must have CPC or equivalent certification Extensive knowledge of patient registration, coding, billing, regulatory requirements, billing compliance, business operations, financial systems and financial reporting. Certified coder AAPC or AHIMA Excellent communication skills both verbal and written. Able to analyze data and quickly identify process-based issues for remediation. Maintains confidentiality in all matters that include Patient Health Information and employee data. Hands-on participation in process/workflow design including team member involvement across the department. Intermediate experience with Microsoft Excel and Office products is required. Target Oriented and Coding team resolution mindset Prior experience collaborating with a remote team is highly preferred. Gastro Health is the largest gastroenterology multi-specialty group in the country. We are over 300 physicians strong with over 100 locations throughout the nation, including Florida, Alabama, Ohio, Maryland, Washington, Virginia, and Massachusetts. We employ the finest gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals. Gastro Health is always looking for talented individuals who share our mission to provide outstanding medical care and an exceptional healthcare experience. This position offers a great work/life balance! We are growing rapidly and support internal advancement We offer competitive compensation 401(k) retirement plans Profit-Sharing Dental insurance Health insurance Life insurance Paid time off Vision insurance Disability insurance Pet insurance We offer a comprehensive benefits package to our eligible employees, which includes: Cigna healthcare, dental, vision, life insurance, 401k, profit-sharing, short & long-term disability, HSA, FSA, and PTO plus 7 paid holidays. Gastro Health is proud to be an Equal Opportunity Employer. We do not discriminate based on race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We thank you for your interest in joining our growing Gastro Health team!

Full-time Description Job Title: Surgical Coder Department: Revenue Cycle Management Reports To: RCM Director The Surgical Coder is responsible for accurately reviewing, analyzing, and assigning the appropriate CPT, ICD-10-CM, and HCPCS codes for surgical and procedural documentation in patient medical records. This role ensures coding compliance with all applicable regulations and guidelines to optimize reimbursement and maintain the integrity of clinical and financial data. Key Responsibilities: Review operative reports and clinical documentation to assign appropriate CPT, ICD-10-CM, and HCPCS Level II codes. Ensure accurate capture of modifiers and adherence to payer-specific coding guidelines. Verify that all coded information supports medical necessity and aligns with regulatory requirements (e.g., CMS, AMA, and payer-specific policies). Query physicians for clarification or additional documentation when necessary. Maintain current knowledge of coding guidelines, compliance requirements, and regulatory updates. Collaborate with billing, compliance, and revenue cycle teams to resolve coding and claim issues. Participate in internal audits and quality assurance reviews. Meet productivity and accuracy benchmarks as established by the department. Protect patient confidentiality in accordance with HIPAA standards. Requirements Education and Experience: High school diploma or equivalent required Minimum of 3 years of surgical coding experience (ambulatory surgery, hospital outpatient, or inpatient) preferred. Certifications (required): Certified Professional Coder (CPC) - AAPC, or Certified Coding Specialist (CCS) - AHIMA, or Certified Outpatient Coder (COC) - AAPC Skills and Competencies: Strong knowledge of medical terminology, anatomy, and surgical procedures. Proficiency in CPT, ICD-10-CM, and HCPCS Level II coding systems. Familiarity with electronic health record (EHR) systems and coding software. Excellent analytical, organizational, and communication skills. High attention to detail and ability to work independently with minimal supervision. Salary Description $20 - $27 per hour

We are seeking a motivated Entry -Level Medical Coder / Billing Assistant to join the administrative team. This position offers a great pathway into the healthcare field for individuals interested in medical billing and coding. Hybrid work is possible after the training period. Key Responsibilities Code medical procedures accurately for billing and insurance claims. Prepare financial reports and submit claims to insurance companies or patients. Enter and maintain patient data in administrative and billing systems. Track outstanding claims and follow up on unpaid accounts. Communicate with patients to discuss balances and develop payment plans. Maintain confidentiality and comply with HIPAA and all healthcare regulations. Qualifications High school diploma or equivalent required; healthcare coursework a plus. MediClear or equivalent HIPAA compliance credential required. Strong communication, organization, and time -management skills. Ability to remain professional and calm while working with patients and insurance representatives. Basic computer proficiency and familiarity with billing software or EMR systems preferred. Why Join Us Excellent opportunity for those starting a career in healthcare administration. Supportive, team -oriented work environment. Comprehensive benefits and advancement potential within a growing healthcare organization.

Medical Coder - Wound Care (Long -Term Care) About Us Pinnacle Wound Management is a physician -led wound care provider dedicated to improving healing outcomes for patients in skilled nursing and long -term care facilities. We partner with facilities to deliver advanced wound care at the bedside, supported by thorough documentation, EMR integration, and compliance with payer guidelines. We are seeking a Medical Coder with wound care experience to join our team. This role is critical in ensuring timely, accurate coding and billing for patient encounters and cellular tissue product usage across multiple facilities. Key Responsibilities Accurately review and code wound care services performed in long -term care and post -acute settings, ensuring compliance with ICD -10, CPT, HCPCS, and payer requirements Code independently without reliance on a provider superbill, using clinical notes and documentation as the source of truth Release daily coding batches to support timely revenue cycle processing Code red -label (cellular tissue) products and ensure proper documentation of lot numbers and graft application details Assist and work closely with the billing team to correct coding errors and resolve claim rejections/denials Generate detailed coding reports and batch logs for submission to the Director of Operations Collaborate with the billing and operations teams to reconcile coding discrepancies and ensure compliance Monitor payer and CMS updates impacting wound care coding, documentation, and compliance Maintain coding accuracy, productivity standards, and adherence to compliance regulations Qualifications Certification strongly preferred: CPC (Certified Professional Coder), CCS, or equivalent Minimum 2 years of experience in medical coding; wound care or long -term care experience highly preferred Strong knowledge of ICD -10, CPT, and HCPCS coding guidelines Ability to code directly from clinical notes/documentation without superbill support Experience coding cellular tissue/red -label products a plus Proficient in generating coding reports, logs, and error correction documentation Detail -oriented with excellent organizational skills and ability to manage coding batches daily Comfortable working independently with minimal supervision What We Offer Competitive compensation package Opportunity to specialize in wound care and advanced procedures in the long -term care space Supportive team environment focused on compliance and patient -centered outcomes

Scope Inpatient coder with a minimum of 5 years of experience coding for an acute care teaching and trauma level 1 facility. Must be experienced in coding trauma and complex medical cases and surgical procedures across a wide range of specialties including but limited to cardiac, vascular, interventional radiology, spinal, neurosurgery, neurology, transplants, oncology, oral surgery, orthopedics, psyche/behavioral medicines, OB/GYN, neonatal, pediatrics, general medicine and general surgery. Must have experience with Cerner and 3M. Must have a RHIA, RHIT, or CCS credential with the appropriate experience listed above. The schedule can be flexible after initial training within reason. For the first week would need to be available Monday through Friday with the majority of the shift between 8am and 5pm EST (this could be a block of 2-4 hours in this time frame not the whole 8 hours necessarily) but can be more flexible after training within reason. This assignment is for holiday coverage with the possibility to extend after the holiday need. * 5+ years coding experience with acute care teaching and trauma level 1 facilities * Experience coding medical and surgical cases for cardiac, vascular, interventional radiology, spinal, neurosurgery, neurology, transplants, oncology, oral surgery, orthopedics, psyche/behavioral medicines, OB/GYN, neonatal, pediatrics, general medicine and general surgery. * RHIA, RHIT or CCS credential * Experience with Cerner and 3M * Able to code 10 complex cases a day * Able to maintain a minimum of 95% accuracy * Able to work fulltime (40 hours a week). Schedule can be flexible within reason after initial training. * Good verbal and written communication skills * Self-disciplined and self-motivated enough to be successful working in a remote environment with minimum supervision

Outpatient coder with 2 + years of experience in coding outpatient recurring/series account concentrating on wound clinic, infusion clinic, trauma clinic, but physical therapy, occupational therapy, speech pathology, and anticoagulation clinics will also be part of the mix Epic and 3M 360 experience is required. Schedule is 8 hours Mon - Fri with 75% of shift between client's regular business hours of 8am and 5pm CST. 2 + years of experience in coding outpatient recurring/series accounts Epic Experience 3M 360 Experience Able to work M-F with the majority of the shift between 8a-4p CST Able to pick up new workflows and technology easily Able to ramp up productivity in 4 weeks Maintain 95% accuracy in all coding Good written and verbal communication

Entry level position intended to support the achievement of the goals of the organization and execute essential functions under the close supervision of the Senior MRA/HEDIS Specialist and/or Director of MRA; Identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical Condition Categories. Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered. Review medical record information to identify all appropriate coding based on CMS HCC categories. Complete appropriate paperwork/documentation/system entry regarding claim/encounter information. Support and participate in process and quality improvement initiatives. We help doctors perform at their best while engaging patients in their care! PRINCIPLE RESPONSIBILITIES: Review medical record information to identify all appropriate coding based on CMS HCC categories Complete appropriate paperwork/documentation/system entry regarding claim/encounter information Monitor coding changes to unsure that most current information is available Review and prepare charts for affiliates or medical centers Work HCC suspect reports and submit to the Director for review Accurately coding and submitting encounters on a timely basis after supervisor review Due to the nature of this position, it is understood that coding requirements are expected to change; therefore, participation in affiliated classes and individual efforts to maintain current knowledge of these changes is required KEY COMPETENCIES: Builds Trust: Consistently models and inspires high levels of integrity, lives up to commitments and takes responsibility for the impact of one's actions. Pursues Excellence: Seeks out learning, strives to develop and expand personally, and continuously helps others upgrade their capability to contribute to the managed careplan. Executes for Results: Effectively leverages resources to create exceptional outcomes, embraces changes and constructively resolves barriers and constraints. Collaborates: Engages others by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that places the insurance plan and medical center overall success first. EXPERIENCE/SKILL REQUIREMENTS/EDUCATION: At least one of the following: One (1) year prior medical coding and/or billing experience, or Two (2) years prior medical assistant experience, or CPC, CPC-A or CCS-P, CRC Coding Certification, or Pending completion of externship for coding certification Familiar with Microsoft Word and Excel Familiarity with primary care medical charts Strong organization and process management skills Strong collaboration and relationship building skills High attention to detail Excellent written and verbal communication skills Ability to learn new tasks and concepts

At Medusind we take immense pride in offering superior, cost-effective solutions covering the whole spectrum of tasks and processes to the healthcare industry. A significant factor is that our workforce comes with a rich domain expertise and robust compliance norms. Our four-prong approach of an excellent management team coupled with detailed eye for processes, experienced manpower, and cutting edge technology helps us deliver superior, cost effective services to our clients across the globe. Job Description SUMMARY: This position is a member of a team that is responsible for coding review, coding education, and charge entry. The goal of the team is to ensure correct coding, timely charge entry, billing compliance, and to provide on-going coding education to providers and staff. RESPONSIBILITIES: Stays up-to-date on coding rules and CPT/ICD/HCPCS codes. Stays up-to-date on 3rd party payer rules and integrates those rules into daily work. Review for accuracy all charge slips submitted by the Medusind clients and hospital departments. Make corrections based on the medical documentation. Assist the department manager with collecting data for trends to help develop training plans for clients and providers. Assist billing office in addressing billing concerns from the Collections team as necessary. Perform random audits on charts. Data entry of the charges in a timely and accurate fashion. Perform other duties as assigned. Participate in continuing education sessions. Foster and maintain excellent relationships with Medusind clients. Qualifications KNOWLEDGE, SKILLS, AND ABILITIES: Minimum of five years experience working with CPT, ICD-10 and HCPCS codes. A strong understanding of coding requirements. Must either possess a CPC certification or a CCS certification. 1 year Radiology, Neurology and Medicare Part B coding experience. Knowledge of computer applications and Microsoft Office processing. Additional Information All your information will be kept confidential according to EEO guidelines.

Job Description Medical Record Coder is responsible for timely review of patient records in order to identify an appropriate selection of ICD-9-CM/CPT codes that will accurately reflect the reason for admission, extent of care received, and level of severity of illness. Coder is further responsible for insuring that all data elements required for federal and state reporting are collected and included in the patient's demographic record. Accounts for each Inpatient and Outpatient records in order that all are coded. Enters coded data into computer to facilitate the billing process. Position Qualification: Preferred: 2-3 years Inpatient coding experience preferred. EDUCATION: RHIA, RHIT, CCS preferred or completion of ICD-9/CPT 4 coding programs. TRAINING: Orientation and training under supervision of Director and Coding Manager until competency is observed. ABILITIES AND SKILLS: Requires eye hand coordination with good manual dexterity. Must be able to look at computer CRT most of the day and must be computer knowledgeable. Must have excellent command of the English language, both oral and written. Must be organized. Requires frequent but limited contact with physicians. EXPERIENCE: 2-3 years coding experience preferred. Licenses/Certifications: LICENSE AND/OR CERTIFICATION: RHIA, RHIT, or CCS preferred.

The Medical Coder II position performs adequate coding services to the organization for achievement of reimbursement and compliance with correct coding guidelines. This individual requires skills in the sequencing of diagnosis/procedure codes to optimize reimbursement. ESSENTIAL DUTIES AND RESPONSIBILITIES Responsible for the evaluation of medical documentation for proper assignment of ICD10-CM/CPT-4 codes and the preparation of claims. Seeks clinical documentation and makes coding recommendations to physicians based on their overall medical observation and documentation of medical records. Provide Physician training on MRA/HEDIS coding and medical documentation guidelines. Ensures medical records for accuracy and completion through pre audit and post audit processes to adequately code for all services to achieve reimbursement in accordance with correct coding guidelines. Completion of 30 medical record abstracts daily and provides coding recommendations to physicians. Provides PCP MRA/HEDIS coding support, education, and training. Monitor coding changes to ensure most current information is available. Assists with chart reviews/audits performed by health plans. Looks for new problem areas, trends, etc. Works HCC/HEDIS Care Gap Reports. Expected to maintain up to date coding innovations that can improve their workflow. Maintenance, reconciliation, and completion of PCP coding recommendations-Level 1 claims that have been corrected by physician. Other duties as assigned. EXPERIENCE AND REQUIRED SKILLS High School Diploma or equivalent required. CPC & ICD10 Certification required. Minimum of 3 years of medical coding experience with acquired progressive responsibility preferred. Proficient in official coding guidelines, ICD-10CM, CPT-4 and HCPCS. Strong organizational skills and high attention to detail. Strong collaboration and relationship building skills. Required to have a command of the English language and be proficient with grammar, spelling and verbal skills to communicate with patients, providers, and staff in written and oral communication. Must be proficient be proficient in Microsoft Office and knowledge with computers, scanners, etc. Experience with Patient Financial Systems and Electronic Medical Records. Good communication skills. Ability to learn new tasks and concepts. Bilingual English/Spanish preferred. IMC Health provides equal employment opportunity to all applicants and employees. No person is to be discriminated against in any aspect of the employment relationship due to race, religion, color, sex, age, national origin, disability status, genetics, citizenship status, marital status, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

Mindlance is a national recruiting company which partners with many of the leading employers across the country. Feel free to check us out at ************************* Job Description Business Medical Coder Visa GC/Citizen Location 5775 Blue Lagoon Dr. Miami, FL 33126 Division Healthcare Contract 3 Months Qualifications Role · Review of denial on adjudicated claim that is classified as a code edit denial. · Request and review supporting documentation (medical records) when needed. · Once review is complete contact provider by phone to provide rationale as to whether we will overturn (pay) the denial or if it is upheld. Qualifications · CPC, CRC.CCS-P Coding Certification · CPC-A with coding experience · Knowledge/experience of CPT, ICD-9, and ICD-10 coding · Comfortable with making outbound calls to provider offices If you are available and interested then please reply me with your “Chronological Resume” and call me on **************. Additional Information Thanks & Regards, Ranadheer Murari | Team Recruitment | Mindlance, Inc. | W: ************ *************************

OUR CLIENT is a contracting and data management services organization dedicated to primary care physicians throughout Florida IN THIS ROLE YOU are responsible to assist in the development, undertaking and maintenance of a long term comprehensive, clinical coding audit program for inpatient and outpatient activity. To develop and Implement policies to support the clinical coding audit function Receive, review and communicate findings on patient billing coding related complaints. Identify training needs through the audit program of work and liaise with the clinical coding training manager and audit manager to provide the necessary training identified Conduct routine, risk based, proactive or reactive compliance reviews of procedural and diagnosis coding/billing and medical record documentation performed by clinical service providers Prepare reports as required relative to these monitoring and review activities. Work with coding/billing associates to assure compliance on coding, billing, monitoring and review activities. Monitor, communicate and conduct educational sessions regarding additions and/or revisions to coding and documentation rules and regulations. TO SUCCEED IN THIS ROLE, YOU HAVE: High School diploma required, Associate Degree preferred; Must be a certified professional coder; Minimum five years hands-on experience in physician coding

Hybrid-Sunrise, Florida The Medical Coding Auditor conducts audits to provide investigative support related to potential fraud, waste, abuse and/or overpayment. Through post payment medical records review, the Medical Coding Auditor ensures appropriate coding on claims paid and maintains compliance documentation of any fraud, waste or abuse identified based on coding guidelines and regulatory and contract requirements. Essential Duties and Responsibilities: Performs post payment medical record review audits of claims payments to identify potential fraud, waste, abuse and/or overpayment. Completes and maintains detailed documentation of audits including but not limited to coding guidelines reviewed, medical necessity documentation, decision methodology, and monetary discrepancies identified. Coordinates overpayment recoveries with the Fraud Investigative Unit Manager. Responsible for assisting the Fraud Investigative Unit Manager with potential fraud, waste or abuse investigations requiring medical coding expertise, participating in external audit requests, and special projects as needed. Coordinates, conducts, and documents audits as needed for investigative purposes. Prepares written reports or trending data related to findings and facilitates timely turnaround of audit results. Prepares written summaries of audit results for purposes of reporting potential fraud, waste, abuse and/or overpayment. Retrieves and compiles data across multiple information systems and provides needed information for internal and external customers in a timely manner. Identifies potential provider fraud through review of claims data, complaint referrals, and application of rules, healthcare coding practices, and fraud detection software. Reviews provider billing practices to investigate claims data and compliance with State and Federal laws. Analyzes provider data and identifies erroneous or questionable billing practices. Interprets state and federal policies, Florida Medicaid, Children's Health Insurance Program, and contract requirements. Determines and calculates overpayment/underpayment, appropriately documents and participates in steps to remediate. Determines priorities and method of completing daily workload to ensure that all responsibilities are carried out in a timely manner. Performs all other duties as assigned. This job description in no way states or implies that these are the only duties performed by the employee occupying this position. Employees will be required to perform any other job-related duties assigned by their supervisor or management. Qualifications: Medical Coder certification from accredited source (e.g. American Health Information Management Association, American Academy of Professional Coders or Practice Management Institute) must have. Candidates with relevant work experience may be eligible for company-sponsored certification or licensure. Prior experience in Medicaid claims role and/or post payment medical coding auditor role preferred. Knowledge of Medicaid rules, claims processing, medical terminology and coding principles and practices. Knowledge of auditing, investigation, and research. Knowledge of word processing software, spreadsheet software, and internet software. Manage time efficiently and follow through on duties to completion. Skills and Abilities: Written and verbal communication skills. Ability to organize and prioritize work with minimum supervision. Detail oriented. Ability to perform math calculations. Analytical and critical thinking skills. Ability to operate personal computer and general office equipment as necessary to complete essential functions, including using spreadsheets, word processing, database, email, internet, and other computer programs. Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions. Work Schedule: Community Care Plan is currently following a hybrid work schedule. The company reserves the right to change the work schedules based on the company needs. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, use hands, reach with hands and arms, and talk or hear. The employee is frequently required to stand, walk, and sit. The employee is occasionally required to stoop, kneel, crouch or crawl. The employee may occasionally lift and/or move up to 15 pounds. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job. The environment includes work inside/outside the office, travel to other offices, as well as domestic, travel. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. We are an equal opportunity employer who recruits, employs, trains, compensates and promotes regardless of age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our employees unique. We are committed to fostering, cultivating and preserving a culture of diversity, equity and inclusion. Background Screening Notice: In compliance with Florida law, candidates selected for this position must complete a Level 2 background screening through the Florida Care Provider Background Screening Clearinghouse. The Clearinghouse is a statewide system managed by the Agency for Health Care Administration (AHCA) and is designed to help protect children, seniors, and other vulnerable populations while streamlining the screening process for employers and applicants. Additional information is available at: ???? h********************************

Hybrid-Sunrise, Florida The Medical Coding Auditor conducts audits to provide investigative support related to potential fraud, waste, abuse and/or overpayment. Through post payment medical records review, the Medical Coding Auditor ensures appropriate coding on claims paid and maintains compliance documentation of any fraud, waste or abuse identified based on coding guidelines and regulatory and contract requirements. Essential Duties and Responsibilities: * Performs post payment medical record review audits of claims payments to identify potential fraud, waste, abuse and/or overpayment. * Completes and maintains detailed documentation of audits including but not limited to coding guidelines reviewed, medical necessity documentation, decision methodology, and monetary discrepancies identified. * Coordinates overpayment recoveries with the Fraud Investigative Unit Manager. * Responsible for assisting the Fraud Investigative Unit Manager with potential fraud, waste or abuse investigations requiring medical coding expertise, participating in external audit requests, and special projects as needed. * Coordinates, conducts, and documents audits as needed for investigative purposes. * Prepares written reports or trending data related to findings and facilitates timely turnaround of audit results. * Prepares written summaries of audit results for purposes of reporting potential fraud, waste, abuse and/or overpayment. * Retrieves and compiles data across multiple information systems and provides needed information for internal and external customers in a timely manner. * Identifies potential provider fraud through review of claims data, complaint referrals, and application of rules, healthcare coding practices, and fraud detection software. * Reviews provider billing practices to investigate claims data and compliance with State and Federal laws. * Analyzes provider data and identifies erroneous or questionable billing practices. * Interprets state and federal policies, Florida Medicaid, Children's Health Insurance Program, and contract requirements. * Determines and calculates overpayment/underpayment, appropriately documents and participates in steps to remediate. * Determines priorities and method of completing daily workload to ensure that all responsibilities are carried out in a timely manner. * Performs all other duties as assigned. This job description in no way states or implies that these are the only duties performed by the employee occupying this position. Employees will be required to perform any other job-related duties assigned by their supervisor or management. Qualifications: * Medical Coder certification from accredited source (e.g. American Health Information Management Association, American Academy of Professional Coders or Practice Management Institute) must have. * Candidates with relevant work experience may be eligible for company-sponsored certification or licensure. * Prior experience in Medicaid claims role and/or post payment medical coding auditor role preferred. * Knowledge of Medicaid rules, claims processing, medical terminology and coding principles and practices. * Knowledge of auditing, investigation, and research. * Knowledge of word processing software, spreadsheet software, and internet software. * Manage time efficiently and follow through on duties to completion. Skills and Abilities: * Written and verbal communication skills. * Ability to organize and prioritize work with minimum supervision. * Detail oriented. * Ability to perform math calculations. * Analytical and critical thinking skills. * Ability to operate personal computer and general office equipment as necessary to complete essential functions, including using spreadsheets, word processing, database, email, internet, and other computer programs. * Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. * Ability to write reports, business correspondence, and procedure manuals. * Ability to effectively present information and respond to questions. Work Schedule: Community Care Plan is currently following a hybrid work schedule. The company reserves the right to change the work schedules based on the company needs. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, use hands, reach with hands and arms, and talk or hear. The employee is frequently required to stand, walk, and sit. The employee is occasionally required to stoop, kneel, crouch or crawl. The employee may occasionally lift and/or move up to 15 pounds. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job. The environment includes work inside/outside the office, travel to other offices, as well as domestic, travel. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. We are an equal opportunity employer who recruits, employs, trains, compensates and promotes regardless of age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our employees unique. We are committed to fostering, cultivating and preserving a culture of diversity, equity and inclusion. Background Screening Notice: In compliance with Florida law, candidates selected for this position must complete a Level 2 background screening through the Florida Care Provider Background Screening Clearinghouse. The Clearinghouse is a statewide system managed by the Agency for Health Care Administration (AHCA) and is designed to help protect children, seniors, and other vulnerable populations while streamlining the screening process for employers and applicants. Additional information is available at: h********************************

Description: NO WEEKENDS, NO EVENINGS, NO HOLIDAYS We offer competitive pay as well as PTO, Holiday pay, and comprehensive benefits package! Benefits: · Health insurance · Dental insurance · Vision insurance · Life Insurance · Pet Insurance · Health savings account · Paid sick time · Paid time off · Paid holidays · Profit sharing · Retirement plan GENERAL SUMMARY The Coder Certified is responsible for successfully and efficiently coding all cases to the highest level of accuracy to ensure maximum reimbursement. The Coder Certified will ensure quality and productivity standards are met. The Coder Certified will ensure accurate coding of documentation to include diagnoses, procedures, and modifiers with adherence to established coding guidelines for both government and third-party payers. They work with the Coding Supervisor to escalate coding issues and prevent untimely claim submission and denials. Requirements: ESSENTIAL JOB FUNCTION/COMPETENCIES The responsibilities and duties described in this job description are intended to provide a general overview of the position. Duties may vary depending on the specific needs of the affiliate or location you are working at and/or state requirements. Responsibilities include but are not limited to: Reviews chart documentation for accuracy and completeness, identify inconsistencies in chart documentation, and work with appropriate staff and Coding Supervisor to resolve issues. Communicates with Claims Resolution Specialists and Business Office staff when necessary to resolve errors and clarify issues. Demonstrates and use in-depth knowledge of CPT, HCPCS, modifiers, diagnosis codes, insurance coverage plans, medical terminology, and anatomy and physiology. Works collaboratively with providers to obtain complete documentation to support coding. Stays accountable to quality and productivity standards, and monitor compliance with policies and procedures. Identifies process opportunity trends and recommend ways to improve efficiencies. Responsible for maintaining current knowledge of coding guidelines and relevant state and federal regulations. Ensures adherence to third party and governmental regulations relating to coding, documentation, compliance, and reimbursement. Participates in special projects, personal development training, and cross training as instructed. Informs Coding Supervisor of trends, inconsistencies, discrepancies, or payer changes for immediate resolution. Works in conjunction with peers and functional areas of the Coding and Revenue Integrity department for the betterment of completing tasks and the company overall. Performs other position related duties as assigned. Employees shall adhere to high standards of ethical conduct and will comply with and assist in complying with all applicable laws and regulations. This will include and not be limited to following the Solaris Health Code of Conduct and all Solaris Health and Affiliated Practice policies and procedures; maintaining the confidentiality of patients' protected health information in compliance with the Health Insurance Portability and Accountability Act (HIPAA); immediately reporting any suspected concerns and/or violations to a supervisor and/or the Compliance Department; and the timely completion the Annual Compliance Training. CERTIFICATIONS, LICENSURES OR REGISTRY REQUIREMENTS CPC, CCS-P, CMRS or AAPC required. KNOWLEDGE | SKILLS | ABILITIES Demonstrates an understanding of business operations and how individual actions contribute to overall performance. Excellent customer service, verbal, and written communication skills. Knowledge of medical terminology, CPT and ICD coding, and the full revenue cycle process. Familiarity with Electronic Health Record (EHR) systems and Microsoft Office applications. Understanding of Medicare, Medicaid, managed care, and third-party payer guidelines. Knowledge of governmental regulations and healthcare compliance requirements. Strong analytical and problem-solving skills with the ability to draw conclusions and make recommendations. Ability to handle multiple tasks and manage competing deadlines with a high level of accuracy and attention to detail. Capable of developing reports and creating professional presentations. Well-organized and able to maintain confidentiality in handling sensitive information. Self-motivated with a focus on maintaining productivity and efficiency. Ability to work independently and collaboratively across teams and departments. Ability to recognize coding issues and prevent untimely claim submission and denials. EDUCATION REQUIREMENTS High School Diploma or equivalent required. EXPERIENCE REQUIREMENTS At least 3 years experience to successfully perform this job. Entry level Medical Billing and Coding Terminology preferred. Experience in Urology or physician practice environment preferred. REQUIRED TRAVEL N/A PHYSICAL DEMANDS Carrying Weight Frequency 1-25 lbs. Frequent from 34% to 66% 26-50 lbs. Occasionally from 2% to 33% Pushing/Pulling Frequency 1-25 lbs. Seldom, up to 2% 100 + lbs. Seldom, up to 2% Lifting - Height, Weight Frequency Floor to Chest, 1 -25 lbs. Occasional: from 2% to 33%

We are seeking a detail-oriented and reliable Medical Records Coordinator for a primary care setting. The ideal candidate will be responsible for managing patient medical records, ensuring proper documentation, organizing patient files, and ensuring confidentiality in accordance with HIPAA regulations. The candidate will also work closely with physicians and medical staff to ensure accurate and up-to-date patient information is maintained. Requirements: High school diploma or equivalent Previous experience in managing medical records in a healthcare setting (preferred) Knowledge of medical terminology and office procedures Familiarity with electronic health records (EHR) systems Strong attention to detail and organizational skills Ability to maintain patient confidentiality and adhere to HIPAA regulations Excellent communication skills, both verbal and written Ability to work independently and as part of a team Schedule: Monday to Friday, no weekends or holidays Start Date: ASAP Compensation: $18-22/hr

Job Description Founded in 2003, Kanner & Pintaluga is a NLJ500 and Mid-Market Pro 50 law firm that has recovered over $1 billion for property damage and personal injury clients nationwide. With nearly 100 lawyers and more than 30 offices throughout the Central and Southeastern United States, our primary goal is to achieve the most favorable outcome for our clients, who have the absolute right to receive the maximum compensation for their damages. POSITION SUMMARY: The Medical Records Specialist is responsible for requesting and gathering medical and billing records, and managing clients' health records. They must possess excellent verbal and written communication skills, and be proficient with Microsoft Office. In addition, the Medical Records Specialist has strong attention to detail and can accurately scan and index medical records to the appropriate client's file. ESSENTIAL JOB FUNCTIONS: Submit HIPPA requests to providers via fax, email, mail, or designated portals. Safeguard patient records and ensure that everyone complies with HIPAA standards. Retrieve medical records and billing from designated portals. File information and documents to the client's file. Review medical records/bills and ensure there are no discrepancies. Review and file invoices. Handle incoming calls and other communication interactions with clients and providers. Follow up with providers and notate the file. Prepare Demand packets. Request additional medical records as needed. Perform other related duties as assigned. EXPERIENCE/REQUIREMENTS: Full-time, 8:00 am to 5:00 pm, M-F. High school/GED diploma required. Strong customer service skills. Proficient with Microsoft Office programs (Word, Excel, and Outlook). Ability to manage a heavy workload in a fast-paced environment. Ability to communicate with clients and co-workers effectively and efficiently. Possess excellent organizational skills and the ability to multitask and prioritize workload. FIRM BENEFITS The Firm offers a competitive benefits package for our full-time employees and their families. Here is a summary of our benefits (the list is not all-inclusive): Competitive Wage Paid Time Off, Holiday, Bereavement, and Sick Time 401K Retirement Savings Plan with Firm match Group Medical/Dental/Vision Plans Employer-Covered Supplemental Benefits Voluntary Supplemental Benefits Annual Performance Reviews Equal Opportunity Statement Kanner & Pintaluga is an Equal Opportunity Employer. Kanner & Pintaluga retains the right to change, assign, or reassign duties and responsibilities to this position at any time - in its sole discretion. Employment is at will. E-Verify This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the I-9 Form.

The Medical Billing & Coding Specialist is responsible for accurate medical coding, timely claim submission, and effective follow-up to ensure optimal reimbursement. This role plays a critical part in the revenue cycle by preparing, reviewing, and submitting clean claims, resolving unpaid or denied claims, and maintaining compliance with coding and payer requirements. The ideal candidate is detail-oriented, self-motivated, and experienced in working with a variety of insurance plans. Key Responsibilities Prepare, review, and submit clean claims to insurance carriers electronically in a timely manner. Review and correct denied or unpaid claims and resubmit as appropriate. Identify, investigate, and resolve billing discrepancies and payer issues. Apply accurate CPT codes, ICD-10 diagnoses, and appropriate modifiers in accordance with payer guidelines. Perform account follow-up and manage appeals to ensure proper reimbursement. Prepare, review, and send patient statements. Adhere to established timelines for billing, filing, and payment cycles. Maintain accurate and complete documentation in billing systems and EMRs. Communicate effectively with insurance companies, internal teams, and patients as needed. Work collaboratively with clinical and administrative teams to resolve coding and billing issues. Support credentialing activities as needed (preferred, not required). QualificationsRequired Minimum of 2 years of medical billing and coding experience. Strong knowledge of CPT coding, ICD-10 coding, and appropriate modifiers. Experience with claim submission, account follow-up, and appeals. Working knowledge of insurance plans. High attention to detail with the ability to produce accurate, high-quality work. Strong time management and organizational skills with the ability to manage multiple priorities. Excellent written and verbal communication skills. Strong interpersonal skills and ability to work effectively as part of a team. Self-starter with a focused, goal-driven mindset and proven results.

Medical Records Specialist Under general supervision, performs medical/psychiatric clerical office support and records maintenance assignments for assigned Mental Health counseling and treatment programs; schedules patients and maintains appointment information for medical staff; de-escalates difficult phone and clinic client interactions; prepare, scan and maintains a variety of medical records and correspondence into the electronic health record; maintains records of patient care; and performs related duties as required. DISTINGUISHING CHARACTERISTICS Incumbents perform a broad range of specialized and complex medical/psychiatric clerical office support and records maintenance assignments with considerable independence and initiative. They are expected to be thoroughly familiar with the policies and procedures of the Department and/or program where assigned. EXAMPLES OF DUTIES: · Performs a variety of clerical duties with minimum guidance and supervision involving the maintenance of permanent, legal and accurate records of patients medical care; · Interprets, applies and ensures that the laws, rules, and regulations concerning record maintenance are upheld; · updates and maintains client medical records and information; · Provides administrative assistance to professional staff in the preparation of medical/psychiatric records, reports and correspondence, assuring that all intake/assessment/clinic notes are complete and signed by appropriate professional staff; · Performs technical data entry of medical information into electronic health record; · audits provider's schedule to ensure accuracy of service plan, medication, and clients' personal information; · Takes and delivers messages, serves as receptionist, greets and directs visitors and calls; · schedules patients for medical staff and maintains appointment schedules; · Assists patients in the financial application process of qualifying for services; · Performs routine clerical duties in the data collection of financial records, receives, processes and files various financial and clinical documents, may handle money transactions, performs specialized assignments, coding client files in accordance with established protocols and record systems procedures; · Completes statistical and other information required to open and close cases; · Obtains and records required monthly statistics; · Works with other health care providers and agencies concerning patient care records and information; · Within established guidelines, releases information to authorized persons; · Responds to inquiries by providing information and referring calls; · Determines the urgency of the calls; · Performs related duties and special projects as required. MINIMUM QUALIFICATIONS Knowledge of: Policies and procedures of the department and unit where assigned; knowledge of operations, services and activities of a medical office setting; principles and practices of medical record maintenance, filing and scanning; functions and procedures of a medical provider records system, including coding and related requirements; modern office practices, methods, and procedures; operation and use of office equipment including computers and assigned software; proper English usage, spelling, grammar, and punctuation; principles and practices of customer service; basic mathematics; telephone techniques including assessments of emergency status of calls; rules and regulations regarding medical records maintenance and information releases; basic medical and psychiatric terminology; and applicable state guidelines and regulations. Ability to: Perform a variety of complex office assistance and medical records maintenance assignments; interpret and apply policies, procedures, and regulations regarding the maintenance of medical records; schedule and maintain patient appointments; ability to translate information from medical reports and correspondence. Develop and maintain confidence and cooperation of patients and their families; prepare clear, relevant and accurate reports; handle and diffuse difficult and escalated situations; operate a variety of office equipment including computers and assigned software; effectively represent the Mental Health Departments in contacts with clients, the public, and other agencies; communicate effectively both orally and in writing; understand and follow oral and written directions; and establish and maintain effective working relationships with those contacted in the course of work. Education and Experience: High School diploma or equivalent. Any combination of education and experience that would likely provide the required knowledge and abilities is qualifying. A typical way to obtain the required knowledge and abilities would be: Preferred 2 years of clerical experience, performing a variety of office support duties, one year of which includes work in a position requiring familiarity with medical terminology and recordkeeping systems. OTHER REQUIREMENTS This description lists the major duties and requirements of the job and is not all-inclusive. Not all duties are necessarily performed by each incumbent. Incumbents may be expected to perform job-related duties other than those contained in the documents and may be required to have specific job-related knowledge and skills. Exact Billing Solutions Culture Exact Billing Solutions is a supercharged environment propelled by collaboration through our philosophy: “Empowering Your Ambition.” The expectation for each team member is to provide a highly supportive high-performance work environment. Exact Billing Solutions team members are charged with: Identifying challenges and collaborating with team members to devise creative solutions and measurable outcomes Motivating team members to be their best while holding them accountable to maintain the company's excellent service standards Establishing and maintaining open and honest communication, always sharing information Continual learning, teaching and development Leading and driving initiatives to completion HIPAA Team members are required to adhere to policies and procedures implementing HIPAA requirements for the privacy and security of protected health information. Team members are permitted to use and/or disclose only minimum amount of Protected Health Information necessary to complete assigned tasks. Reports all suspected violation of company's HIPAA policies or procedures to Human Resources. Environmental Stewardship and Safety Team members are expected to adhere to facility safety requirements, report unsafe practices or equipment, and, if applicable, use the appropriate protective equipment as needed. Depending on role, and during the daily course of duties, team members may have to lift, twist, pull or push. Team members must be able to manage these activities up to 60 lbs. Any accident or incident must be reported immediately to a member of management for proper recording. Candidates must meet the company's hiring criteria to include a pre-employment background investigation and drug test. We are an Equal Opportunity Employer and a drug-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law. We offer a competitive compensation and benefits package including a base salary with performance-based incentives, medical, deal, vision, short/long-term disability, life insurance and 401(k). Team Members excluded from Federal Healthcare Programs. Exact Billing Solutions operates facilities that receive federal funding and may not employ or contract with an individual or entity that has been excluded from health care programs (for example, Medicare or Medicaid). Accordingly, if a team member or agent has been excluded from or is under investigation and may be excluded, they must notify a member of management immediately.