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Medical coder jobs in Florida

- 374 jobs
  • Outpatient Coding Quality Educator Specialist - Coding (req - 30697)

    Lakeland Regional Health-Florida 4.5company rating

    Medical coder job in Lakeland, FL

    Outpatient Coding Quality Educator Specialist - Coding 30697 Active - Benefit Eligible and Accrues Time Off Work Hours per Biweekly Pay Period: 80.00 Shift: Monday Friday Pay Rate: Min $63,793.60 Mid $79,747.20 Under the direction of the facility Coding and Reimbursement Manager, conducts coding quality reviews and audits of chart documentation to assess accuracy, ensure compliance with federal and payer policies, and identifies areas for improvement for hospital outpatient coding. Develops and delivers training on coding accuracy and compliance, staying updated on regulations and providing expert guidance to coders. Provides ongoing coding education and training to coding team and serves as mentor to all new coding team members. Serves as a subject matter expert and resource for coders, providers, and other staff on coding questions, regulatory changes, and best practice. Prepares reports of findings and meets with coders and Coding Leadership to provide education and training on accurate coding practices and compliance issues. Has thorough knowledge of acute care facility guidelines, modifiers, sequencing rules and the NCCI (National Correct Coding Initiative) edits, OCE (Outpatient Code Editor) edits, Official Guidelines for Coding and reporting for ICD-10-CM/PCS, CPT-4, and HCPCS coding conventions, APC payment classifications and Medicare Conditions of Participation. Will assist the Coding and Reimbursement Manager on preparing presentations and/or interdepartmental feedback. Responsible for conducting coding and billing training programs for billing and coding specialists. Other duties will include implementing coding department policies and procedures and assisting with reviewing and appealing coding denials. Position Responsibilities People At The Heart Of All That We Do Fosters an inclusive and engaged environment through teamwork and collaboration. Ensures patients and families have the best possible experiences across the continuum of care. Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created. Safety And Performance Improvement Behaves in a mindful manner focused on self, patient, visitor, and team safety. Demonstrates accountability and commitment to quality work. Participates actively in process improvement and adoption of standard work. Stewardship Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities. Knows and adheres to organizational and department policies and procedures. Standard Work: Outpatient Coding Quality Educator Specialist Actively participates in team development, achieving dashboards, and in accomplishing departmental goals and objectives. Performs internal quality assessment reviews on outpatient facility coders to ensure compliance with national coding guidelines and the LRH coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. Helps to coordinate and direct the day-to-day coding educational activities. Facilitates and provides coding educational classes/presentations to staff, as required/when needed. Communicates outcomes to the coding team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments. Responsibilities also include assisting Coding Leadership in root cause analysis of coding quality issues, performing account reviews, and preparing training documents to assist with coding quality action plans. Assists in the review, improvement of processes, education, troubleshooting and recommend prioritization of issues. Researches coding opportunities and escalates as needed. Communicates Coding topics and/or question trends to Coding Leadership for global education. Prepares and presents coding compliance status reports to the Coding and Reimbursement Manager and Health Information Management AVP. Assists in ensuring coding staff adherence with coding guidelines and policy. Demonstrates and applies expert level knowledge of medical coding practices and concepts. Coaches and mentors coding staff as they develop and grow their coding skills. Provides skilled coding support through regularly scheduled coding meetings and as the need arises. Provide one-on-one coaching and support to coding professionals, offering constructive feedback and guidance to improve coding accuracy and documentation practices. Assists Coding Leadership with outpatient coding denials. Create educational materials, such as manuals, handouts, and multimedia presentations, that effectively communicate complex coding concepts and guidelines. Orients, develops and coordinates on-the-job training of instructing them on systems and policies and procedures in accordance to coding compliance guidelines. Experience essential: 5+ years acute care hospital outpatient coding experience and/or coding auditing 5-10 years of educational experience in a facility or consulting setting. Certification essential: CCS, CPC, RHIT, or RHIA Certification preferred: RHIA About Us: Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 910 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits. To apply please send your resume to: Tiffany Hanson at: Tiffany.Hanson@my LRH.org
    $63.8k-79.7k yearly 2d ago
  • Records and Agenda Coordinator

    Village of Key Biscayne

    Medical coder job in Key Biscayne, FL

    The vibrant Village of Key Biscayne, incorporated on June 18, 1991, is in the center 1.25 square miles of a four-mile-long, two-mile-wide barrier island between the Atlantic Ocean and Biscayne Bay. The island is connected via a scenic causeway and bridges to the City of Miami, only seven miles away. Key Biscayne is a thriving residential community of more than 14,800 residents. Together with our residents, we are advancing our safe and secure village; thriving and vibrant community and local marketplace; engaging and active programs and public spaces; accessible, connected, and mobile transportation system; and resilient and sustainable environment and infrastructure. The Village of Key Biscayne is seeking a Records and Agenda Coordinator. The Records and Agenda Coordinator of the Village Clerk's Office provides highly skilled administrative support and provides assistance in discharging the duties and overall management of the Village Clerk's Office. This position exercises independent judgment in performing special functions under the supervision of the Village Clerk. Work emphasizes daily administrative work, departmental IT initiatives, working with the Village Clerk on emerging technologies and Agenda and Records Management strategies. Work may include customer service functions and interaction with the public and administrative support assignments for the Village Clerk. Essential Duties and Responsibilities Records Management Coordinate the processing and fulfillment of public records requests in compliance with Florida law. Assist the Village Clerk with the management, retention, scanning, and indexing of permanent public records as part of the Village's records management program. Maintain multiple systems including lobbyist registrations, advisory board memberships, contracts, resolutions, and ordinances. File and organize official documents for the Village Council and the Office of the Village Clerk according to departmental procedures. Council & Meeting Support Assist in the preparation, posting, and distribution of Village Council electronic agenda packets and required legal notices. Prepare the Council Chamber and other meeting venues for Village Council meetings. Attend official meetings to record and transcribe minutes as assigned by the Village Clerk. Coordinate Council travel arrangements, including airline reservations, hotel accommodations, transportation, and conference registrations. Administrative Support Prepare a variety of documents such as correspondence, memoranda, forms, tables, and reports with accuracy and completeness. Process invoices, checks, and assist with monitoring and preparing the Village Clerk and Council budgets. Customer Service & Other Duties Provide excellent customer service in person and by phone, responding to inquiries and concerns or directing them to the appropriate department. Perform other related duties as assigned by the Village Clerk. Minimum Qualifications & Requirements Education & Experience Bachelor's degree in public administration or a related field from an accredited college or university. Four (4) years of experience performing high-level administrative, clerical, or secretarial work. Previous experience in a Municipal or County Clerk's Office is preferred. Knowledge, Skills & Abilities Strong computer proficiency, including Microsoft Office Suite (Word, Excel, Outlook, etc.). Knowledge of automated agenda preparation software and public records management systems. Familiarity with municipal government operations, services, and responsibilities of the Clerk's Office. Knowledge of the rules and regulations governing the conduct of Village Council meetings, including Florida Sunshine Law, Florida public records law, and principles/practices of public agency record keeping. Typing speed of at least 50 wpm. Capable of transcription, summary minute preparation, and accurate recordkeeping. Strong organization and time management skills. Communicate clearly, tactfully, and effectively in English, both orally and in writing; excellent grammar and writing skills required. Ability to communicate in Spanish is a plus. Read, update, analyze, and maintain various records and files with accuracy. Quickly learn and apply various electronic document conversion processes and the Village's records management systems. Operate standard office equipment (computers, printers, copiers, scanners, telephones, etc.). Work independently, exercise discretion and judgment, and maintain confidentiality and professionalism. Manage multiple recurring deadlines where accuracy and attention to detail are critical. Provide flexibility to accommodate occasional evening work. Certifications & Other Requirements Notary Public of the State of Florida, or ability to obtain within three (3) months of employment. Records Management Certification preferred. Must be legally authorized to work in the United States. Must possess a valid Florida Driver's License. Must successfully complete a background investigation, including a national criminal history check. Requirements may be waived by the Village Clerk. These job functions should not be construed as a complete statement of all duties; additional job-related tasks may be required. Must be a non-smoker. SALARY RANGE: $58,649 - $95,892 POSITION TYPE: Full-Time / Non-Exempt APPLICATION PROCESS: Interested and qualified applicants should submit cover letter, resume to: Juan C. Gutierrez, Human Resources Director, Village of Key Biscayne via E-mail: ************************** Village of Key Biscayne is an Equal Opportunity Employer and a Drug/Smoke Free Workplace Qualified applicants are considered for employment and treated without regard to race, color, religion, sex, disability, marital, or veteran status (except if eligible for veterans' preference).
    $28k-38k yearly est. 4d ago
  • Coding Specialist

    Gastro Health 4.5company rating

    Medical coder job in Miami, FL

    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!
    $55k-65k yearly est. 60d+ ago
  • HCC Risk Adjustment Medical Coder

    Physicians' Primary Care of Southwest Florida

    Medical coder job in Fort Myers, FL

    Physicians' Primary Care of Southwest Florida is a premier physician-owned and managed multi-specialty practice with locations in Cape Coral, Estero, Fort Myers, and Lehigh Acres. We are currently seeking an in-house HCC Risk Adjustment Coder for our Compliance and Coding department located in Fort Myers. This is not a remote coding position, must reside in Lee County Florida . Schedule is Monday through Friday, Day Shift. Sample of Responsibilities: Perform prospective reviews and clinical documentation improvement opportunities Assist healthcare providers in identifying and resolving issues related to incomplete or missing clinical documentation The individual will conduct chart reviews to abstract data not submitted by providers Initiate opportunities to improve documentation Assists other team members as needed to meet the goals of the department. Maintain strictest confidentiality and adhere to all HIPAA guidelines and regulations. Position Requirements: Minimum of one (1) year of coding experience and one (1) year medical office experience Prior experience with HCC risk adjustment coding highly desirable Great attention to detail and accurate entry Excellent customer service skills and ability to communicate with all levels of the organization CPC-A , CPC or CRC certification preferred but not required Regular and reliable attendance is required PPC Offers: Over 29 years of serving our Southwest Florida community Award-winning physicians Ability to advance and grow within our organization Health, dental, vision, disability and life insurances 401(k) with company match Free financial advising Paid Time Off (PTO) Paid holidays Company paid CE courses with CEdirect Reimbursement for position required certifications and/or license Employee Assistance Program (EAP) Employee Resource Assistance Program (ERAP) Discounted legal and document services Milestone gifts Employee appreciation events and gifts Want to learn more about Physicians' Primary Care of Southwest Florida? Visit our newly designed site at *************** and apply today! Physicians Primary Care of SWFL participates in E-Verify. Go to https://***************/wp-content/uploads/2023/06/E-Verify_Participation_Poster_Eng_Es-06.22.23.pdf for more information.
    $40k-54k yearly est. 60d+ ago
  • Medical Record Audit / Coding Auditor

    CRD Careers

    Medical coder job in Miami, FL

    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
    $47k-73k yearly est. 60d+ ago
  • Medical Chart Auditor

    Physicians Dialysis

    Medical coder job in Miami, FL

    Job Description Arista Recovery seeks an experienced Medical Chart Auditor (MCA) with a background in medical chart auditing, Utilization Management (UM), or Utilization Review (UR) within mental health or addiction treatment settings. This role requires comfort and proficiency with AI tools to enhance documentation efficiency, improve accuracy, and support compliance. The MCA will work closely with clinical teams to ensure documentation aligns with ASAM standards and payer requirements, fostering a culture of precise, efficient charting. Duties and Responsibilities: Medical Record Audits: Conduct thorough audits of patient medical charts, ensuring accurate documentation that meets ASAM standards and payer criteria. Real-Time Support & AI-Driven Training: Use AI tools to assist clinical staff in real-time, improving efficiency in documentation and compliance. Compliance Monitoring: Ensure all medical records adhere to ASAM standards, insurance requirements, and HIPAA regulations. Discrepancy Management: Identify and address documentation inconsistencies, leveraging AI tools to streamline audit processes and enhance efficiency. Data Analysis: Use AI-driven insights to analyze trends in documentation, identifying opportunities for improved efficiency and accuracy. Reporting & AI-Enhanced Documentation: Prepare detailed audit reports and utilize AI tools to support accurate, efficient record-keeping. Quality Improvement Initiatives: Engage in projects to advance documentation accuracy and efficiency, including the integration of AI tools to optimize processes. Education/Experience/Qualification: Minimum of 3 years in medical chart auditing, Utilization Management (UM), or Utilization Review (UR) within mental health or addiction treatment. A Bachelor's degree or certifications like CPMA are preferred but not required if the candidate has relevant experience. AI Proficiency: Comfortable and proficient with AI tools relevant to documentation, with a focus on enhancing efficiency and accuracy. Strong knowledge of medical terminology and healthcare documentation standards. Detail-oriented with analytical skills to detect trends and inconsistencies. Proficiency in electronic health record (EHR) systems. Excellent communication and interpersonal abilities Ability to work both independently and as part of a team in a dynamic environment.
    $47k-73k yearly est. 17d ago
  • Medical Coding Auditor

    Healthcare Support Staffing

    Medical coder job in Tampa, FL

    Are you an experienced Certified Coder with Managed Care experience looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions - this is the position for you! Job Description Job Title: Medical Coding Auditor Position Summary: As the Medical Coding Auditor, you would be responsible for reviewing medical and behavioral health care medical records, coding, abstracting, and analyzing inpatient and outpatient medical records. Hours for this Position: Monday-Friday 8:00am-5:00pm Advantages of this Opportunity: Pay $20-$30 per hour, negotiable based on experience Work for a Fortune 500 company who pride themselves on partnership, integrity, teamwork, and accountability Be a part of a team who serves the full spectrum of member needs Weekly deposit options Great benefits offered More Insight of Daily Responsibilities: Verify and validate authorization of services Coordinate coding and payment issues Conduct reviews of medical records/documents supporting claims for medical/behavioral services Identify coding errors, inconsistencies, or abnormal billing patterns Qualifications What We Look For: CCA, CCS, CCS-P, CPC, or CPC-H certification 5+ years of experience in managed care and/or behavioral health care Additional Information Want More Information? Interested in hearing more about this great opportunity? Reach out to Amanda Hammer at 407-636-7030 ext. 201 for immediate consideration. HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! The greatest compliment to our business is a referral. If you know of someone looking for a new opportunity, please pass along my contact information!
    $20-30 hourly 60d+ ago
  • Medical Records Clerk

    Aspen Medical 4.5company rating

    Medical coder job in Florida

    Job DescriptionJOB AD: Medical Records Clerk Aspen Medical has an exciting opportunity for MRCs to partner with us in providing quality medical care to patients within a transitional setting. MRCs, alongside fellow team members, will be fully entrusted to ensure that the utmost competent care and safety is consistently delivered with compassion to the patient population. The medical teams will be located within a secure medical facility, where such services include, but are not limited to the following: Medical Screening (New Arrivals) Comprehensive Screening Sick Call 24-Hour Emergency Medical and Mental Health Treatment Women's Medical Care Aspen Medical will provide additional EMS, Diagnostic and Laboratory, and other ancillary services. All clinic service delivery services will be provided in accordance with US clinical standards and compliance measures. Citizenship: *All Aspen Medical staff must be US citizens or Green Card holders. Sponsorship will not be available . Requirements: Education: High School diploma or General Educational Development (GED) equivalency. Basic medical terminology required Certification: Registered Health Information Technician (RHIT) or Registered Health Information Administrator American Heart Association certification in Basic Life Support (BLS) Experience: A minimum of one year of recent, relevant, related experience Language Proficiency: Fluency in Spanish is highly desired but not required Core Duties: Initiates and maintains medical records in accordance with prescribed directives Files military forms documenting patient care into the official medical record Searches for missing paperwork or records; requests information pertaining to patient treatment to place in the medical record Prepares reports regarding record statistics as necessary. Participates in records review as part of the facility's quality assurance program and in accordance with Exhibit 5, Version 1.0 (4 Oct 22) accreditation standards Retires medical records in accordance with regulatory guidelines. *Pay rate details and associated work schedules will be outlined during the interview phase. Aspen Medical is committed to a diverse and inclusive workplace. We are an equal opportunity employer, and Aspen Medical does not discriminate based on race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status. For individuals with disabilities who would like to request accommodation, please contact *************************. By joining Aspen Medical, you will join a responsive mission-driven organization where you will be a vital member of a small, dynamic team supported by a large international corporation. Powered by JazzHR vCMNIqRu1A
    $25k-30k yearly est. 2d ago
  • Medical Coding Auditor

    South Florida Community Care Network LLC 4.4company rating

    Medical coder job in Fort Lauderdale, FL

    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.
    $44k-57k yearly est. 9d ago
  • Medical Records & Referral Coordinator

    Central Florida Family Health Center Inc. 3.9company rating

    Medical coder job in Orlando, FL

    This person is responsible for assisting medical providers as directed; scanning, and importing all documents received via mail and electronic medical records system. PRIMARY FUNCTIONS Make medical records available to practitioners and clinical personnel upon request. Make requests for summaries of medical care given to our patients by private physicians or medical facilities, keep a record of all correspondence and provide follow-up. Gather data necessary for all requested patient charts by hospitals, attorneys, etc., including making copies and arranging delivery of such documents. Electronic records; attach reports of consultation and diagnostic procedures (x-ray, laboratory, consultations, etc.). Responsible for answering phone calls regarding patient questions related to medical records. Responsible for accurately scanning and importing all medical records received via mail within 24-48 hours. Responsible for verifying all documents located in the EMR system have been correctly labeled and imported. Other responsibilities as assigned. EDUCATION AND EXPERIENCE High school diploma or equivalent 3 years medical experience KNOWLEDGE, SKILLS, AND ABILITIES Ability to work under pressure. Computer literacy. Ability to work well with people. ADDITIONAL QUALIFICATIONS Bilingual a plus. RELATIONSHIP REPORTING Reports to Medical Records and Referral Manager PHYSICAL REQUIREMENTS Ability to sit for extended periods of time. Ability to view a computer screen for extended periods of time. Ability to perform repetitive hand and wrist motions for extended periods of time. Ability to hear and converse in a professional manner at all times. Thank you
    $25k-30k yearly est. Auto-Apply 60d+ ago
  • Medical Records Coordinator

    The Moorings Park Institute Incorporated 3.9company rating

    Medical coder job in Naples, FL

    The Medical Records Coordinator is responsible for performing the clerical duties of the Medical and Nursing Departments to assure that documentation for all medical record information is in compliance with established facility policies and procedures, and State and Federal regulations. Contributions: Health Information Management Functions: Maintains the security of health information systems and medical records. Assures physical protection is in place to prevent loss, destruction and unauthorized use of both manual and electronic records. For example, assures safeguards are in place such as sign-out systems, and systems for securing file cabinets and file rooms where overflow and discharge records are stored. Assures systems are in place to maintain confidentiality of manual health information. Manages the release of information functions for the facility including review and processing of all requests for information. Maintain facility policies and standards of practice to assure release of information requests are appropriate and meet legal standards and is processed in accordance with facility policies and procedures. Maintains a forms management system for development, review, and reproduction of facility forms. Maintain a master forms manual. Maintains systems for filing, retention and destruction of overflow records and discharge records in accordance with facility policy and relevant regulations. Participates in meetings and committees such as Medicare review, HIPPA policy and procedure committee. Assures systems are in place to maintain up to date resident-specific information in the computerized clinical information system and completes data entry functions as applicable. Orders and maintains a proper inventory of all medical record forms and distributes to appropriate staff. Maintains a current Medical Record Policy and Procedure book, including consultant reports. Records Management Functions: Completes and files the appropriate information in the master patient index information. Initiates the Chateau resident medical record and in house overflow file for thinned charts, prepare labels, etc. Completes admission checklists and admission audits. Completes coding and indexing of admission diagnoses. Conduct concurrent audits/quality monitoring at regular scheduled intervals. Code diagnoses at regular scheduled intervals. Thin in-house records in accordance with the written policy and procedure and file in chart order for discharge in the inhouse overflow file. Contact physicians or departments as needed when signatures or information is needed before records can be completed. Maintain a monitoring system to assure telephone orders and other information is signed or completed by the physician as needed. Maintain Medicare "Certification/Recertification" forms and follow-up with physicians for signature. Update discharge information on master patient index (manual or electronic). Record appropriate discharge information in the census register. Initiate the discharge record control log to monitor discharge record processing status. Obtain the discharge clinical record from the nursing station within 36 hours of discharge or death of a resident. Assemble record from the nursing station and the overflow file in established discharge order Analyze the record for deficiencies using the discharge record audit/checklist. Follow up and monitor discharge record deficiencies including monitoring/mail information to the physician for completion as applicable. Maintain discharge record control log. File discharge record in incomplete clinical record file until complete and then file the discharge record in the complete file. Code and index final diagnoses using the ICD-9-CM code books. Retrieves medical records promptly upon request. Destroys old medical records per policy in association with Director of Nursing and/or Administrator. Job Requirements: High School graduate. Medical Records Technician certification desirable but not mandatory. Long term care or healthcare experience preferably as a Coordinator of Health Information in another facility. Training as a Medical Records Secretary or equivalent preferable, but not mandatory. Knowledge of medical terminology. Experience with ICD-9-CM coding. Moorings Park Communities, a renowned Life Plan organization includes three unique campuses located in Naples, Florida. We offer Simply the Best workplaces through a culture of compassionate care for both our residents and our partners. Simply the Best Benefits for our partners include: FREE health and dental insurance FREE Telemedicine for medical and behavioral health Vision insurance, company paid life insurance and short-term disability. Generous PTO program HSA with employer contribution Retirement plan with employer match Tuition reimbursement program Wellness program with free access to on-site gym Corporate discounts Employee assistance program Caring executive leadership
    $24k-29k yearly est. Auto-Apply 31d ago
  • Referrals & Medical Records Clerk

    Care Resource 3.8company rating

    Medical coder job in Miami, FL

    The Referrals & Medical Records Clerk is primarily responsible for administrative duties and support within the medical department primarily related to referrals, authorizations, and medical records. JOB RESPONSIBILITIES Route clients/patients to the appropriate areas within the agency. Answer phones, check and return voice messages in a timely basis. Update patient demographics in agency data system as appropriate. Referrals/Authorization: Verify patient insurance carrier/coverage to ensure proper processing of referrals. Respond to all correspondence and task (via letter, email, faxes) in a timely manner. Record and maintain patient health records in agency's database and other data systems. Process referrals for patient specialist visits including in house specialist and outside providers (via insurance portals, phone calls, etc.) Coordinate appointments for patients with specialists. Ensure updates are made in EHR regarding appointments made for specialist, patient attendance and/or comments, etc. Process additional information requested by insurance companies for authorizations (medical records, documentation from providers, etc.). Assist in authorization denials and appeals on behalf of the patient and document outcomes in record system. Identify alternative solutions, as determined necessary by providers, for denied authorizations. Ensure external 3rd party documentation (i.e. labs, consultation reports, etc.) is collected and entered in the patient's electronic health records (EHR). Ensure proper and timely closing of tasks as it relates to referrals and open orders via EHR. Medical Records: Receive and document medical records requests from outside agencies (Social Security Administration, legal offices, outside providers or patient request) Prepare invoices for payments of medical records request. Prepare medical records as requested by printing from EHR and prepping for faxing or mailing. Ensure documentation for new patients is collected and recorded in patient's electronic health records (EHR). Ensure patient documentation is fully completed and recorded in agency's database. Ensure appropriate assignment to the provider upon receiving records and closure of task by the provider, once the records are obtained. Quality Assurance/Compliance: Assist in ensuring that the medical office (front desk and waiting area) is kept clean and tidy at all times. Ensure online training is current as required (My LearningPointe and other trainings). Ensure that medical operations fully comply with agency and HIPAA requirements. Safety: Ensure proper hand washing according to the Centers for Disease Control and Prevention guidelines. Understands and appropriately acts upon assigned role in Emergency Code System. Understands and performs assigned role in agency's Continuity of Operations Plan (COOP). Culture of Service: 3 C's Compassion • Greet internal or external customers (i.e. patient, client, staff, vendor) with courtesy, making eye contact, responding with a proper tone, and nonverbal language. • Listen to the internal or external customer (i.e. patient, client, staff, vendor) attentively, reassuring, and understanding of the request and providing appropriate options or resolutions. Competency • Provide services required by following established protocols and when needed, procure additional help to answer questions to ensure appropriate services are delivered Commitment • Take initiative and anticipate internal or external customer needs by engaging them in the process and following up as needed • Prioritize internal or external customer (i.e. patient, client, staff, vendor) requests to ensure the prompt and effective response is provided Safety Ensure proper handwashing according to the Centers for Disease Control and Prevention guidelines. Understands and appropriately acts upon the assigned role in Emergency Code System. Understands and performs assigned roles in the organization's Continuity of Operations Plan (COOP). Contact Responsibility The responsibility for external contacts is constant and critical. Physical Requirements This work requires the following physical and sensory activities: constant sitting, hearing/ visual acuity, talking in person, and on the phone. Frequent, walking, standing, sitting, and bending. Work is performed in-office and laboratory settings. Other Participates in health center developmental activities as requested. Other duties as assigned. Job Knowledge and Skills: Bilingual (English Spanish) is preferred. Computer knowledge should include Microsoft Outlook, Word, and Excel. Excellent problem solving, communication, organizational and teamwork skills are required. The ability to work with a multicultural and diverse population is required.
    $22k-27k yearly est. 60d+ ago
  • Medical Records Clerk - PRN

    Radiology Regional 3.7company rating

    Medical coder job in Fort Myers, FL

    Now Hiring - Medical Records Clerk - PRN Type: PRN Hours: Varies Radiology Regional is one of the largest physician-driven diagnostic imaging providers, with 13 imaging centers, in Southwest Florida. We are seeking a dynamic person with a passion to care for others in the communities we serve. For over 50 years we have earned trust and confidence because of their patient care experience. Job Summary: Receives and follows directives and instructions from the medical records supervisor. Processes presented incoming requests for medical records, retrieve and prepare records for transport, records requests following procedure and forwards to appropriated location for delivery. Assists when needed, with answering the telephones, records, relays, delivers and completes messages. Maintains records relevant to assigned tasks on all released or returned internal medical records. Performs basic computer functions: navigates and interprets basic information in company's computer systems to facilitate daily procedures and assigned basic clerical functions. Operates office equipment as necessary; including computer terminals, printers, phone systems, fax machines and copy machines. Maintains adequate office inventory for assigned area and advises immediate supervisor or team leader of re-orders points. Assists in all medical records clerical and courier areas, and is required to have a minimal to adequate working knowledge of these areas. And much more! Requirements Ability to process incoming requests for medical records. Good telephone skills to assist, when needed, with answering the telephones. Maintains records relevant to assigned tasks on all released or returned internal medical records. Must be able to operate office equipment as necessary; including computer terminals, printers, phone systems, fax machines and copy machines. High School Diploma or GED required Computer and medical records knowledge preferred Minimum six (6) months practical clerical experience Radiology Regional is an Equal Opportunity Employer.
    $26k-30k yearly est. 27d ago
  • Medical Records Coordinator

    Community Health Centers of Pinellas 3.5company rating

    Medical coder job in Clearwater, FL

    Join Evara Health-Driven by Purpose, Powered by People. Evara Health provides essential, high-quality care to the communities who need it most through 17 centers and mobile units offering primary care, dental, behavioral health, pediatrics, and more. Evara Health is recognized for its innovative, team-based approach, commitment to community health, and dedication to making healthcare accessible for all. Our people fuel our impact. Team members come for the purpose and stay for the supportive culture and strong, community-focused teams. Build a career that goes beyond a job-it changes lives. About This Role: Patient Chart Management: Create, update, and maintain patient records, including immunizations, imaging, clinical documents, and alerts/notes. Medical Records Requests: Process and respond to requests from patients, providers, and clinics using appropriate tools and protocols (e.g., RightFax). Document Retrieval Support: Assist callers and retrieval services (CIOX, AB Retrieval, legal offices) by searching and providing available records. Patient Communication & Scheduling: Answer incoming patient calls to schedule appointments, provide Patient Portal support, and coordinate with clinical teams as needed. Customer Service: Identify patient/provider record needs, communicate expected turnaround times, and address any barriers to completing requests. Why You'll Love Working Here: Impact: Every day, you'll make a significant impact on our patients' lives, leading efforts that go beyond healthcare to ensure community wellbeing. Growth: We support your professional development through continuous learning and opportunities to grow within Evara Health. Recognition: As part of our team, your hard work will be recognized and rewarded, contributing to your professional fulfillment and job satisfaction. Education and Experience High School Diploma required; college degree preferred Minimum 1 year of experience with medical records
    $22k-29k yearly est. Auto-Apply 6d ago
  • Coder II - Outpatient - Coding & Reimbursement

    Lakeland Regional Health-Florida 4.5company rating

    Medical coder job in Lakeland, FL

    Details Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 892 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits. Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally. Active - Benefit Eligible and Accrues Time Off Work Hours per Biweekly Pay Period: 80.00 Shift: Flexible Hours and/or Flexible Schedule Location: 210 South Florida Avenue Lakeland, FL Pay Rate: Min $19.37 Mid $24.22 Position Summary Under the direction of the Coding and Clinical Documentation Improvement Manager, reviews clinical documentation and diagnostic results, as appropriate, to extract data and apply appropriate ICD-10-CM, CPT, and/or HCPCS codes and modifiers to outpatient encounters for reimbursement and statistical purposes. Communicates with physicians, Physician Advisor or other hospital team members as needed to obtain optimal documentation to meet coding and compliance standards. Abstracts clinical and demographic information in ICD-10 CM, CPT, and HCPCS codes and modifiers into the computerized patient abstract. Participates in ongoing continued education to assure knowledge and compliance with annual changes. Position Responsibilities People At The Heart Of All That We Do Fosters an inclusive and engaged environment through teamwork and collaboration. Ensures patients and families have the best possible experiences across the continuum of care. Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created. Safety And Performance Improvement Behaves in a mindful manner focused on self, patient, visitor, and team safety. Demonstrates accountability and commitment to quality work. Participates actively in process improvement and adoption of standard work. Stewardship Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities. Knows and adheres to organizational and department policies and procedures. Standard Work Duties: Coder II - Outpatient Assigns and sequences diagnostic and procedural codes using appropriate classification systems utilizing official coding guidelines. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding Abstracts and enters coded data as well as correct surgeon, anesthesiologist and procedure date. Assures appropriate information such as pathology and operative reports are present in the medical record prior to final coding for coding accuracy and appropriate APC assignment. Maintains appropriate level of coding and abstracting productivity and quality for outpatient diagnostic, Emergency Department, Family Health Center, ambulatory surgeries, observations, and other recurring services as per established minimum per hour requirement. Demonstrates competence in coding and abstracting requirements by maintaining less than 5% error rate for all ICD-10-CM and/or PCS, CPT, and HCPCS codes and modifiers. Continuously reviews changes in coding rules and regulations including in Coding Clinic, CPT Assistant, CMS, and other payer guidelines. Prioritizes coding functions as directed by the Manager, and organizes job functions and work assignments to efficiently complete tasks within the established time frames. Demonstrates knowledge of all equipment and systems/technology necessary to complete duties and responsibilities. Works collaboratively with the Discharge Not Final Billed (DNFB) clerks to prioritize workload daily. Reviews appropriate outpatient work queues daily to address coding reviews, edits and corrections. Reviews appropriate outpatient work queues daily to address coding reviews, edits and corrections. Competencies & Skills Essential: Computer Experience, especially with computerized encoder products and computer-assisted coding applications. Requires critical thinking skills, organizational skills, written and verbal communication skills, decisive judgment, and the ability to work with minimal supervision. Knowledge of anatomy and physiology, pharmacology, and medical terminology. Qualifications & Experience Essential: High School or Equivalent Nonessential: Associate Degree Essential: High School diploma with Associate Degree from accredited HIM program or certificate in coding from an accredited college. Other information: Certifications Essential: CCS Certifications Preferred: Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Experience Essential: 2-5 years acute care hospital outpatient coding experience within the past five years, or 5-7 year's experience in a multi-disciplinary clinic including surgeries and/or Emergency Department coding.
    $43k-53k yearly est. 4d ago
  • Medical Coding Auditor

    South Florida Community Care Network LLC 4.4company rating

    Medical coder job in Fort Lauderdale, FL

    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. 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.
    $44k-57k yearly est. 1d ago
  • Certified Coding Specialist or Certified Professional Coder

    Healthcare Support Staffing

    Medical coder job in Tampa, FL

    Why You Should Work For Us: HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! Job Description Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Ninth Revision (ICD-9) for CMS risk adjustment purposes. Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Ninth Revision (ICD-9). Always coding to the highest level of specificity Follows the Official ICD-9 guidelines for Coding and Reporting and has a complete understanding of these guidelines Follows CMS risk adjustment guidelines and has a complete understanding of these guidelines Understands the impact of ICD-9 codes on the CMS HCC risk adjustment model Ability to meet productivity and accuracy standards Ability to defend coding decisions to both internal and external audits Qualifications A High School or GED Required 2+ years of experience in professional coding experience either in a hospital or physician setting Knowledge of medical terminology and/or experience with CPT and ICD-9 coding Ability to work independently Other Working knowledge of CMS risk adjustment model Intermediate Additional Information Hours for this Position: • Monday-Friday 8:00am am-5:00pm Advantages of this Opportunity: • Competitive salary • Excellent Medical benefits Offered, Medical, Dental, Vision, 401k, and PTO • Growth potential • Fun and positive work environment
    $47k-70k yearly est. 60d+ ago
  • Medical Records & Referral Coordinator

    Central Florida Family Health Center Inc. 3.9company rating

    Medical coder job in Sanford, FL

    This person is responsible for assisting medical providers refer patients to secondary care providers as directed. PRIMARY FUNCTIONS Make medical records available to practitioners and clinical personnel upon request. Help providers obtain appointments for consultations, procedures, etc., through any available means of communication. Make requests for summaries of medical care given to our patients by private physicians or medical facilities, keep a record of all correspondence and provide follow-up. Follow-up on patients who do not keep their appointments for specialists. Track all patient referrals to insure report was received, scanned and imported in a timely manner. Responsible for documenting all steps taken to properly process a referral. Responsible for processing Orange County referrals in a timely manner. Responsible for notifying the provider and patient if additional tests are needed before a referral can be completed. Maintain at all times in the medical departments an adequate and constant supply of printed forms and materials in use, processing necessary authorizations and referrals, acknowledging receipt, and keeping adequate records of all authorizations and referrals. Responsible for properly processing all assigned referrals within 24-48 hours unless specific circumstances prevent it. Responsible for answering phone calls regarding patient questions related to referrals. Other responsibilities as assigned EDUCATION AND EXPERIENCE High school diploma or equivalent 3 years medical experience KNOWLEDGE, SKILLS, AND ABILITIES Ability to work under pressure. Computer literacy. Ability to work well with people. ADDITIONAL QUALIFICATIONS Bilingual a plus. RELATIONSHIP REPORTING Reports to Medical Records and Referral Manager PHYSICAL REQUIREMENTS Ability to sit for extended periods of time. Ability to view a computer screen for extended periods of time. Ability to perform repetitive hand and wrist motions for extended periods of time. Ability to hear and converse in a professional manner at all times
    $25k-30k yearly est. Auto-Apply 60d+ ago
  • Medical Records Clerk - PRN

    Radiology Regional Center 3.7company rating

    Medical coder job in Fort Myers, FL

    Now Hiring - Medical Records Clerk - PRN Type: PRN Hours: Varies Radiology Regional is one of the largest physician-driven diagnostic imaging providers, with 13 imaging centers, in Southwest Florida. We are seeking a dynamic person with a passion to care for others in the communities we serve. For over 50 years we have earned trust and confidence because of their patient care experience. Job Summary: * Receives and follows directives and instructions from the medical records supervisor. * Processes presented incoming requests for medical records, retrieve and prepare records for transport, records requests following procedure and forwards to appropriated location for delivery. * Assists when needed, with answering the telephones, records, relays, delivers and completes messages. * Maintains records relevant to assigned tasks on all released or returned internal medical records. * Performs basic computer functions: navigates and interprets basic information in company's computer systems to facilitate daily procedures and assigned basic clerical functions. * Operates office equipment as necessary; including computer terminals, printers, phone systems, fax machines and copy machines. * Maintains adequate office inventory for assigned area and advises immediate supervisor or team leader of re-orders points. * Assists in all medical records clerical and courier areas, and is required to have a minimal to adequate working knowledge of these areas. And much more! Requirements * Ability to process incoming requests for medical records. * Good telephone skills to assist, when needed, with answering the telephones. * Maintains records relevant to assigned tasks on all released or returned internal medical records. * Must be able to operate office equipment as necessary; including computer terminals, printers, phone systems, fax machines and copy machines. * High School Diploma or GED required * Computer and medical records knowledge preferred * Minimum six (6) months practical clerical experience Radiology Regional is an Equal Opportunity Employer.
    $26k-30k yearly est. 26d ago
  • Referrals & Medical Records Clerk

    Care Resource Community Health Centers, Inc. 3.8company rating

    Medical coder job in Fort Lauderdale, FL

    JOB RESPONSIBILITIES Route clients/patients to the appropriate areas within the agency. Answer phones, check and return voice messages in a timely basis. Update patient demographics in agency data system as appropriate. Referrals/Authorization: Verify patient insurance carrier/coverage to ensure proper processing of referrals. Respond to all correspondence and task (via letter, email, faxes) in a timely manner. Record and maintain patient health records in agency's database and other data systems. Process referrals for patient specialist visits including in house specialist and outside providers (via insurance portals, phone calls, etc.) Coordinate appointments for patients with specialists. Ensure updates are made in EHR regarding appointments made for specialist, patient attendance and/or comments, etc. Process additional information requested by insurance companies for authorizations (medical records, documentation from providers, etc.). Assist in authorization denials and appeals on behalf of the patient and document outcomes in record system. Identify alternative solutions, as determined necessary by providers, for denied authorizations. Ensure external 3rd party documentation (i.e. labs, consultation reports, etc.) is collected and entered in the patient's electronic health records (EHR). Ensure proper and timely closing of tasks as it relates to referrals and open orders via EHR. Medical Records: Receive and document medical records requests from outside agencies (Social Security Administration, legal offices, outside providers or patient request) Prepare invoices for payments of medical records request. Prepare medical records as requested by printing from EHR and prepping for faxing or mailing. Ensure documentation for new patients is collected and recorded in patient's electronic health records (EHR). Ensure patient documentation is fully completed and recorded in agency's database. Ensure appropriate assignment to the provider upon receiving records and closure of task by the provider, once the records are obtained. Quality Assurance/Compliance: Assist in ensuring that the medical office (front desk and waiting area) is kept clean and tidy at all times. Ensure online training is current as required (My LearningPointe and other trainings). Ensure that medical operations fully comply with agency and HIPAA requirements. Safety: Ensure proper hand washing according to the Centers for Disease Control and Prevention guidelines. Understands and appropriately acts upon assigned role in Emergency Code System. Understands and performs assigned role in agency's Continuity of Operations Plan (COOP). Culture of Service: 3 C's Compassion Greet internal or external customers (i.e. patient, client, staff, vendor) with courtesy, making eye contact, responding with a proper tone, and nonverbal language. Listen to the internal or external customer (i.e. patient, client, staff, vendor) attentively, reassuring, and understanding of the request and providing appropriate options or resolutions. Competency Provide services required by following established protocols and when needed, procure additional help to answer questions to ensure appropriate services are delivered Commitment Take initiative and anticipate internal or external customer needs by engaging them in the process and following up as needed Prioritize internal or external customer (i.e. patient, client, staff, vendor) requests to ensure the prompt and effective response is provided Safety Ensure proper handwashing according to the Centers for Disease Control and Prevention guidelines. Understands and appropriately acts upon the assigned role in Emergency Code System. Understands and performs assigned roles in the organization's Continuity of Operations Plan (COOP). Contact Responsibility The responsibility for external contacts is constant and critical. Physical Requirements This work requires the following physical and sensory activities: constant sitting, hearing/ visual acuity, talking in person, and on the phone. Frequent, walking, standing, sitting, and bending. Work is performed in-office setting. Other Participates in health center developmental activities as requested. Other duties as assigned. Job Knowledge and Skills: Bilingual (English Spanish) is preferred. Computer knowledge should include Microsoft Outlook, Word, and Excel. Excellent problem solving, communication, organizational and teamwork skills are required. The ability to work with a multicultural and diverse population is required.
    $22k-27k yearly est. 52d ago

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Omega HMS

Omega Healthcare Management Services

Healthcare Support Staffing

Top 10 Medical Coder companies in FL

  1. Omega HMS

  2. Omega Healthcare Management Services

  3. Baptist Health Care

  4. Tampa General Hospital

  5. BayCare Health System

  6. HCA Healthcare

  7. Healthcare Support Staffing

  8. Humana

  9. Medical College of Wisconsin

  10. Lakeland Regional Health

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