The Hospital Inpatient Coder Senior will be expected to apply extensive knowledge in assigning ICD-10- CM diagnosis and ICD-10-PCS procedure codes and Medicare Severity-Diagnosis Related Groupers (MS-DRG) for complex hospital inpatient services. Applies clinical knowledge of disease processes, physiology, pharmacology, and surgical techniques by reviewing and interpreting all clinical documentation included in an inpatient record. Abstracts data in compliance with national and regional policies. Clarifies physician documentation by utilizing a facility-established query process. Demonstrates knowledge of sequencing diagnoses and procedure codes outlined in the ICD-10-CM/ICD-10-PCS Official Coding Guidelines, Uniform Hospital Discharge Data Set, CMS guidelines, and other resources as applicable.
The Hospital Inpatient Coder Senior is expected to function as a subject matter expert on the team and assist less experience team members on following operational policies. It is responsible for training and onboarding new team members and participating in special projects assigned by the Mid Revenue Cycle leadership.
Responsibilities:
Coding Encounter
Key Performance Indicator Requirements
Constraints of systems
Query Knowledge
Team Support
Special Projects
Perform other duties as assigned
Credentials and Experience:
High School Diploma/GED
Five (5) years in hospital inpatient coding experience with ICD-10 diagnosis, procedure codes and MSDRG.
Any (one) of the following certifications is required:
CCS) Certified Coding Specialist
(CPC) Certified Professional Coder
(COC) Certified Outpatient Coding
(CCS-P) Certified Coding Specialist - Physician
(RHIT) Registered Health Information Technician
(RHIA) Registered Health Information Administrator
(CIC) Certified Inpatient Coder
*Any certification not listed above, but issued from a Governing Body listed below, will be considered by the business
AHIMA ************* or AAPC ************
Minimum Skills/Specialized Training Required
Thorough understanding of the effect of data quality on prospective payment, utilization, and reimbursement for multiple medical specialties.
Experience in coding hospital inpatient electronic medical records.
Excellent communication and interpersonal skills.
Experience with automated patient care and coding systems.
Competence with MS Office software
Extensive knowledge of American Healthcare Association ("AHA") coding clinic guidelines, ICD-10-CM and ICD-10-PCS coding guidelines, Medicare Severity Diagnosis Related Groupers ("MSDRG"), All Patient Refined Diagnosis Related Groupers ("APRDRG"), Center for Medicare & Medicaid Services ("CMS") guidelines, National Center for Healthcare Statistics ("NCHS").
Preferred Experience
Preferred qualifications include:
• Experience with coding oncology-related services.
$56k-69k yearly est. 2d ago
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Ambulatory Surgical Center Coder
Addison Group 4.6
Medical coder job in Doral, FL
*Candidate Must come onsite one week for training in Doral, FL
Our Client is seeking an experienced ASC ProFee Coder to support a newly opened surgery center with a growing case volume and current backlog. This is a contract-to-hire opportunity with immediate interviews.
Schedule
Monday-Friday, 8:00 AM-5:00 PM EST
No weekends
Flexibility for appointments as needed
Coding Scope
ASC Professional Fee & Facility coding
Specialties include:
Anesthesiology
General Surgery
ENT
Orthopedics
Ophthalmology
Gynecology
Urgent Care
Cardiology
No GI coding required
Systems
Epic
IMO
EncoderPro
Onsite Requirement
One-time onsite visit in Doral, FL (5 days) for equipment pickup and orientation
Client covers hotel and gas; candidate responsible for transportation
Requirements
Must reside in Florida
Must have experience coding for an Ambulatory Surgical Center
Ability to fully abstract from paper charts/books if needed
AAPC or AHIMA certification required
Strong communication skills for a remote environment
Bilingual (Spanish/English) a plus, not required
Role Details
Contract-to-hire
Pay rate: up to $32/hr
Accuracy standard: 95-100%
Client-provided equipment
Start date: ASAP
Interview: Virtual (Teams), interviewing immediately
$32 hourly 3d ago
Certified Medical Coder
Psynergy Health
Medical coder job in Orlando, FL
At PsynergyHealth, we are revolutionizing healthcare staffing through technology-driven solutions. Our innovative approach spans the United States and delivers tailored staffing support to optimize workforce management-from virtual safety observers to multi-state licensed physicians (and everything in between). We focus on right-sizing workforces, improving clinical outcomes, and enhancing operational efficiencies for healthcare organizations.
Job Summary
We are seeking a detail-oriented Certified MedicalCoder with strong experience in Revenue Cycle Management (RCM) to work with our RCM partners and physician leaders to ensure accurate medical coding, timely claim submission, and optimized reimbursement. The ideal candidate will play a key role across the full revenue cycle, from charge capture through payment posting and denial resolution, while maintaining compliance with all regulatory and payer requirements.
Key Responsibilities
Medical Coding & Documentation
Support clinical leadership in review of provider documentation for completeness, accuracy, and compliance
Ensure coding complies with federal regulations, payer guidelines, and industry standards
Revenue Cycle Management (RCM) Partnership
Work with our partners to manage end-to-end RCM processes including charge entry, claims submission, and follow-ups
Ensure that we submit clean claims to commercial, government, and managed care payers
Work with our partners to review and resolve claim rejections and denials in a timely manner
Work with our executive and clinical leadership to identify root causes of denials and implement corrective actions
Post payments, adjustments, and reconcile accounts as needed
Monitor accounts receivable (A/R) and follow up on unpaid or underpaid claims
Compliance & Quality
Stay current with coding updates, payer policies, and regulatory changes
Participate in coding audits and quality assurance reviews
Maintain HIPAA compliance and patient confidentiality at all times
Reporting & Collaboration
Generate and review RCM and coding reports to identify trends and improvement opportunities
Collaborate with providers, billing staff, and administrative teams to improve revenue performance
Support process improvements to increase accuracy, efficiency, and collections
Qualifications
Required
Certified MedicalCoder credential (CPC, CCS, or equivalent)
Strong knowledge of ICD-10-CM, CPT, and HCPCS coding
Experience with Revenue Cycle Management workflows
Familiarity with EHR and medical billing systems
Understanding of payer policies, denials management, and compliance standards
Preferred
2+ years of experience in medical coding and RCM
Experience with multiple specialties (e.g., primary care, specialty practices, hospital-based coding)
Knowledge of Medicare, Medicaid, and commercial payer guidelines
Skills & Competencies
High attention to detail and accuracy
Strong analytical and problem-solving skills
Effective written and verbal communication
Ability to manage multiple tasks and meet deadlines
Proficiency in Microsoft Office and billing/coding software
Compensation & Benefits
We offer a competitive compensation package including health benefits, paid time off, retirement plan, and professional development opportunities. Salary is commensurate with experience and ranges from $65,000 to $75,000 per year.
$65k-75k yearly 3d ago
Coder II - Outpatient - Coding & Reimbursement
Lakeland Regional Health-Florida 4.5
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
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
Medical Coder
Four Winds Health 4.0
Medical coder job in Newnan, GA
Job Description
A MedicalCoder for WellStreet Urgent Care is responsible for supporting all aspects of the Revenue Cycle for our Urgent Care Centers.
Responsibilities • Coding for our Urgent Care Centers using our internal software
• Knowledge of ICD-10 Coding and compliance
• Experience using an encoder
• Setting up insurance plans within our software
• Working with the Revenue Cycle Management to identify & resolve issues related to coding and the process flow
• Interfacing with clinic staff on billing & coding issues.
• Comply with all legal requirements regarding coding procedures and practices
• Conduct audits and coding reviews to ensure all documentation is accurate and precise
• Assign and sequence all codes for services rendered
• Collaborate with billing department to ensure all bills are satisfied in a timely manner
• Communicate with insurance companies about coding errors and disputes
• Contact physicians and other health care professionals with questions about treatments or diagnostic tests given to patients regarding coding procedures
• Adhere to productivity standards
Minimum Qualifications
• 3+ years of experience in medical billing
• Epic experience required
• Urgent Care and Occupational Health Billing experience is a plus
• High School diploma or equivalent
Required Skills
• Active CPC, RHIT, CCS or COC Certification
• Knowledge of insurance payers, insurance verification, the AR/revenue billing lifecycle and appealing denied claims
• Excellent Computer skills - expertise in MS word suite including Word, Excel and PowerPoint. Experience in using one or more Practice Management Systems/Billing Software Energy, enthusiasm and the ability to work under pressure in a high volume, fast paced, unstructured start-up environment
• Ability to work within a team environment and maintain a positive attitude
• Excellent documentation, verbal and written communication skills
• Extremely organized with a strong attention to detail
• Motivated, dependable and flexible with the ability to handle periods of stress and pressure
• All other duties as assigned.
WellStreet Urgent Care is committed to providing the highest quality patient and customer care. In addition to the above requirements, WellStreet is looking for team members with the following qualities: • A positive attitude toward patients, families, and coworkers. • Willingness always to go the extra mile to create an outstanding experience for customers and to train and lead the center team to do the same. • A desire to work in concert with others in an upbeat and supportive atmosphere while reinforcing the WellStreet mission to provide uncompromising service. • A compelling desire to serve others, improve your community's health, and have fun every day.
INDmisc
$37k-44k yearly est. 25d ago
Medical Coder // Miami, FL 33126
Mindlance 4.6
Medical coder job in Miami, FL
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 MedicalCoder
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: ************
*************************
$42k-55k yearly est. Easy Apply 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 Records - HIM - Medical Coder FT
Medlink Management Services 3.7
Medical coder job in Lake Butler, FL
Full-time Description
MedicalCoder (Certified)
!!
Lake Butler Hospital is a critical access hospital in North Florida providing 24-hour emergency services, inpatient hospitalization, swing bed program, rehabilitation services, outpatient laboratory, and outpatient radiology (X-ray, ultrasound, and CT scan) services to Union County and the surrounding counties. We are devoted to providing all members of our community with premier-quality health care in a compassionate and inviting environment.
We are seeking a knowledgeable and experienced Health Information Management (HIM) MedicalCoder to join our team! This is a Full-Time position. Initial responsibilities are on-site but remote work is possible after successfully demonstrating proficiency in the specifics for our facility.
For full-time employees, we offer medical benefits, paid time off, 401k after one year of service, discounts at Willow Cafe, and more!
Job Summary:
This position assigns accurate CPT codes from medical records for billing purposes. Also tasked to ensure proper documentation for charge capture and to remain current with industry guidelines. The successful candidate will have demonstrated ICD-10-CM proficiency, and have a demonstrated understanding of the CPT guidelines for separate procedures, bundling and add-on-codes. Must also be comfortable reviewing, resolving and preventing coding denials. More job responsibilities are provided in the full job description.
Applicants must have Inpatient and Outpatient Hospital experience and experience in Rural Health Clinics.
THIS IS NOT A REMOTE POSITION!!
Coder, HIM, Medical Billing, MedicalCoder, Patient Accounts, Medical Records, Healthcare
Union County, Lake Butler, Bradford County, Starke, Baker County, Macclenny, Glen Saint Mary, Columbia County, Fort White, Alachua County, Alachua, High Springs, Gainesville, Clay County, Keystone
Requirements
Education: High school graduate or equivalent. Current certification in ICD-9/CPT-4 coding and ICD-10CM/PCS
Experience: At least 2-years of progressive in-patient and out-patient medical coding work. Experience in Rural Health Clinics.
Skills: Proficient in Microsoft Office Suite with strong computer skills; Excellent written and oral communication skills.
Knowledge: Working knowledge of Health Information Management required. Thorough knowledge of ICD-9/CPT-4 and ICD-10 CM/PCS coding sets.
Abilities: Ability to operate office equipment (fax, copier, computer).
Equipment Used for Job: Computer, copier, facsimile machine.
$35k-48k yearly est. 60d+ 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 Coding Auditor
South Florida Community Care Network LLC 4.4
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, FloridaMedicaid, 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:
MedicalCoder 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:
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$44k-57k yearly est. 14d ago
Certified Peer Specialist-Parent
Community Service Board of Middle Georgia-Peo, Ltd.
Medical coder job in Swainsboro, GA
The Community Service Board of Middle Georgia is dedicated to providing those we serve with quality innovative behavioral healthcare in a recovery-based environment. CSB of Middle Georgia is recognized as a state leader in comprehensive behavioral healthcare providing integrated cost-effective services. CSB of Middle Georgia is located in Dublin, Georgia, and the agency currently serves residents of Bleckley, Dodge, Johnson, Laurens, Montgomery, Pulaski, Telfair, Treutlen, Wheeler, and Wilcox counties in Georgia; and in our Ogeechee Behavioral Health Division, serving residents of Burke, Emanuel, Glascock, Jefferson, Jenkins, and Screven counties in Georgia. We value Quality, Professionalism, Person-Centered, Recovery, Teamwork, Improvement, Accountability, Management of Practicing Information, Wellness, and Financial Stability.
Job Description:
The Community Service Board of Middle Georgia is looking for a Certified Peer Specialist - Parent to join their team. This role builds trusting, mutually supportive relationships with families, offers encouragement and guidance, and helps them connect to team members and resources within the IC3 program. Working collaboratively as part of a multidisciplinary team, the Child Peer Specialist uses shared experiences to empower families, strengthen engagement, and support positive outcomes for children and caregivers.
LOCATION: Emanuel County & Surrounding Areas
Responsibilities of the Certified Peer Specialist - Parent
Hold certification as a Certified Peer Specialist- Parent OR be the parent/guardian of a child with lived experience with Serious Emotional Disturbance (SED) OR Serious Mental Illness (SMI) and be willing to become certified.
Ability to use lived experience to support families in IC3 program.
Ability to work effectively in a team environment.
Ability to establish and maintain relationships with peers based on mutuality and common connection.
Ability to use common connections to support families.
Ability to link to others involved in the team. Perform other job duties as assigned by supervisor.
Here are some of the things we require:
High School Diploma or GED
Valid Georgia Driver's License
Effective verbal and written communication skills
Strong interpersonal skills and the ability to work effectively with diverse communities
Ability to work independently and in collaboration with others
Experience with Microsoft 365 Office Products
Ability to organize, prioritize and meet deadlines accordingly
Benefits of Working with CSB of Middle GA:
As a member of our team, you will enjoy our total rewards package to help secure your financial future and preserve your health and well-being, including:
Medical, Dental & Vision Plan Options!
Generous Paid-Time Off Policy with Flexibility Companywide!
401(k) Plan with Company Match!
Short- & Long-Term Disability Plans!
Access to our Employee Assistance Program (EAP)!
Paid Training Time!
Opportunities for Career Growth & Advancement!
Paid Lunch Breaks* & So Much More!
At this time, CSB of Middle Georgia will not sponsor a new applicant for employment authorization for this position.
*Please note that paid lunches are only for select positions that must assist individuals with eating needs at typical meal periods*
** Final pay rate will be dependent on a combination of qualifications such as experience and education. **
Full Time 8:00am to 5:00pm
$45k-67k yearly est. Auto-Apply 30d ago
Medical Records Technician
Cancer Specialists LLC 4.3
Medical coder job in Fleming Island, FL
Cancer Specialists of North Florida
is recruiting for an experienced
Medical Records Technician
for our Radiation Department at our busy
Fleming Island
Office.
The Medical Records Technician assists with organizing, sorting and filing all incoming patient information. Prepares charts for patient visits. Files, locates, retrieves and delivers medical records as assigned.
Travel will be required to all locations that provide Radiation Therapy to CSNF patients.
Essential duties and responsibilities include the following:
Pulls charts for scheduled appointments in advance according to guidelines.
Copies, mails, and/or faxes patient chart information as requested and authorized. Documents all processes.
Locates missing charts as needed.
Assists in preparing and filing all internal and external correspondence and medical reports into patient's medical record according to filing system.
Sorts and files all returned charts-pulling any out guides.
Picks up out guides, and delivers requested charts to designated locations.
Makes copies of dictated interval notes accordingly.
Replaces damaged charts as needed, and/or starts a second volume when chart space has been maximized.
Assists in purging deceases and inactive charts as scheduled and according to guidelines.
Pulls charts, dates, and stamps and attaches encounter form. Drops encounter form when there is a cancellation.
Pulls charts for telephone messages and delivers to physicians, nurses and medical assistants.
Sends outgoing faxes and distributes incoming faxes.
Keeps a record of new patients for weekly physicians meeting and pulls appropriate charts.
Provides back-up assistance as needed by front office staff.
Keeps inventory and orders office supplies as needed. Runs office errands as needed.
Demonstrates an understanding of patient confidentiality to protect the patient and clinic/corporation.
Follows policies and procedures to contribute to the efficiency of the front office. Covers for other front office functions as requested.
Prepares correspondence, memos, forms, and other typing as requested by supervisor.
All other duties as assigned.
Full-time position
Location Address: 2370 Market Drive, Fleming Island, FL 32003
Education and Experience:
High School Diploma or Equivalent
Minimum of one (1) year office experience, preferable in a medical office setting.
Compensation and Benefits:
Salary is commensurate with experience and qualifications.
Cancer Specialists of North Florida is an "EEO Employer” and “Drug Free Workplace”
$35k-43k yearly est. Auto-Apply 18d ago
Medical Records Technician
The Cardiac & Vascular Institute 3.8
Medical coder job in Gainesville, FL
THE CARDIAC AND VASCULAR INSTITUTE is a cardiology practice in GainesvilleFL. We are passionate about providing the highest quality cardiovascular care to the people of North Central Florida. We are proud to be certified as a GREAT PLACE TO WORK . We are seeking a MEDICAL RECORD TECHNICIAN to join our team. The job is located in zip code 32605.
JOB TITLE: Medical Records Technician
LOCATION: Gainesville, FL
FLSA STATUS: Non-exempt
GENERAL SUMMARY OF DUTIES: Responsible for storing, accessing, requesting and updating patients' health records electronically.
Files medical histories and other information electronically in patient charts in proper order following department guidelines.
Communicates with patients and referring provider offices to accomplish task.
Enters chart information into EMR system.
Locates and sends electronic records to requesting physicians/departments.
Uses computer to track chart inquiries and to access other pertinent information.
Other duties as assigned.
The job holder must demonstrate current competencies applicable to the job position.
EDUCATION: High school degree or equivalent.
EXPERIENCE: Minimum of two years office experience; one year medical records experience.
REQUIREMENTS: EMR system experience not required but preferred.
ENVIRONMENTAL / WORKING CONDITIONS: Office setting, well-lighted and ventilated, adequate space.
PHYSICAL/MENTAL DEMANDS: Prolonged seating. Occasional bending, twisting, stooping. Requires use of office equipment. Normal vision needed. May lift 10-25 pounds.
$32k-37k yearly est. 9d ago
Medical Records & Referral Coordinator
Central Florida Family Health Center Inc. 3.9
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
Certified Peer Specialist
Gateway Csb Peo LLC
Medical coder job in Savannah, GA
Job Summary : Certified Peer Specialist is a person who has progressed in their own recovery and promotes self-determination, personal responsibility, empowerment inherent in self-directed recovery, and assists individuals with mental illness in the individual's recovery process. Provides structured activities within a peer support that promote socialization, recovery, wellness, self-advocacy, wellness, self-advocacy, development of natural supports, and maintenance of community living skills; understanding of what creates recovery and how to build environments conducive to recovery. Participates in regular interdisciplinary staff meetings with the interdisciplinary team to best help consumer, including Behavioral Health Specialists, Staff Psychiatrist, Registered Nurses, quality assurance specialists, and paraprofessional. ACT is an Evidence Based Practice that is person-centered, recovery-oriented, and a highly intensive community-based service for individuals who have serious and persistent mental illness. The individual's mental health condition has significantly impaired his or her functioning in the community. The service utilizes a multidisciplinary mental health team from the fields of psychiatry nursing, psychology, social work, substance use disorders, and vocational rehabilitation; additionally, a Certified Peer Specialist is an active member of the ACT Team providing assistance with the development of natural supports, promoting socialization, and the strengthening of community living skills. Services emphasize social inclusiveness though relationship building and the active involvement in assisting individuals to achieve a stable and structured lifestyle. ACT is a unique treatment model in which the majority of mental health services are directly provided internally by the ACT program in the recipient's natural environment. ACT services are individually tailored with each individual to address his/her preferences and identified goals, which are the basis of the Individualized Recovery Plan (IRP).
Essential Functions : Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Productivity
Meet the minimum direct time requirements of individual billed hours/target staff hours 100% per year.
Daily attendance must be at least 70% of clinical guidelines per facilitator.
Maximum face to face ratio 30 individuals to 1 Certified peer Specialist
Documentation and Compliance
Records services accurately that relate directly to the treatment outcomes, within approved timeframes. Completes required clinical documentation according to agency standards.
Maintain all documentation in accordance with applicable policies, laws and instructions.
Ensure that all services provided are within the guidelines and document care in compliance with agency requirements and standards.
Ensure that all notes are in Care Logic and signed within 24 hours of service delivery.
Maintain a minimum chart audit score of 70% or better for all consumers on case-load.
Ensure all weekly reports are addressed and corrected as necessary within timeframe specified by supervisor.
Billed Staff Hours in comparison to Target Staff Hours must be at least at 100%.
Treatment plans and orders for services must be signed on the same day as admission or change.
Services must be authorized prior to the delivery of services, with the exception of the intake appointment which should be authorized within 5 business days of service delivery.
Services must be authorized prior to the delivery of services, with the exception of the intake appointment which should be authorized within 5 business days of service delivery.
Failed Activities and Failed Claims must be resolved and cleared in less than 10 days.
Quality Improvement Internal Audit scores must be at least 90%.
At least 85% of your active caseload must receive at least 1 face-to-face service within the quarter.
Staff cancellation rates must be less than 5%.
Must be in compliance with Human Resources requirements with all trainings (including Relias).
Community Outreach
Collaborate with behavioral health providers and the community through regular meetings in order to engage and transition consumers throughout systems of inpatient and or community care.
Corporate Responsibilities
Treat those we serve, co-workers and supervisors with respect.
Provide high quality customer service focused on outcomes of improved health.
Carry out job responsibilities in a competent and ethical manner.
Utilize our resources effectively, efficiently and without abuse.
Contribute to an environment that encourages passion, creativity and team work.
Required Knowledge & Skills:
Knowledge of working knowledge of the nature of serious mental illness; self-help techniques, provides enhance consumers empowerment skills and successful community living, community resources and information on specific topics, as assigned.
Knowledge of consumers' rights; agency and federal policies, procedures and guidelines.
Knowledge of client record documentation requirements; and implementation of client services plan development.
Knowledge of crisis intervention protocol.
Knowledge of peer individual and group therapy techniques
Observe, record and report on an individual's functioning;
Ability to read and understand assessments, evaluations, observation, and use in developing treatment plan.
Ability to assist consumers cultivate their independence, self-confidence, and self-esteem.
Ability to empower other individuals with disabilities to explore new options, resources, relationships, feelings, attitudes and rights.
Ability to effectively interact and communicate with consumers and their families in diverse populations.
Ability to communicate effectively, verbally and in writing, to maintain confidentiality, and to work independently under general supervision.
Ability to demonstrate strong interpersonal and “Listening” skills.
Ability to Establish and prioritize goals and objectives of assigned program.
Ability to assist consumers with successfully acquiring all income, entitlement benefits and health insurance for which the individual is eligible.
Ability to facilitate relationships between Gateway, consumer families/legal guardians and various social service community resources, such as housing assistance, healthcare, job training and placement and substance abuse support groups.
Competencies:
Communication
Accountability/Responsibility
Cooperation/Teamwork
Creative Thinking
Customer Service
Dependability
Flexibility
Initiative
Job Knowledge
Judgement
Professionalism
Quality/Quantity of Work
Goal Orientation
Required Education & Experience:
High school diploma/equivalent
Certification by Georgia Certified Peer Specialist Project
Requires a minimum of 40 hours of CPS training
Supervisory Responsibilities : None
Work Environment :
This job operates in a variable business settings with trips into the community. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. This role provides basic employment support which requires employee to perform in loud/quiet environments, outdoors/indoors, etc. Some medium travel between Gateway sites and in the community is required.
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.
Employee is frequently required to walk, sit, stand or kneel and occasionally required to climb or balance and stoop. Employee must frequently lift and/or move up to 15 pounds. Must have the ability to sit for long periods of time at a computer. Employee frequently uses fine hand/eye coordination, hearing and visual acuity. Lighting and temperature are adequate, and there are not hazardous or unpleasant condition caused by noise, dust, etc. Employee must be able to travel between Gateway sites. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Gateway CSB promotes a drug/alcohol free work environment through the use of mandatory pre-employment drug testing.
$45k-67k yearly est. Auto-Apply 38d ago
Central Supply/Medical Records
Journey Care Team of Georgia LLC 3.8
Medical coder job in Stone Mountain, GA
Job Description
About Us
Welcome to Journey, where the community is at the heart of everything we do. We believe that true success starts with strong local leadership, supported by a dedicated home office team. Our journey began with a vision to create opportunities that empower individuals to make a positive impact right in their own backyard.
Our Vision
Change the world, one heart at a time.
Our Mission
Our Mission is to consistently achieve exceptional quality outcomes by leading a world-class Care Team. Our empowered and dedicated Care Team strives to exceed the expectations of our residents in every interaction. Being a part of your journey is our privilege.
The Heartbeat of Journey
Our local leaders are the driving force behind our success. They're not just managers; they're passionate advocates for their communities. They understand the needs and goals of the residents and families they serve. They're your neighbors, your friends, and your partners in progress. Together, we work tirelessly to create meaningful change and lasting legacies.
Required Qualifications:
High school diploma or equivalent preferred.
One year of experience in shipping and receiving.
Minimum 2 years of administrative experience is preferred.
Working knowledge of medical terminology, anatomy and physiology, coding, and other aspects of health information preferred.
Major Duties and Responsibilities:
Inventory Management: Maintain accurate inventory records, organize storage areas, and ensure supplies are readily available across nursing units.
Supply Ordering & Receiving: Order supplies from approved vendors, receive shipments, and route packing slips to department heads.
Supply Distribution: Collect, fill, and deliver supply requisitions to designated units while ensuring smooth daily operations.
Records Management: Organize, file, and maintain resident health information manually and electronically, ensuring records are complete and accurately assembled.
Compliance and Privacy: Safeguard health information in accordance with established policies, procedures, and privacy regulations.
Information Retrieval and Communication: Retrieve and deliver records as needed, assist with inquiries, and prepare documentation for insurance, Medicare, Medicaid, and other stakeholders.
What We Offer
Competitive pay
Quarterly raises
401(k) with Voya Financial
United Healthcare Insurance
Free Life Insurance
Company-provided smartphones for full-time care team members
Opportunities for professional development and continuing education
If you're ready to make a difference in the lives of others and join a team that truly cares, we'd love to have you apply.
Together, let's change lives one heart at a time.
#JointheJourney
We are committed to equal opportunity. If you have a disability under the Americans with Disabilities Act or similar law, and you need an accommodation during the application process or to perform these job requirements, please contact HR.
$31k-35k yearly est. 3d ago
Medical Records Clerk
Aspen Medical 4.5
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.
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$25k-30k yearly est. 8d ago
Billing Coders - Primary Care Clinic | Sunrise, FL
Healthplus Staffing 4.6
Medical coder job in Sunrise, FL
Now Hiring: Billing Coders - Primary Care Clinic | Sunrise, FL
A well-established Primary Care clinic in Sunrise is looking to hire two Billing Coders to join their team.
Schedule: Monday-Friday, 40 hours per week
Pay: $23-$25/hour (based on experience)
Setting: In-office, Primary Care clinic
Language: Bilingual not required
The ideal candidates will be experienced in both medical coding and billing functions-accurately assigning diagnosis and procedure codes, submitting claims, following up on denials, and ensuring timely reimbursements across Medicare, Medicaid, and commercial payers.
If you're interested or have someone to refer, please reach out for more information or to apply.
About Us:
HealthPlus Staffing is National Leader in the Healthcare Staffing Industry. We partner up with top facilities nationwide with the focus of finding them highly qualified candidates.
Our Promise:
We will put you in front of the decision makers.
We will provide feedback on your application.
We will work on your behalf to obtain as much info as you need to make a well-informed decision.
If interested in this position, please submit an application or call us at 561-291-7787 to speak with one of our highly experienced consultants. We look forward to finding your next position!
The HealthPlus Team.
$23-25 hourly 60d+ ago
Referrals & Medical Records Clerk
Care Resource 3.8
Medical coder job in Miami Beach, 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.
How much does a medical coder earn in Gainesville, FL?
The average medical coder in Gainesville, FL earns between $33,000 and $60,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.
Average medical coder salary in Gainesville, FL
$44,000
What are the biggest employers of Medical Coders in Gainesville, FL?
The biggest employers of Medical Coders in Gainesville, FL are: