Medical Coder
Medical coder job in Wellington, FL
At GenesisCare we want to hear from people who are as passionate as we are about innovation and working together to drive better life outcomes for patients around the world. Medical Coder Our purpose is to design care experiences that get the best possible life outcomes. Our goal is to deliver exceptional treatment and care in a way that enhances every aspect of a person's cancer journey.
Joining the GenesisCare team means a commitment to seeing and doing things differently. People centricity is at the heart of what we do-whether that person is a patient, a referring doctor, a partner, or someone in our team. We aim to build a culture of 'care' that is patient focused and performance driven.
Role Summary:
A Medical Coder, or Certified Professional Coder, is responsible for reviewing a patient's medical records after a visit and translating the information into codes that insurers use to process claims from patients. Their duties include confirming treatments with medical staff, identifying missing information and submitting forms to insurers for reimbursement.
Medical Coder duties and responsibilities
The duties and responsibilities of a Medical Coder vary from one healthcare facility to another. The main duty of a Medical Coder is assigning codes to medical procedures and diagnoses. Other duties and responsibilities of a Medical Coder include:
* Making sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations
* Complying with medical coding guidelines and policies
* Receiving and reviewing patients' charts and documents for verification and accuracy
* Following up and clarifying any information that is not clear to other staff members
* Collecting information made by the Physician from different sources to prepare monthly reports
* Implementing strategic procedures and choosing strategies and evaluation methods that provide correct results
* Examining any medical malpractice that has been reported by analyzing and identifying the medical procedures, diagnoses or events that lead to the negligence
About GenesisCare:
An integrated oncology and multispecialty network in Florida providing care for more than 120,000 patients annually, GenesisCare U.S. offers community-based cancer care and other services at convenient locations. The company's purpose is to redefine the care experience by improving patient outcomes, access and care delivery. With advanced technology and innovative treatment options, skilled physicians and support staff offer comprehensive and coordinated care in radiation oncology, urology, medical oncology, hematology, diagnostics, ENT and surgical oncology. For more information, visit *****************************
GenesisCare is an Equal Opportunity Employer that is committed to diversity and inclusion.
Auto-ApplyCoder Physician
Medical coder job in Boca Raton, FL
PRO Fee -IR. Under limited supervision the Coder Physician reviews medical records and performs coding on all diagnoses, procedures, DRG/APC, and charge codes. The Coder Physician uses the most accurate codes for reimbursement purposes, research, epidemiology, statistical analysis outcomes, financial and strategic planning, evaluation of quality of care, and communication to support the patient's treatment. The Coder Physician will be charged with maintaining the confidentiality of patient records and procedures. 3 Years minimum of IR Pro experience: includes but not limited to: Diagnostic angioplasty, embolization, atherectomy, thrombectomy as well as Biopsies, drainage and placement of catheters and stents. Strong E/M leveling experience. System experience with EPIC and 3M 360. Long Term assignment. CIRCC certification preferred.
PRO Fee -IR. Under limited supervision the Coder Physician reviews medical records and performs coding on all diagnoses, procedures, DRG/APC, and charge codes. The Coder Physician uses the most accurate codes for reimbursement purposes, research, epidemiology, statistical analysis outcomes, financial and strategic planning, evaluation of quality of care, and communication to support the patient's treatment. The Coder Physician will be charged with maintaining the confidentiality of patient records and procedures. 3 Years minimum of IR Pro experience: includes but not limited to: Diagnostic angioplasty, embolization, atherectomy, thrombectomy as well as Biopsies, drainage and placement of catheters and stents. Strong E/M leveling experience. System experience with EPIC and 3M 360. Long Term assignment. CIRCC certification preferred.
Coder Outpatient
Medical coder job in Boca Raton, FL
Essential Job Functions
Responsible for abstracting, coding, sequencing, and interpreting clinical information from inpatient, outpatient, emergency department, pro-fee, and clinical medical records.
Responsible for assigning correct principal diagnoses, secondary diagnoses, and principal procedure and secondary procedure code with attention to accurate sequencing.
Utilizes technical coding principles and DRG/APC reimbursement expertise to assign appropriate codes.
Abstracts and codes pertinent medical data into multiple software programs and/or encoders. Follows official coding guidelines to review and analyze health records.
Maintains compliance with both external regulatory and accreditation requirements, as well as state and federal regulations.
Extract pertinent data from the patient's health record and determine appropriate coding for reports and billing documents.
Identifies codes for reporting medical services and procedures performed by physicians. Enters codes into various computer systems dependent upon the various clients.
Track and document productivity in specified systems and maintain productivity levels as defined by the client.
Maintain a 95% quality rating
Perform duties in compliance with the Company's policies and procedures, including but not limited to those related to HIPAA and compliance.
Key Success Indicators/Attributes
Ability to prioritize and multi-task in a fast-paced, changing environment.
Demonstrate ability to work in all work types and specialties.
Demonstrate ability to self-motivate, set goals, and meet deadlines.
Demonstrate leadership, mentoring, and interpersonal skills.
Demonstrate excellent presentation, verbal and written communication skills.
Ability to develop and maintain relationships with key business partners by building personal credibility and trust.
Maintain courteous and professional working relationships with employees at all levels of the organization.
Demonstrate excellent analytical, critical thinking and problem solving skills.
Skill in operating a personal computer and utilizing a variety of software applications.
Knowledge of coding convention and rules established by the AHIMA, American Medical Association (AMA), the American Hospital Association (AHA) and the Center for Medicare and Medicaid (CMS), for assignment of diagnostic and surgical procedural codes.
Knowledge of JCAHO, coding compliance and HIPAA HITECH standards affecting medical records and the impact on reimbursement and accreditation.
Successful completion of an AAPC or AHIMA-approved Coding Certificate Program
EPIC and CAC required unless for Optum Excela client, then CAC and Power chart
Optum waived post certification for holiday coverage coders
Coder mainly needs to be able to code Observation
Work schedule Monday - Sunday to get hours in, during prebill we prefer Sunday - Thursday
Auto-ApplySurgical Coder
Medical coder job in West Palm Beach, FL
Full-time Description
Job Title: Surgical Coder
Department: Revenue Cycle Management
Reports To: RCM Director
The Surgical Coder is responsible for accurately reviewing, analyzing, and assigning the appropriate CPT, ICD-10-CM, and HCPCS codes for surgical and procedural documentation in patient medical records. This role ensures coding compliance with all applicable regulations and guidelines to optimize reimbursement and maintain the integrity of clinical and financial data.
Key Responsibilities:
Review operative reports and clinical documentation to assign appropriate CPT, ICD-10-CM, and HCPCS Level II codes.
Ensure accurate capture of modifiers and adherence to payer-specific coding guidelines.
Verify that all coded information supports medical necessity and aligns with regulatory requirements (e.g., CMS, AMA, and payer-specific policies).
Query physicians for clarification or additional documentation when necessary.
Maintain current knowledge of coding guidelines, compliance requirements, and regulatory updates.
Collaborate with billing, compliance, and revenue cycle teams to resolve coding and claim issues.
Participate in internal audits and quality assurance reviews.
Meet productivity and accuracy benchmarks as established by the department.
Protect patient confidentiality in accordance with HIPAA standards.
Requirements
Education and Experience:
High school diploma or equivalent required
Minimum of 3 years of surgical coding experience (ambulatory surgery, hospital outpatient, or inpatient) preferred.
Certifications (required):
Certified Professional Coder (CPC) - AAPC, or
Certified Coding Specialist (CCS) - AHIMA, or
Certified Outpatient Coder (COC) - AAPC
Skills and Competencies:
Strong knowledge of medical terminology, anatomy, and surgical procedures.
Proficiency in CPT, ICD-10-CM, and HCPCS Level II coding systems.
Familiarity with electronic health record (EHR) systems and coding software.
Excellent analytical, organizational, and communication skills.
High attention to detail and ability to work independently with minimal supervision.
Salary Description $20 - $27 per hour
MRA Coder
Medical coder job in Jupiter, FL
Entry level position intended to support the achievement of the goals of the organization and execute essential functions under the close supervision of the Senior MRA/HEDIS Specialist and/or Director of MRA; Identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical Condition Categories. Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered.
Review medical record information to identify all appropriate coding based on CMS HCC categories.
Complete appropriate paperwork/documentation/system entry regarding claim/encounter information.
Support and participate in process and quality improvement initiatives.
We help doctors perform at their best while engaging patients in their care!
PRINCIPLE RESPONSIBILITIES:
Review medical record information to identify all appropriate coding based on CMS HCC categories
Complete appropriate paperwork/documentation/system entry regarding claim/encounter information
Monitor coding changes to unsure that most current information is available
Review and prepare charts for affiliates or medical centers
Work HCC suspect reports and submit to the Director for review
Accurately coding and submitting encounters on a timely basis after supervisor review
Due to the nature of this position, it is understood that coding requirements are expected to change; therefore, participation in affiliated classes and individual efforts to maintain current knowledge of these changes is required
KEY COMPETENCIES:
Builds Trust: Consistently models and inspires high levels of integrity, lives up to commitments and takes responsibility for the impact of one's actions.
Pursues Excellence: Seeks out learning, strives to develop and expand personally, and continuously helps others upgrade their capability to contribute to the managed careplan.
Executes for Results: Effectively leverages resources to create exceptional outcomes, embraces changes and constructively resolves barriers and constraints.
Collaborates: Engages others by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that places the insurance plan and medical center overall success first.
EXPERIENCE/SKILL REQUIREMENTS/EDUCATION:
At least one of the following:
One (1) year prior medical coding and/or billing experience, or
Two (2) years prior medical assistant experience, or
CPC, CPC-A or CCS-P, CRC Coding Certification, or
Pending completion of externship for coding certification
Familiar with Microsoft Word and Excel
Familiarity with primary care medical charts
Strong organization and process management skills
Strong collaboration and relationship building skills
High attention to detail
Excellent written and verbal communication skills
Ability to learn new tasks and concepts
Auto-ApplyRisk Adjustment Coder
Medical coder job in West Palm Beach, FL
It's rewarding to be on a team of people that truly believe in making an impact!
We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us.
The Risk Adjustment coder will identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical Condition Categories. Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered. The Risk Adjustment Coder is required to follow procedures and documentation policies regarding claim/encounter information and provide appropriate support to justify their recommendations.
Duties & Responsibilities
Essential Duties & Responsibilities
Review medical record information to identify all appropriate coding based on CMS HCC categories
Prepare the medical charts and track patient information via Excel spreadsheets.
Complete appropriate paperwork/documentation/system entry regarding claim/encounter information
Provide coding support, education and training related to, quality of documentation, level of service and diagnosis coding consistent with established coding guidelines and standards
Provide real time support and coordination with Primary Care Providers and Care Coordinators for MRA coding, HEDIS and STARS
Monitor coding changes to ensure that most current information is available
Work HCC suspect reports
Accurately code and submit encounters on a timely basis
Researching and addressing code questions for multiple provider offices as directed
Update the Director on the status on a weekly basis
Notifies Patient Experience Manager if annual wellness visits for patients have not been scheduled.
Travel to offices as necessary to complete on-site chart reviews
Performs post-audits on assigned offices and notifies office contact when codes are not addressed for provider review.
Support and participate in process and quality improvement initiatives.
Assists with billing claims as assigned.
Additional Duties & Responsibilities
Please note this is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Due to the nature of this position, it is understood that coding requirements are expected to change; therefore, participation in affiliated classes and individual efforts to maintain current knowledge of these changes is required.
Education & Experience
Two (2) years prior medical coding experience
Proficient in Microsoft Word and Excel
Strong organization and process management skills
Strong collaboration and relationship building skills
High attention to detail
Excellent written and verbal communication skills
Ability to learn new tasks and concepts
CPC, CPC-A or CCS-P, CRC Coding Certification
Knowledge, Skills & Proficiencies
Builds Trust: Consistently models and inspires high levels of integrity, lives up to commitments and takes responsibility for the impact of one's actions.
Pursues Excellence: Seeks out learning, strives to develop and expand personally, and continuously helps others upgrade their capability to contribute to the managed care plan.
Executes for Results: Effectively leverages resources to create exceptional outcomes, embraces changes and constructively resolves barriers and constraints.
Collaborates: Engages others by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that places emphasis on the success of the medical centers and insurance companies.
Job Requirements
Physical Requirements
This position works under usual office conditions. The employee is required to work at a personal computer as well as be on the phone for extended periods of time. Must be able to stand, sit, walk and occasionally climb. The incumbent must be able to work extended and flexible hours and weekends as needed. Physical demands include ability to lift up to 50 lbs. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Tools & Equipment Used
Computer and peripherals, standard and customized software applications and tools, and usual office equipment.
Disclaimer
The duties and responsibilities described above are designed to indicate the general nature and level of work performed by associates within this classification. It is not designed to contain, or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of associates assigned to this job. This is not an all-inclusive job description; therefore, management has the right to assign or reassign schedules, duties, and responsibilities to this job at any time. Cano Health is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
Join our team that is making a difference!
Please see Cano Health's Notice of E-Verify Participation and the Right to Work post here
Auto-ApplyMedical Records Manager
Medical coder job in Fort Lauderdale, FL
Job Description
The Medical Records Manager plays a crucial role in overseeing the maintenance and management of Electronic Medical Records (EMR) for active and discharged Persons Served. They utilize their detail-oriented skills in quantitative analysis to conduct comprehensive reviews and audits, identifying and addressing technical errors and potential legal/clinical issues. The Medical Records Manager ensures the accuracy and completeness of all EMR data, promoting the delivery of high-quality healthcare services.
Responsibilities
Conducts monthly quantitative reviews to ensure compliance with guidelines, accreditation, and licensure requirements.
Oversees timely and appropriate responses to authorized requests for medical records and maintains accurate documentation of medical record disclosures, adhering to facility policy, state and HIPAA regulations.
Coordinates with the Business Office to ensure proper coding for Medicare and Medicaid billing.
Serves as the Privacy Officer, ensuring privacy and confidentiality of all medical records, and supervises the work of all Medical Records staff, including hiring, disciplinary actions, and performance evaluations.
Provides support for facility staff or outside auditors or reviewers, participates in revisions of the electronic medical record, and participates in accreditation and quality improvement activities while keeping supervisors informed of relevant activities and potential issues.
Qualifications
Education
Associates degree in Health Information Management or related field
Experience
Three (3) years of experience in hospital information management of which one (1) year must be in record auditing capacity
Licenses/Certifications
Valid certification as a Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) is preferred
Medical Coding Auditor
Medical coder job in Sunrise, 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.
Medical Coding Auditor
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.
PGA Certified STUDIO Performance Specialist
Medical coder job in Palm Beach Gardens, FL
Overview (pay range: 15-23 HR) At PGA TOUR Superstore, we are always looking for enthusiastic, self-motivated, flexible individuals who will share a passion for helping transform our business. As one of the fastest growing specialty retailers, we are dedicated to hiring selfless team players from different backgrounds to influence the growth of our organization. Part of the Arthur M. Blank Family of Businesses, PGA TOUR Superstore continuously strives to create a family culture for our Associates - driven by our vision to inspire people through golf and tennis.
Position Summary
Reporting to the Sales and Service Manager, the STUDIO Performance Specialist delivers world-class service through expert instruction and precision fitting. This hybrid role blends the responsibilities of a Golf Instructor and a Fitting Specialist, ensuring every customer receives a tailored experience that improves their game and drives lasting relationships.
The STUDIO Performance Specialist is responsible for achieving KPIs across both fittings and lessons, proactively growing their client base, and maintaining a fully booked schedule. The role also supports the visual and operational excellence of the STUDIO, leveraging advanced technology and product knowledge to deliver measurable performance results.
Key Responsibilities:
Customer Experience & Engagement
* Engage every customer with world-class service by demonstrating PGA TOUR Superstore's Service Behaviors.
* Build lasting relationships that encourage repeat business and client referrals.
* Educate and inspire customers by connecting instruction and equipment performance to game improvement.
Instruction & Coaching
* Conduct one-on-one lessons, clinics, and group events tailored to player needs, goals, and skill levels.
* Utilize technology such as TrackMan, SAM PuttLab, and USchedule to deliver data-driven instruction.
* Develop personalized lesson plans and track student progress, providing constructive feedback and measurable improvement.
* Proactively organize clinics and performance events to build customer engagement and community participation.
Fitting & Equipment Performance
* Execute professional club fittings using PGA TOUR Superstore's certified fitting techniques and technology.
* Maintain a brand-agnostic approach to ensure customers are fit for the best equipment based on their unique swing data and goals.
* Educate customers on product features, benefits, and performance differences across brands.
* Accurately enter and manage custom orders, ensuring all specifications are documented precisely.
Operational & Visual Excellence
* Maintain all STUDIO areas (simulators, components drawers, putting green) to the highest visual and operational standards.
* Ensure equipment, software, and technology remain functional and calibrated.
* Support front-end operations, including returns, lesson redemptions, loyalty programs, and promotions.
* Stay current on marketing campaigns and merchandising events, executing promotional setups and maintaining accurate displays.
Performance & Business Growth
* Achieve key performance indicators (KPIs) such as:
* Lessons and fittings completed
* Sales per hour and booking percentage
* Clinic participation and conversion to sales
* Proactively grow the STUDIO business through client outreach, networking, and relationship management.
* Provide consistent feedback to the Sales and Service Manager to improve operations, merchandising, and customer experience.
Qualifications and Skills Required
* Certification: Only PGA Members and Apprentices in good standing with the PGA of America are eligible for this role. The candidate must maintain good standing with the PGA for the duration of employment. The candidate may be asked to provide proof of PGA membership in the form of a current membership card or proof of membership dues payment.
* Communication: Strong interpersonal, listening, and verbal/written communication skills with the ability to engage and educate customers.
* Technical Proficiency: Working knowledge of Microsoft Office Suite and fitting/instruction technology (TrackMan, SAM PuttLab, USchedule).
* Organization: Ability to manage multiple priorities, maintain schedules, and meet deadlines.
* Education: High school diploma or equivalent required; PGA certification or equivalent instruction credentials preferred.
* Experience:
* 2+ years of golf instruction and club fitting experience preferred.
* Experience with swing analysis tools and custom club building highly valued.
* Physical Demands: Must be able to stand for extended periods, move throughout the store, lift up to 30 lbs overhead, and work in simulator environments.
* Availability: Must maintain flexible availability, including nights, weekends, and holidays.
* Accountability: Demonstrates strong self-accountability, professionalism, and a proactive drive for results.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
PGA TOUR Superstores is an Equal Opportunity Employer, committed to a diverse and inclusive work environment.
We comply with all laws that prohibit discrimination based on race, color, religion, sex/gender, age (40 and over), national origin, ancestry, citizenship status, physical or mental disability, veteran status, marital status, genetic information, and any other legally protected status. Employment discrimination isn't just unlawful, it violates our policies and is not who we are. Every associate at every level in the organization is prohibited from engaging in any form of discrimination.
An associate who believes s/he is being discriminated against should report it immediately to the Human Resources department. The law and our policies prohibit retaliation against anyone for making such a report.
Auto-ApplyMedical Billing - Coder / Biller
Medical coder job in Jupiter, FL
Sunshine Physician Services, Inc was founded in 1999 and our central billing office is located in Jupiter, FL. Our company vision is not to be the largest medical billing company but to provide the most personalized medical billing and contract negotiation experience possible.
Job Description
Under direct supervision of the Coding Manager the charge entry and coding specialist are responsible for accurate coding review. Also ensures physician charges are received on a timely basis and entered into the billing system accurately.
JOB RESPONSIBILITIES:
Research and resolution of coding projects as assigned.
Perform ongoing analysis of medical record charts for the appropriate coding compliance.
Coder is responsible for meeting daily production goal.
Coder is responsible for meeting quality coding goal of averaging 95% accuracy rate on a monthly basis.
Attend conference calls as necessary to provide information relating to Coding and Compliance
Qualifications
Education: High School Diploma/GED required. Associates degree preferred. Appropriate education may be substituted for one year of billing experience.
Experience: 2-3 years of Billing experience in a health care organization required. Knowledge in Physician Hospital and Surgery charges, able to code from the Op Report. Urology billing and Intergy Practice Management experience is a plus.
Knowledge, Skills, and Abilities: Skilled in MS Excel, Word, Outlook, and running calculations Excellent customer service, organizational and multi-tasking skills required. Business telephone skills and ability to answer and transfer calls in a professional and timely manner. Computing skills, excellent organizational skills, able to multi-task and set and meet priorities. Able to provide co-workers, patients, doctors, and management with responses in a positive, supportive and cooperative manner. Detail-oriented and good follow-through skills. Able to accommodate flexible work hours to meet the needs of the business.
Additional Information
Sunshine Physician Services, Inc. is an Equal Opportunity Employer. We have made it a priority to develop diversity initiatives that encourage a welcoming workplace environment. We promote recognition and respect for individual and cultural differences, and we work to make our employees feel valued and appreciated.
Certified Medical Billing Coder- Vascular
Medical coder job in Stuart, FL
Job DescriptionSalary:
is fully in office in Stuart, FL.
We are seeking a detail-oriented and experienced Certified Vascular Medical Billing Coder to join our team. This role is responsible for accurately coding vascular procedures and diagnoses for billing and insurance purposes, ensuring compliance with all regulatory and payer requirements. The ideal candidate will have in-depth knowledge of vascular anatomy and procedures, strong coding skills, and experience with key healthcare billing platforms.
Key Responsibilities
Assign accurate CPT, ICD-10, and HCPCS codes for vascular services and procedures
Review clinical documentation to ensure proper coding and identify areas requiring clarification
Collaborate with providers and clinical staff to ensure documentation supports coding and billing
Submit claims and follow up on denials, rejections, or underpayments
Ensure compliance with Medicare, Medicaid, and commercial payer guidelines
Stay up to date on coding changes, payer policies, and billing best practices
Assist with audits and implement corrective actions as needed
Maintain patient confidentiality and adhere to HIPAA regulations at all times
Required Knowledge & Systems
NextGen
Phreesia
Availity
Proficiency with all major insurance websites for eligibility, benefits verification, claim status, and authorizations
Qualifications
High school diploma or equivalent required
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent credential required
Minimum 23 years of medical billing and coding experience, preferably in vascular or interventional radiology
Thorough understanding of vascular procedures, terminology, and medical necessity requirements
Experience with insurance billing, reimbursement policies, and payer-specific guidelines
Strong attention to detail, time management, and organizational skills
Excellent written and verbal communication skills
Preferred Qualifications
Previous experience working in a vascular
Familiarity with additional practice management tools or clearinghouses
Experience working in a high-volume, fast-paced billing environment
Benefits
Medical, dental, and vision insurance
401(k) with employer match
Paid time off and holidays
Referrals & Medical Records Clerk
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.
Medical Records Specialist
Medical coder job in Boca Raton, FL
Founded in 2003, Kanner & Pintaluga is a NLJ500 and Mid-Market Pro 50 law firm that has recovered over $1 billion for property damage and personal injury clients nationwide. With nearly 100 lawyers and more than 30 offices throughout the Central and Southeastern United States, our primary goal is to achieve the most favorable outcome for our clients, who have the absolute right to receive the maximum compensation for their damages.
POSITION SUMMARY:
The Medical Records Specialist is responsible for requesting and gathering medical and billing records, and managing clients' health records. They are responsible for gathering all records and bills related to the accident, confirming the accuracy of the charges and balances, providing health insurance and auto insurance (PIP) to providers in a timely manner.
ESSENTIAL JOB FUNCTIONS:
Prepare patient charts and gather information and documents from patients.
Ensure that the medical records are organized, accurate, and complete.
Create digital copies of paperwork and store the records electronically.
Safeguard patient records and ensure that everyone complies with HIPAA standards.
Transfer data into the company's main system database (CNG).
Process invoices for payments and make sure that they are accounted for.
Perform other related duties as assigned.
EXPERIENCE/REQUIREMENTS:
Full-time, 8:00 am to 5:00 pm, M-F.
High school/GED diploma required.
Strong customer service skills.
Legal experience preferred.
Proficient with Microsoft Office programs (Word, Excel, and Outlook).
Ability to manage a heavy workload in a fast-paced environment.
Ability to communicate with clients and co-workers effectively and efficiently.
Possess excellent organizational skills and the ability to multitask and prioritize workload.
FIRM BENEFITS
The Firm offers a competitive benefits package for our full-time employees and their families. Here is a summary of our benefits (the list is not all-inclusive):
Competitive Wage
Paid Time Off, Holiday, Bereavement, and Sick Time
401K Retirement Savings Plan with Firm match
Group Medical/Dental/Vision Plans
Employer-Covered Supplemental Benefits
Voluntary Supplemental Benefits
Annual Performance Reviews
Equal Opportunity Statement
Kanner & Pintaluga is an Equal Opportunity Employer. Kanner & Pintaluga retains the right to change, assign, or reassign duties and responsibilities to this position at any time - in its sole discretion. Employment is at will.
E-Verify
This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the I-9 Form.
Auto-ApplyMedical Records Coordinator
Medical coder job in Atlantis, FL
Full-time Dayshift Do you want to join an organization that invests in you as a Medical Records Coordinator? At HCA Florida JFK Hospital, you come first. HCA Healthcare has committed up to 300 million in programs to support our incredible team members over the course of three years.
Benefits
HCA Florida JFK Hospital offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
* Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
* Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
* Free counseling services and resources for emotional, physical and financial wellbeing
* 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
* Employee Stock Purchase Plan with 10% off HCA Healthcare stock
* Family support through fertility and family building benefits with Progyny and adoption assistance.
* Referral services for child, elder and pet care, home and auto repair, event planning and more
* Consumer discounts through Abenity and Consumer Discounts
* Retirement readiness, rollover assistance services and preferred banking partnerships
* Education assistance (tuition, student loan, certification support, dependent scholarships)
* Colleague recognition program
* Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
* Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
As a Medical Records Coordinator, you will be responsible for assisting as needed in the day-to-day HIM departmental clerical activities (e.g. working the Horizon Patient Folder (HPF)/McKesson Patient Folder (MPF) workflow queues, resolving unbilled accounts, facilitating the physician suspension process, etc.). You will serve as the on- site initial point of contact when the HIM Leader is off-site for the Facility Leadership and the Medical Staff. You will serve as facility liaison to the Facility HIM Leader and Regional HIM Director as needed.
Schedule: Tuesday - Saturday 8am-430pm
What you will do in this role:
* Initial on-site point of contact when HIM Leader is off-site for Facility Leadership and Medical Staff.
* Assist the HIM Leader with FPO duties (if applicable).
* Assist the HIM Leader with Records Management duties.
* Assists Facility HIM Clerks and Birth Certificate Clerks with questions.
* Assists Facility HIM Leader in employee training and development.
* Enters applicable unbilled reason codes (URCs) into HPF and MEDITECH on a daily basis.
* Adheres to documented and established workflow guidelines as it relates to managing facility HPF/MPF work queues and 3M 360 Encompass worklists.
* Assists in the processing of walk-in requests for Release of Information.
* Requests and returns paper records from off-site storage as applicable.
* Retrieves discharged medical records from various nursing units and ancillary departments as needed.
* Assists in reconciling retrieved medical records against patient discharge listings working closely with patient care units to ensure receipt of all records no later than the morning after discharge/visit.
* Ensures that facility based HIM function productivity and quality standards are maintained or exceeded.
* Assists physicians in record completion activities.
* Provides training and education of record completion enabling technology (e.g., HPF/MPF,MEDITECH, 3M 360 Encompass).
What qualifications you will need:
* High school diploma or equivalency preferred.
* A minimum of one year of HIM department experience with a concentration in incomplete record management is strongly preferred.
* RHIA or RHIT preferred
Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Medical Records Specialist opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
In Office - Certified Medical Biller & Coder
Medical coder job in Deerfield Beach, FL
Job DescriptionBenefits:
401(k) matching
Employee discounts
Paid time off
FIMA is seeking an experienced and certified Medical Biller and Coder to join our growing private practice. The ideal candidate is a highly detail-oriented and motivated professional with a strong understanding of the full revenue cycle, from accurate coding to payment posting and denial management. This is a critical role for our office, ensuring financial health and compliance.
Key responsibilities
Coding: Accurately review and assign appropriate CPT, ICD-10, and HCPCS codes for diagnoses, procedures, and services based on physician documentation.
Payment Processing: Process and post payments from insurance carriers and patients, ensuring proper reconciliation.
Accounts Receivable: Actively work denials, track outstanding claims, and follow up with insurance carriers to resolve unpaid accounts in a timely manner.
Compliance: Maintain current knowledge of Medicare and other insurance carrier regulations, staying up-to-date with compliance issues and coding changes.
Credentialing: Assist with provider credentialing and re-credentialing processes with various insurance companies.
Insurance Verification: Verify patient insurance eligibility and benefits prior to services.
Patient Inquiries: Handle patient billing inquiries with professionalism and tact, explaining charges and payment options.
Record Keeping: Maintain accurate and confidential patient billing records in compliance with HIPAA.
Qualifications
Certification: Hold a current, nationally recognized coding certification (e.g., CPC, CCS-P) from the AAPC or AHIMA.
Experience: Proven experience in medical billing and coding within a private practice or outpatient setting.
Compliance: In-depth knowledge of Medicare guidelines and other federal/state healthcare compliance regulations.
Technical Skills: Proficiency with medical billing software and Electronic Health Records (EHR) systems.
Communication: Excellent written and verbal communication skills for interacting with providers, insurance companies, and patients.
Analytical Skills: Exceptional attention to detail and strong analytical skills for effective problem-solving.
Why join our team?
We are a close-knit private practice that values its employees. You will have the opportunity to work independently while also collaborating with our dedicated team to ensure seamless office operations. We offer a supportive work environment and competitive compensation based on experience.
*Medical Records Coordinator needed for Full-Time position in Orlando, FL
Medical coder job in Pompano Beach, FL
Medical Records Coordinator
Schedule: Mon-Fri from 8am - 5pm
Pay: $16-$17/HR (Commensurate on experience)
Benefits: Health, Dental, Vision, PTO, Paid Holidays, Life insurance, profit sharing, bonuses, and more
Bilingual preferred, but not required
If interested in this position please apply immediately and someone will be in touch with you within 24-48 hours.
Public Information Coordinator
Medical coder job in Boynton Beach, FL
This role directly reports to the Public Affairs Director and involves professional administrative work in planning, organizing, developing, and implementing communication activities and messaging. The position utilizes social media, media, the city's website, and other digital and traditional communication platforms to effectively reach the community.
This position will require attendance at select weekend or after-hours special events to capture and create content as needed.The following duties and functions, as outlined herein, are intended to be representative of the type of tasks performed within this classification. They are not listed in any order of importance. The omission of specific statements of duties or functions does not exclude them from the classification if the work is similar, related, or a logical assignment for this classification. Other duties may be required and assigned.
Monitors social media activity and tracks the City's performance and public engagement
Assists with media relations, including coordinating logistics, preparing press materials, and maintaining media contact lists.
Serves as the City spokesperson on television, radio, and other media outlets as needed.
Assists in the preparation and dissemination of emergency information and communications; participates in Emergency Operations Center activities during activations.
Creates, edits, and distributes public information materials such as news releases, media advisories, letters, presentations, social media posts, and emails.
Creates, updates, and manages content for the City's website and mobile app, ensuring alignment with communication strategy, brand identity, and accessibility standards.
Designs and produces electronic and print graphics, flyers, pamphlets, advertisements, and other digital or print media.
Assists in implementing the City's public information and communication programs and strategies consistent with the City's brand.
Collaborates with City departments to plan, develop, and execute communications and marketing campaigns.
Provides logistical and creative support for video scripts, public presentations, and messaging materials.
Performs administrative duties and compiles data for reports or special projects, ensuring completion within specified deadlines.
Tracks media coverage, compiles performance and engagement reports, and maintains contact lists for media and community stakeholders.
Serves as a liaison between departments and the Public Affairs Director to gather and prepare information for dissemination.
Provides general support to the Director in fulfilling the City's communication plans and related goals and objectives.
Performs other related duties as assigned.
ADDITIONAL FUNCTIONS
Develops and implements crisis communication strategies to manage and mitigate the impact of emergencies or negative publicity.
Organizes and participates in community events to promote the city's initiatives and foster positive relationships with residents.
Tracks and analyzes the effectiveness of communication strategies and campaigns, providing regular reports to the Public Affairs Director.
Provides training to city staff on effective communication practices and the use of communication tools and platforms.
Maintains regular communication with key stakeholders, including government officials, community leaders, and partner organizations.
Performs basic graphic design tasks.
Creates presentations and reports.
Completes award applications.
Assists in administrative and procurement tasks.
Performs other related duties as required.
* Bachelor's degree from an accredited college or university in Marketing, Journalism, Communications, Public Relations, or a closely related field; and
* Possess three (3) years of experience in Journalism, Marketing, Communications, Social Media Management or Public Information; and
* Possess (or obtain within fourteen (14) days of hire) and maintain a valid State of Florida Driver's license;
OR
* Associate's degree from an accredited college or university in Marketing, Journalism, Communications, Public Relations, or a closely related field; and
* Possess five (5) years of experience in Journalism, Marketing, Communications, Social Media Management or Public Information; and
* Possess (or obtain within fourteen (14) days of hire) and maintain a valid State of Florida Driver's license;
PREFERRED QUALIFICATIONS
Minimum Qualifications for education and experience must be met before consideration of the following preferred Qualifications:
* Public sector/government communications experience
Effective Communication: Communicates effectively with supervisors, employees, other departments, contractors, engineers, companies, vendors, outside agencies, the public, and other individuals to coordinate work activities, review status of work, exchange information, or resolve problems.
Message Delivery: Accurately and expeditiously receives and delivers messages and information to the appropriate individuals.
Written Communication: Prepares accurate and thorough written records and reports.
Instruction Comprehension: Understands and follows oral and written instructions to complete assigned tasks with minimal supervisory direction.
Quick Understanding: Quickly and accurately follows brief oral and written instructions on moderately complex matters.
City Representation: Effectively and positively represents the City in delivering and performing work with colleagues and clients.
Professional Demeanor: Maintains a positive and professional demeanor, handling inquiries and providing excellent customer service.
Adaptability: Adapts to change and demonstrates flexibility in various situations.
Relationship Building: Establishes and maintains effective and harmonious working relationships with all individuals interacted with during the performance of duties.
Stakeholder Interaction: Interacts positively with elected officials, fellow employees, community organizations, other government agencies, and the public.
Coordination: Effectively communicates with the City Commission, City Manager, employees, governmental agencies, community organizations, and City departments to coordinate work activities, review status of work, exchange information, or resolve problems.
Professionalism: Maintains a high level of professionalism, confidentiality, and tactfulness.
Team Collaboration: Works and performs effectively in team settings.
Knowledge, skills, and abilities
Knowledge:
Knowledge of Associated Press writing style.
Knowledge of communication strategies and public relations principles.
Understanding of social media platforms and digital communication tools.
Familiarity with crisis communication and emergency information dissemination.
Awareness of local government operations and public affairs.
Knowledge of graphic design principles and software.
Understanding of content creation and creative writing techniques.
Knowledge of videography and photography
Skills:
Skill in creative writing and content creation.
Proficiency in videography and photography.
Skill in basic graphic design.
Strong time management and project management skills.
Proficiency in using standard office computer equipment and software applications.
Ability to make decisions recognizing established precedents and practices.
Resourcefulness and tact in solving new problems.
Skill in preparing accurate and thorough written records and reports.
Ability to speak clearly and persuasively in positive or negative situations.
Strong interpersonal skills to establish and maintain effective and harmonious working relationships.
Ability to work nights, weekends, and holidays as needed.
Skill in creating presentations and reports.
Ability to complete award applications.
Proficiency in administrative and procurement tasks.
Abilities:
Ability to exercise judgment and discretion in applying and interpreting department rules, regulations, policies, and procedures.
Ability to plan and organize time effectively.
Ability to understand and follow oral and written instructions.
Ability to quickly and accurately follow brief oral and written instructions on moderately complex matters.
Ability to effectively and positively represent the City in delivering and performing work with colleagues and clients.
Ability to handle inquiries and provide excellent customer service.
Adaptability to change and flexibility in various situations.
Ability to maintain a high level of professionalism, confidentiality, and tactfulness.
Ability to work and perform effectively in team settings.
Ability to interact positively with elected officials, fellow employees, community organizations, other government agencies, and the public.
Ability to coordinate work activities, review status of work, exchange information, or resolve problems with various stakeholders.
Physical and Sensory Requirements / Environmental Factors
Physical Ability: Tasks require the ability to exert light physical effort in sedentary to light work, but which may involve some lifting, carrying, pushing and/or pulling of objects and materials of light weight (50 pounds). Tasks may involve extended periods of time at a keyboard or workstation.
Sensory Requirements: Some tasks require the ability to perceive and discriminate visual cues or signals. Some tasks require the ability to communicate orally.
Environmental Factors: Essential functions are regularly performed in usual office conditions with rare exposure to adverse environmental conditions.
The City of Boynton Beach, Florida, is an Equal Opportunity Employer (EEO)and Affirmative Action Employer. All applicants receive consideration for employment without regard to race, color, religion, gender (including identity or expression), marital status, sexual orientation, national origin, age, disability or any other protected classification as defined by applicable law (except as limited by Personnel Rules, Collective Bargaining Agreements, or bona fide occupational qualifications).
Title I of the Americans with Disabilities Act (ADA)protects qualified individuals with disabilities from employment discrimination. Under the ADA, a person has a disability if he/she has a physical or mental impairment that substantially limits a major life activity. The physical demands described within the job description are representative of those that must be met by an employee to successfully perform the essential functions of this job. In compliance with the ADA, the City of Boynton Beach will provide reasonable accommodations to qualified individuals with disabilities and encourages both prospective and current employees to discuss potential accommodations with the employer.
A review of this position has excluded the marginal functions of the position that are incidental to the performance of fundamental job duties. All duties and responsibilities are essential job functions and requirements are subject to possible modifications to reasonably accommodate individuals with disabilities. To perform this job successfully, the incumbent(s) will possess the abilities and aptitudes to perform each duty proficiently. Some requirements may exclude individuals who pose a direct threat of significant risk to the health or safety of themselves or others. Requirements are representative of the minimum level of knowledge, skills, and ability.
VETERANS' PREFERENCE:
Certain servicemembers and veterans, and the spouses and family members of such servicemembers and veterans, receive preference and priority in the City's hiring process. Additionally, certain servicemembers may be eligible to receive waivers for postsecondary educational requirements in employment by the City.
Medical Records Retrieval Specialist
Medical coder job in Fort Lauderdale, FL
Since 1971, LLoyd Staffing has been successfully answering the employment needs of the national and regional workforce. By providing people skilled in the demands of the current marketplace, LLoyd responds to the employment and staffing objectives of the business community and job candidates at all levels of their careers and in many specialized disciplines.
Job Description
The Medical Records Retrieval Specialist travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by our client's Coding staff.
• Travel up to 100% of the time within the West Palm Beach market, and will consist of driving to locations close to your home, as well as driving to locations that require overnight travel for up to a week at a time.
• Use a laptop computer and a portable scanner to retrieve medical records which will be uploaded into a database.
• Schedule appointments and visits to physician offices in a timely, efficient manner to meet all deadlines.
Qualifications
Accountability: Meets established expectations and takes responsibility for achieving results; encourages others to do the same.
Builds Trust: Consistently models and inspires high levels of integrity, lives up to commitments, and takes responsibility for the impact of one's actions.
Collaborates: Engages others by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that puts our client's overall success first.
Customer Focus: Connects meaningfully with customers to build emotional engagement and customer advocacy. Simplifies complexity and integrates internal efforts to deliver an optimal customer experience.
Additional InformationAll your information will be kept confidential according to EEO guidelines.
Medical Records Release of Information Specialist
Medical coder job in Jupiter, FL
Job Details JUPITER, FL Jupiter, FL Full TimeDescription
Retrieves, opens, and scans all incoming correspondence to appropriate electronic folder.
Maintains a daily log of all payer medical record requests and patient release of information (ROI) requests.
Processes medical record and ROI requests daily.
Reviews, develops, implements, evaluates, and revises payer medical record requests and patient (ROI) request guidelines to optimize efficiency and workflow.
Accountable for the timely submission of payer medical record requests and patient ROI requests.
Point of contact for patient ROI requests.
Continuously seeks ways to streamline the medical record request and ROI process by working with the Manager of Revenue Integrity (RI) to maintain compliant documentation and medical records.
Point of contact and leads the retrieval of all records for audit requests.
Accountable for daily review and reconciliation of all requests on payer portals to ensure timely submission of medical records.
Attends all meetings with Manager of RI regarding new and/or updated coding and billing documentation payment guidelines.
Serves as subject matter expert (SME) of medical record and ROI requests.
Leads complex projects related to payer audit initiatives.
Assesses the accuracy and completeness of medical records and reports findings to the Manager of RI.
Provides support to Billing Department to resolve billing issues.
Ability to communicate effectively with physicians, nurses, and clinical departments.
Must be organized and ability to prioritize work.
Resolves issues and problems of software systems and discusses with software analysts.
Possesses a thorough working knowledge of billing requirement for various payers.
Excellent communication skills both written and verbal, and interpersonal skills.
Qualifications
Demonstrated knowledge of medical terminology.
Medical Business Office experience required, Substance Abuse experience preferred.
Computer experience and working knowledge of MS office suite, KIPU and CollaborateMD experience preferred.
Must be able to communicate effectively in English (verbal/written).
Knowledge of regulatory compliance issues, ICD-10 and CPT-4 medical record coding and UB04 and HCFA billing.
Demonstrated knowledge with Joint Commission and Medicare standards.
Experience with HIPAA compliance standards and guidelines required.
Thorough understanding of release of information (ROI) compliance and guidelines.
Familiarity with payer reimbursement procedures and methodologies.
Ability to work independently while effectively managing different priorities and projects.
Ability to read, analyze, and interpret common and technical journals, statistical reports, and other related documents.
Ability to effectively present information to management.
Ability to define problems, collect data, establish facts, and draw valid conclusions that drives process improvement, quality, and productivity.
Ability to analyze business situations, controls and risks, and recommend practical solutions.