Medical & Billing Coder

2 weeks ago


West Palm Beach, United States Dane Street, LLC Full time
Job DescriptionJob Description

Calling all bill review professionals, CPC coders, AAPC, and DRG coders Dane Street is looking for highly motivated Coders, bill reviewers, and payment integrity reviewers candidates to join our team. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential.


Job Summary:

A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct. You will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines.


Core Duties & Responsibilities:

  • Evaluates the appropriateness of codes and determine whether they meet all established program standards.
  • Ensures that the medical records are matched appropriately to the codes and if not, obtains them.
  • Read & apply policy guidelines and healthcare terminology and delineate when criteria are/are not met.
  • Evaluates claims for conflict of interest and criteria appropriateness.
  • Works within established timeframes set by program parameters.
  • Provides strong customer service skills and works closely with clients on a case- by-case basis to provide complete, timely, and error-free quality assurance of cases.
  • Provides clinical oversight to cases that are complex and need additional review prior to return to the client.
  • Serves as an additional level of QA and clinical knowledge/review for cases with quality Issues.


Requirements

Required Education & Experience:

● Must have a CPC, APCC, or DRG coder certification

● Payment integrity or professional bill review experience is strongly preferred.

● Out-of-network bill review experience is a plus.

● Experience working in a remote environment is preferred.

● Experience in a medical office or health care background.


Required Skills:

● Must work with a sense of urgency and meet deadlines.

● Must be self-motivated, with a strong drive for performance excellence.

● Excellent written and verbal communication skills are required.

● Proficiency in navigating a variety of computer programs (Experience with Google Chrome, Gmail, Docs, Sheets, etc., is a plus).

● Attention to detail REQUIRED.



PLEASE BE AWARE: In the interest of the security of both parties, please be aware that

Dane Street will never conduct an interview via text or request checks from candidates

for purchasing equipment.

Benefits

We offer generous Paid Time Off, an excellent benefits package, and a competitive salary. If you are an outstanding candidate for this position, if you thrive in a fast-paced environment, and if you are interested in doing meaningful work that impacts others' lives, then we encourage you to apply


ABOUT DANE STREET

A fast-paced, Inc. 500 Company with a high-performance culture, Dane Street is seeking

insightful, astute forward-thinking professionals. We process over 200,000 insurance

claims annually for leading national and regional Workers’ Compensation, Disability,

Auto and Group Health Carriers, Third-Party Administrators, Managed Care

Organizations, Employers and Pharmacy Benefit Managers. We provide customized

Independent Medical Exam and Peer Review programs that assist our clients in

reaching the appropriate medical determination as part of the claims management

process.



  • West Palm Beach, United States Dane Street, LLC Full time

    Calling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for highly motivated Coders, bill reviewers, and payment integrity reviewers candidates to join our team. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential.Job Summary:A new program offering on the group health...

  • Medical Coder

    4 weeks ago


    Long Beach, United States Argus Medical Management, LLC Full time

    *Coder Liaison*Argus Medical Management is a well established physician practice management company located in Long Beach, CA. We provide billing, staffing, credentialing, marketing, systems, accounting and purchasing services to over 300 physicians in L.A. and Orange County. Our Coding Department is seeking a Medical Coder to join our team. .*Benefits:**...

  • Billing Specialist

    6 days ago


    West Palm Beach, United States MorseLife Full time

    SUMMARY The Billing Reimbursement Specialist is responsible for various accounting duties necessary to maintain the accounts receivable systems for Morse Geriatric Center and The Tradition. PRIMARY FUNCTIONS - Responsible for inputting and maintaining the daily census into the Accounts Receivable software package in order to generate accurate monthly...


  • Virginia Beach, United States Jordan Young Institute Full time

    Job DescriptionJob DescriptionDescription:Medical Coder I, II, IIIWho we are:Aligned Orthopedic Partners is a well-respected private orthopedic team comprised of highly trained, board-certified orthopedic surgeons devoted to delivering the highest orthopedic care possible. Our commitment to finding the best solutions for individual needs sets us apart from...

  • Coder

    6 days ago


    Deerfield Beach, Florida, United States HCA Healthcare Full time

    Description IntroductionAre you looking for a work environment where diversity and inclusion thrive? Submit your application for our Coder opening with Integrated Regional Labs today and find out what it truly means to be a part of the HCA Healthcare team.BenefitsIntegrated Regional Labs, offers a total rewards package that supports the health, life, career...


  • West Palm Beach, United States LHH Full time

    Medical Billing and CollectionsLHH is hiring for a medical collections and billing specialist in the West Palm Beach, FL area. Our client is looking for a medical billing and collections specialist with a strong background. This is an in office opportunity to work for a great company. Responsibilities to include: Responsible for all aspects of AR/billing on...


  • Newport Beach, United States Newport Orthopedic Institute Full time

    As a Certified Medical Coder specializing in Orthopedic Surgery, you will play a pivotal role in ensuring accurate documentation, coding, and billing for orthopedic procedures and services provided by our practice. You will collaborate closely with healthcare providers, billing specialists, and compliance to uphold coding integrity, maximize reimbursement,...


  • West Palm Beach, United States Marmc Consultants, LLC Full time

    Job DescriptionJob DescriptionWe are seeking an experienced Medical Billing and Collection Coordinator to join our Medical Facility!Responsible for all aspects of AR/Billing using ERM systemElectronic Filling, denials, EOBknowledge of claims, aging accounts, posting payment from insurance companies  Posting payments, ensure correct...

  • Risk Adjustment Coder

    1 month ago


    Long Beach, United States Advanced Medical Management, Inc. Full time

    **TITLE** RISK ADJUSTMENT CODER I *** The Risk Adjustment Coding Specialist is responsible for Risk Adjustment HCC coding management and training both internally and externally to ensure that physicians, office staff and health plan representatives are working together effectively to achieve goals. **RESPONSIBILITIES-DUTIES** - Review medical record...


  • West Palm Beach, United States MyCare Medical Group Full time

    Job Summary  The Accounts Receivable Collection Specialist’s purpose is to process medical billing claims, collect patient or provider payments, resolve questions and problems with a customer’s accounts, process patient refunds, appeals to include re-determinations and resubmissions of billing to patient payers for payment on medical supply orders Job...


  • West Palm Beach, United States MyCare Medical Group Full time

    Job Summary The Accounts Receivable Collection Specialist's purpose is to process medical billing claims, collect patient or provider payments, resolve questions and problems with a customer's accounts, process patient refunds, appeals to include re-determinations and resubmissions of billing to patient payers for payment on medical supply orders Job...


  • West Palm Beach, United States MyCare Medical Group Full time

    Job DescriptionJob DescriptionJob Summary The Accounts Receivable Collection Specialist’s purpose is to process medical billing claims, collect patient or provider payments, resolve questions and problems with a customer’s accounts, process patient refunds, appeals to include re-determinations and resubmissions of billing to patient payers for payment...


  • West Palm Beach, United States MyCare Medical Group Full time

    Job DescriptionJob DescriptionJob Summary The Accounts Receivable Collection Specialist’s purpose is to process medical billing claims, collect patient or provider payments, resolve questions and problems with a customer’s accounts, process patient refunds, appeals to include re-determinations and resubmissions of billing to patient payers for payment...


  • West Long Branch, United States Allied Digestive Health Full time

    Job DescriptionJob DescriptionAllied Digestive Health is one of the largest integrated networks of gastroenterology care centers in the nation with over 200 providers and 60 locations throughout New Jersey and New York. As a fast-growing physician-led organization, our dynamic structure encourages physician input and decision-making, while simultaneously...


  • West Long Branch, United States Allied Digestive Health Full time

    Job DescriptionJob DescriptionAllied Digestive Health is one of the largest integrated networks of gastroenterology care centers in the nation with over 200 providers and 60 locations throughout New Jersey and New York. As a fast-growing physician-led organization, our dynamic structure encourages physician input and decision-making, while simultaneously...


  • Newport Beach, United States TTF Full time

    Job DescriptionJob DescriptionTTF is looking for a Prior Authorization/Verification Biller to work for a client in Newport Beach, CA. The starting salary will depend on experience and our client offers a pleasant work environment. Job duties include: Verify insurance information for upcoming procedures, obtain pre-authorization for procedures, explain to...


  • Newport Beach, United States TTF Full time

    Job DescriptionJob DescriptionTTF is looking for a Prior Authorization/Verification Biller to work for a client in Newport Beach, CA. The starting salary will depend on experience and our client offers a pleasant work environment. Job duties include: Verify insurance information for upcoming procedures, obtain pre-authorization for procedures, explain to...


  • West Palm Beach, United States MyCare Medical Group Full time

    Job Summary The Accounts Receivable Collection Specialist’s purpose is to process medical billing claims, collect patient or provider payments, resolve questions and problems with a customer’s accounts, process patient refunds, appeals to include re-determinations and resubmissions of billing to patient payers for payment on medical supply ordersJob...


  • Boynton Beach, United States NYU Langone Full time

    **Position Summary**: We have an exciting opportunity to join our team as a Billing Representative II. Under general direction submits claims. Follows-up on unpaid balances (insurance or patient), corrects errors, enters claim information, submits authorization/precertification requests with insurance companies, follows up on denied claims and/or...

  • Medical Coder

    5 days ago


    West Jordan, United States Granger Medical Full time

    Job DescriptionJob DescriptionGranger Medical Clinic has an immediate opening for a Full Time Medical Coder - this is a remote position. Candidates must live in one of these states: Utah, South Carolina, Arizona, Texas, Kentucky, or Wyoming.Essential Functions and Duties:Audit/Code daily E & M visits. Extract information from operative reports,...