Current jobs related to Physician Services – Lead Coding, Billing - Tampa - Sherloq Solutions
-
Professional Coding Auditor/Consultant
2 weeks ago
Tampa, Florida, United States PYA Full timeAbout the RoleAt PYA, we are seeking a highly skilled Coding Compliance Specialist to join our Revenue Integrity Service Line. As a key member of our team, you will play a critical role in ensuring the accuracy and integrity of our coding audits.ResponsibilitiesConduct thorough quality assurance reviews of coding audits, ensuring compliance with current...
-
Healthcare Coding Supervisor
4 weeks ago
Tampa, Florida, United States Sherloq Solutions Full timePosition OverviewSherloq Revenue Solutions is seeking a dedicated and experienced Coding Supervisor to join our dynamic team. This full-time role is ideal for individuals who thrive in a collaborative and fast-paced environment. Our organization has been a cornerstone in the community for over a century, and we are committed to fostering a workplace where...
-
Tampa, United States Tampa General Hospital Full timeJob Summary Under the guidance of the Sr. Director of Corporate Compliance & Privacy (or designee), the Sr. Provider Coding Compliance Education Specialist ("Specialist") is an independent self-directed individual who is responsible for creating, updating, revising, and implementing the Coding and Compliance Education Program for the providers (Physician...
-
Professional Coding Auditor/Consultant
4 months ago
Tampa, United States PYA Full timeJob Details Description PYA is seeking a Professional Coding Auditor/Consultant to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA’s Revenue Integrity Service Line in a quality assurance and project management role . RESPONSIBILITIES: ...
-
Coding Specialist
2 months ago
Tampa, United States Orthopaedic Solutions Management Full timeJob DescriptionJob DescriptionIn this role you will:The Coding Specialist works with surgeons, other coders, and insurance carriers; performs occasional abstract coding, resolves claim issues and participates in denial management. Additionally, Coding Specialists:Follow Orthopaedic Solutions Management policy and procedures along with applying federal and...
-
Medical Billing Representative
4 months ago
Tampa, United States RADX INC Full timeJob DescriptionJob DescriptionDescription:Job Title: Radiology Billing RepresentativeJob Type: Full-timeLocation: Tampa, FLWe are seeking a highly motivated Radiology Billing Representative to join our team. The ideal candidate will have experience in medical billing and coding, specifically in radiology. The Radiology Billing Representative will be...
-
Radiology Billing Specialist
3 weeks ago
Tampa, Florida, United States RADX INC Full timeJob DescriptionPosition: Medical Billing RepresentativeJob Type: Full-timeCompany: RADX INCWe are looking for a dedicated Medical Billing Representative with a strong background in healthcare billing and coding, particularly in the field of radiology. The successful candidate will play a crucial role in ensuring precise and prompt billing and reimbursement...
-
Radiology Billing Specialist
4 weeks ago
Tampa, Florida, United States RADX INC Full timeJob DescriptionPosition: Medical Billing RepresentativeType: Full-timeCompany: RADX INCWe are looking for a dedicated Medical Billing Representative with a strong background in billing and coding within the healthcare sector, particularly focused on radiology services. The successful candidate will play a crucial role in ensuring the accuracy and efficiency...
-
Radiology Billing Specialist
4 weeks ago
Tampa, Florida, United States RADX INC Full timeJob OverviewPosition: Medical Billing RepresentativeType: Full-timeCompany: RADX INCWe are in search of a dedicated Medical Billing Representative with a focus on radiology billing. The successful candidate will possess a solid background in medical billing and coding, particularly in the radiology sector. This role is crucial for ensuring precise and prompt...
-
Medical Coding Specialist
4 weeks ago
Tampa, Florida, United States Orthopaedic Solutions Management Full timePosition OverviewRole Summary:The Coding Specialist collaborates with medical professionals, fellow coders, and insurance providers. This position involves occasional abstract coding, resolving claim discrepancies, and engaging in denial management processes. Additionally, Coding Specialists:Adhere to Orthopaedic Solutions Management policies and procedures...
-
Laboratory Billing Specialist
2 weeks ago
Tampa, United States BayCare Health System Full timeJoin the team that is revolutionizing health care - BayCare Health System Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that's built on a foundation of...
-
Managed Care Internal Medicine Physician
4 weeks ago
Tampa, Florida, United States Physician Services Full timeAbout Us:We are a distinguished Primary Care Group dedicated to enhancing the health and well-being of older adults. With over 40 years of experience, we have established a robust presence across Florida and Texas, serving more than 45,000 Medicare Advantage patients in 47 locations and continuously expanding.Position Overview:We are in search of an...
-
RN Hospital Bill Audit/Appeal Lead
5 days ago
Tampa, Florida, United States Elevance Health Full timeAbout the RoleWe are seeking a highly skilled RN Hospital Bill Audit/Appeal Lead to join our team at Elevance Health. As a key member of our Payment Integrity line of business, you will be responsible for leading a team of clinicians in identifying and addressing aberrant patterns of utilization and/or fraudulent activities by healthcare providers.Key...
-
Healthcare Coding Analyst
3 weeks ago
Tampa, Florida, United States Orthopaedic Solutions Management Full timePosition OverviewIn this position, you will:The Medical Coding Specialist collaborates with healthcare professionals, fellow coders, and insurance providers; engages in occasional abstract coding, addresses claim discrepancies, and participates in denial resolution. Furthermore, Coding Specialists:Adhere to Orthopaedic Solutions Management policies and...
-
Tampa, Florida, United States Avalon Administrative Services, LLC dba Avalon Healthcare Solutions Full timeAbout Avalon Administrative Services, LLC dba Avalon Healthcare SolutionsAvalon Administrative Services, LLC dba Avalon Healthcare Solutions is a leading provider of innovative healthcare solutions, dedicated to improving clinical outcomes and healthcare affordability for millions of people.Job SummaryWe are seeking a highly skilled Medical Coding and...
-
Quality Risk Coding Supervisor
4 weeks ago
Tampa, Florida, United States TotalMed Full timePosition Overview:This role is responsible for overseeing coding and coding audit services provided to healthcare providers. It encompasses the assessment and conversion of medical and clinical diagnoses, procedures, injuries, or illnesses into specified numerical codes.Demonstrates proficiency by linking coding precision with accurate HCC assignment for...
-
Professional Coding Auditor/Consultant
3 weeks ago
Tampa, Florida, United States PYA Full timeJob OverviewAbout PYAAs a leading provider of revenue integrity services, PYA is seeking a skilled Coding Compliance Specialist to join our team. This role is responsible for ensuring the accuracy and compliance of coding practices within our organization.Key Responsibilities:Conduct thorough reviews of coding audits and complex services to ensure adherence...
-
Healthcare Coding Compliance Specialist
3 weeks ago
Tampa, Florida, United States PYA Full timePosition OverviewRole SummaryWe are seeking a Healthcare Coding Compliance Specialist to enhance our team. This role focuses on ensuring quality assurance and overseeing projects within our Revenue Integrity Service Line.Key Responsibilities:Conduct thorough reviews of coding audits and intricate services performed by healthcare practitioners.Support clients...
-
Tampa, Florida, United States Avalon Administrative Services, LLC dba Avalon Healthcare Solutions Full timeAbout Avalon Administrative Services, LLC dba Avalon Healthcare SolutionsAvalon Administrative Services, LLC dba Avalon Healthcare Solutions is a leading provider of innovative healthcare solutions, dedicated to improving clinical outcomes and healthcare affordability for millions of people.Job SummaryWe are seeking a highly skilled Medical Coding and...
-
Orthopaedic Coding Analyst
4 weeks ago
Tampa, Florida, United States Orthopaedic Solutions Management Full timePosition OverviewRole Summary:The Coding Specialist collaborates with surgeons, fellow coders, and insurance providers to ensure accurate coding practices. This position involves occasional abstract coding, addressing claim discrepancies, and engaging in denial management.Key Duties:Adhere to Orthopaedic Solutions Management policies while applying relevant...
Physician Services – Lead Coding, Billing
4 months ago
Teleworking Available
SHERLOQ Revenue Solutions is looking to hire for the position of full-time Coding Lead, Insurance Revenue Cycle. Are you looking to work for a high-energy, fast-paced company that fosters a team environment? Do you want to work where you will be respected and valued for what you contribute? An organization with a long history in the community for over 100 years Well, you found it. Sherloq Revenue Solutions is looking to enhance our team with top performers who are knowledgeable in the Healthcare Revenue Cycle. We are seeking candidates with experience from healthcare providers that are looking to maximize their skills in the industry.
This position earns competitive pay, depending on experience. We value our employees and offer amazing benefits, including medical Insurance, a 401(k) plan, generous vacation and paid-time-off (PTO), eight paid holidays, and tuition reimbursement as well as life, dental, accidental death & disability, and supplemental insurance. Our plans are designed to be both valuable and affordable.
If this sounds like the right opportunity in healthcare coding and billing for you, apply today
JOB SUMMARY
We are seeking an experienced coder to help lead a small physician coding, billing, and follow-up team. The ideal candidate will have extensive knowledge of CPT-4 and ICD-10 coding, as well as a strong understanding of the professional medical billing, denials and appeals processes. The lead will be responsible for assisting in training staff and ensuring compliance with insurance guidelines. This position requires strong organizational, problem-solving, and communication skills, as well as the ability to multitask and work effectively in a team environment.
The ideal candidate will have experience with Michigan physician claims, insurance reimbursement and coding policies in the EPIC PB Resolute billing system.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Supervise a small team including assistance in completing performance reviews, coordinating employee disciplinary actions with management, monitoring employee adherence to company policies, creating training documents and reviewing time card related items. Daily respond to inquiries from the team regarding claim denials, escalated coding issues, insurance payer issues, and workflow.
Resolve physician claims through post-bill coding error resolution, billing, appeals, reviewing medical records, EOBs and applying payer reimbursement and coding policies. Present trends and concerns in an understandable way to the team and management with actionable steps for resolution.
SKILLS
Communication: Excellent verbal, written and presentation communication skills.
Leadership Skills: Ability to lead a small team effectively, with previous experience preferred.
Problem-solving: Strong analytical and problem-solving skills, identify trends in payer underpayments and claim denials.
Technical Skills: Proficiency in Microsoft Teams, Word, Excel, and Outlook. Including the ability to develop the skills needed to create basic pivot tables and analyze data. Navigate and utilize various healthcare provider software systems.
Time Management: Ability to manage daily tasks, meet production and quality metrics, and prioritize workload effectively.
CERTIFICATION REQUIREMENTS:
CPC, RHIA, RHIT, or CCS minimum certification required
Continue to maintain accreditation throughout employment with continuing educational units.
Obtain AAHAM Certified Revenue Cycle Specialist accreditation within two years of employment
EXPERIENCE REQUIREMENTS:
One (1) year of current verifiable coding experience in ICD-10 and CPT-4 required
One (1) year of current verifiable physician coding and abstracting experience required
One (1) year of verifiable EPIC PB Resolute billing system required
Three (3) years of healthcare industry experience preferred, with a solid understanding of the entire Revenue Cycle process.
Experience leading a team preferred.
Experience with Michigan healthcare payers preferred.
EDUCATIONAL REQUIREMENTS:
Associates degree preferred, high school diploma or equivalent required.
We are proud to be an EOE/AA Employer (Minority/Female/Disabled/Veteran) - .
We maintain a drug-free workplace and perform pre-employment substance abuse testing.
ACCESSIBILITY NOTICE: If you need a reasonable accommodation for any part of the employment process due to a physical or mental disability, please notify Human Resources.
READY TO JOIN OUR TEAM?
We understand your time is valuable and that is why we have a very quick and easy application process. If you feel that you would be right for this position, please fill out our initial 3-minute, mobile-friendly application. We look forward to meeting you
Job Posted by ApplicantPro
