CPC Certified Billing Specialist

2 weeks ago


Jacksonville, United States Complete Health Full time
SUMMARY OF JOB DUTIES:

The person handling this position is responsible for ensuring all risk ICD-10 codes are properly documented with appropriate treatment plans on the encounter and these specific risk codes are attached to the correct CPT code for all VBC plans. This person is also responsible for making sure that the claim is fully processed by the payor so that they receive the HCC diagnosis.

ESSENTIAL JOB FUNCTIONS:

Daily key punching into computer when needed to assure accuracy of billing for all services rendered in patients account in a timely manner.
Ensure completion of documentation and coding on the EMR when needed on charges entered in patient's accounts for a correct and complete billing claim.
Review clinical documentation and make sure accurate diagnosis codes and procedure codes are documented with the use of MEAT/TAMPER according to CMS guidelines
Verify the appropriateness of the ICD-10 code to include required supporting documentation and treatment plans.
Make sure that all pertinent diagnosis codes go out on the claim and add Dummy procedure codes when necessary.
Communicate and Educate providers that are not correctly documenting Diagnosis and procedure codes.
Strive to make sure all charges are entered with in 3 business days.
Daily review of all postings before claim submission.
Daily closing of batches and balancing of money posted for VBC/ DCE patients.
Enter cash receipts if needed and assure correct allocations, distribution in accordance with the established protocol.
Responsible for submitting all electronic claims for VBC/DCE plans
Responsible for assisting with Billing Phone calls for VBC/DCE patients if need to provide exceptional customer service to patients with billing related questions.
Resolving claim denials to VBC/DCE plans and issues with claims processing in a timely manner to ensure all claims and HCC codes are received and processed by payors.
Entering Penny Charges of HCC codes that did not reach the payor.
Effectively communicate with providers on claim documentation for charges submitted.
Effectively audit and analyze charts.
Requirements:

MINIMUM REQUIREMENTS

· High School Diploma or Equivalent

· CPC Certification required

· CPB Certification preferred

· HCC Certification preferred

· At least 5 years of billing and coding experience (outpatient/medical practice coding experience preferred)

· (2) Training or background in ICD-10 / CPT codes.

· Knowledge of medical terminology and billing practices.

KNOWLEDGE/SKILLS/ABILITIES:

· Ability to work under pressure.

· Ability to handle multi-functions/multi-tasks.

· Ability to problem solve and adapt to a fast paced work environment

· Pay attention to detail, function autonomously

· Understanding of community-based organizations.

· Ability to effectively communicate with the medical staff and Office Managers.

· Knowledge of bookkeeping and office functions.

· Knowledge of CPT and ICD10 codes.

· Ability to work proficiently and efficiently on a timely manner.

· Knowledge of all payer codes.

· Knowledge of all programs offered by NHSI.

  • Jacksonville, United States Complete Health Full time

    SUMMARY OF JOB DUTIES:The person handling this position is responsible for ensuring all risk ICD-10 codes are properly documented with appropriate treatment plans on the encounter and these specific risk codes are attached to the correct CPT code for all VBC plans. This person is also responsible for making sure that the claim is fully processed by the payor...


  • Jacksonville, FL, United States Complete Health Full time

    SUMMARY OF JOB DUTIES: The person handling this position is responsible for ensuring all risk ICD-10 codes are properly documented with appropriate treatment plans on the encounter and these specific risk codes are attached to the correct CPT code for all VBC plans. This person is also responsible for making sure that the claim is fully processed by the...


  • Jacksonville, FL, United States Complete Health Full time

    SUMMARY OF JOB DUTIES: The person handling this position is responsible for ensuring all risk ICD-10 codes are properly documented with appropriate treatment plans on the encounter and these specific risk codes are attached to the correct CPT code for all VBC plans. This person is also responsible for making sure that the claim is fully processed by the...

  • Certified Coder

    3 weeks ago


    Jacksonville, United States North Florida Surgeons Full time

    Job DescriptionJob DescriptionDescription:General Summary of Duties: Apply advanced coding knowledge to submit claims on behalf of the company for services rendered by providers within the organization as assigned. The Certified Coder will serve as the knowledge base for coding assistance to physician and staff and provide training on new and changing coding...

  • Billing Specialist

    2 weeks ago


    Jacksonville, United States Southeast Utilities of Georgia, a Congruex company Full time

    Job DescriptionJob DescriptionJob ProfileBilling SpecialistJacksonville, FLSoutheast Utilities of GA, a Congruex Company, is looking for a Billing Specialist to join our construction team. Learn more about our operating unit at www.congruex.com/southeast-utilities-of-georgia/Who is CongruexCongruex designs and builds broadband and wireless communications...


  • Jacksonville, United States Insight Global Full time

    An employer in Jacksonville is looking for a Charge Integrity Analyst as a part of the larger Revenue Integrity organization supporting a local health system. * Work out of Epic work queues to identify missing charges or modifiers (Ex: wrong sit of service, billed to wrong cost center, etc) * Verifying charges * Perform root-cause analysis to identify the...

  • Billing Specialist

    5 days ago


    Jacksonville, United States Mac Papers and Packaging, Full time

    Job DescriptionJob DescriptionThe Billing team at Mac Papers and Packaging is a part of the key financial and customer operations activities which help deliver exceptional experiences to our customers and drive performance of the organization. The Billing Specialist is responsible for creating invoices and credit memos, updating customer records, and sending...

  • Billing Specialist

    2 weeks ago


    Jacksonville, United States North Florida Surgeons Full time

    Central Billing Office of Multi-Specialty Practice is currently seeking a full-time AR Specialist to oversee third party Trizetto for claims management and accurate fee schedule reimbursement. Responsibilities: Reporting of carrier performance according to contracted fee schedule Denial management Good oral and written communication skills Effective...

  • Billing Specialist

    1 month ago


    Jacksonville, United States North Florida Surgeons Full time

    Job DescriptionJob DescriptionDescription:Central Billing Office of Multi-Specialty Practice is currently seeking a full-time AR Specialist to oversee third party Trizetto for claims management and accurate fee schedule reimbursement.Responsibilities:Reporting of carrier performance according to contracted fee scheduleDenial managementGood oral and written...

  • Billing Specialist

    1 day ago


    Jacksonville, United States North Florida Surgeons Full time

    Job DescriptionJob DescriptionDescription:Central Billing Office of Multi-Specialty Practice is currently seeking a full-time AR Specialist to oversee third party Trizetto for claims management and accurate fee schedule reimbursement.Responsibilities:Reporting of carrier performance according to contracted fee scheduleDenial managementGood oral and written...


  • Jacksonville, United States Unify Health Services Full time

    Job DescriptionJob DescriptionUnify Health ServicesJoin our dynamic team where your attention to detail and dedication will be valued! We are committed to delivering top-notch billing services to our clients and seek a motivated Workers Compensation Billing Specialist to support our mission.Job Summary:We are looking for a meticulous Billing Specialist to...


  • Jacksonville, United States CARDIO OPTIONS INC Full time

    Job DescriptionJob DescriptionCardio Options is seeking an experienced Medical Billing Specialist. The ideal candidate will have experience with insurance claims denials, appeals, expertise with deductibles, copays, eligibility verification and EOB processing. In depth evaluation and exercising judgement with patients billing questions will be included in...


  • Jacksonville, United States Baptist Medical Center Jacksonville Full time

    Baptist Health is looking to add a Claims Resolution Specialist III to our Physician Billing team at Baptist Metro Square. This is a Full-Time Days opportuntiy. The Claims Resolution Specialist III should have expertise in the following areas within the revenue Cycle: Registration, Eligibility, Charge Capture, Clearinghouse, Payment Posting, Claim Denial,...


  • Jacksonville, United States HALO Precision Diagnostics Full time

    Job DescriptionJob DescriptionSaving Lives with Early DetectionJoin Our Team at Precision Imaging Centers: Personal Injury Billing Representative (Full-Time)Are you an experienced healthcare billing professional looking for a new opportunity? Precision Imaging Centers is hiring a full-time Personal Injury Billing Representative. To be considered for this...

  • Supervisor, Coding

    2 months ago


    Jacksonville, United States Center for Orthopedic and Research Excel Full time

    Job DescriptionJob DescriptionRemote - Can live anywhere in the US.GENERAL STATEMENT OF DUTIES Responsible for managing coding activities for hospital and surgery coding. Conducts audit regularly and provide feedback to staff regarding changes, denials, and error ratios. Serves as a resource for correct coding information.ESSENTIAL FUNCTIONSPlans direct and...


  • Jacksonville, United States Standard Technology Full time

    Job DescriptionJob DescriptionMedical Coding Compliance Specialist(Medical Auditor)POSITION IS ONSITE AT NAS JACKSONVILLE, JACKSONVILLE, FLSUMMARY: Member of the MHS agency Coding Program Office support team. The position will reduce inpatient facility, ambulatory procedure visit (APV), or professional services coding (PSC) backlog created by workload...


  • Jacksonville, United States Aerotek Full time

    Aerotek has an immediate internal opening for an Entry Level Billing Specialist / Business Operations Associate at our Corporate Headquarters in Jacksonville, FL!About this role...Full Time | Monday - FridayHybrid Schedule | 4 days in office - 1 day remoteCompensation | $20.19/hr ($42,000 annually) + quarterly bonusesJob SummaryThe Business Operations...


  • Jacksonville, United States JC HOME MEDICAL Full time

    Job DescriptionJob DescriptionOur company is seeking a dynamic talented billing and AR specialist for fast growing DME company. Responsibilities:Handling all aspects of Medicare billing and compliance for durable medical equipmentEnsuring and maintaining appropriate documentation and recordsEstablish problem resolution, preparation and submission of...


  • Jacksonville, United States JC HOME MEDICAL Full time

    Job DescriptionJob DescriptionOur company is seeking a dynamic talented billing and AR specialist for fast growing DME company. Responsibilities:Handling all aspects of Medicare billing and compliance for durable medical equipmentEnsuring and maintaining appropriate documentation and recordsEstablish problem resolution, preparation and submission of...


  • Jacksonville, United States Baptist Health System Full time

    Baptist Health, founded in 1955, is North Florida's most comprehensive health care system and the area's only non-profit, mission-driven, locally governed health care provider. Baptist Health has over 200 points of care throughout the Northeast Flori Physician, Specialist, Claims, Billing, Office, Behavioral Health, Healthcare