Reimbursement/Coding Specialist

3 weeks ago


Mobile Alabama, United States USA Health Full time
Overview:
USA Health is Transforming Medicine along the Gulf Coast to care for the unique needs of our community. 

 

USA Health is changing how medical care, education and research impact the health of people who live in Mobile and the surrounding area. Our team of doctors, advanced care providers, nurses, therapists and researchers provide the region's most advanced medicine at multiple facilities, campuses, clinics and classrooms. We offer patients convenient access to innovative treatments and advancements that improve the health and overall wellbeing of our community.

Responsibilities:
Assists in coordinating and maintaining the professional reimbursement program for USA Health to ensure compliance with current payments, rules, and legislative regulations that impact the physician’s billing and collections process; monitors and ensures compliance with Medicare and Medicaid documentation guidelines for USA Health; monitors and evaluates current reimbursement/payment rules and ensures legislative and regulatory changes are implemented appropriately for USA Health; communicates to the clinical faculty, staff and departmental billing personnel changes impacting billing; assists physicians in determining appropriate use of codes for maximizing reimbursement of physician’s service; develops techniques for effective analyses of billing collection efforts; ensures compliance with Medicare and insurance carriers guidelines related to documentation, coding and medical necessity; analyzes and develops systems related to billing, collecting and reporting of professional and medical services to ensure recovery of all professional and technical oncology charges; trains new personnel in appropriate charge capture and charge entry; provides reimbursement patterns and trend analyses to manager and physicians; provides on-going in-service training for billing personnel as well as clinical faculty including training of new physician in coding (CPT, ICD9-CM); assists in resolving third party denials received by Billing and Collection Department and assists with reimbursement appeals and problems; prepares reports and analyzes to include financial reports, setting forth progress, adverse trends and appropriate recommendations or conclusions; participates in meetings with subordinates to ensure compliance with established practices, to new polices and to keep employees aware of changes and current standards; develops physician billing forms and examination forms for physician use; regular and prompt attendance; ability to work schedule as defined and additional hours as required; related duties as required.

Qualifications:
High school diploma or equivalent, four years of medical coding experience, and certification as a Certified Professional Coder.



  • Mobile, Alabama, United States USA Health Full time

    Overview: USA Health is Transforming Medicine along the Gulf Coast to care for the unique needs of our community.    USA Health is changing how medical care, education and research impact the health of people who live in Mobile and the surrounding area. Our team of doctors, advanced care providers, nurses, therapists and researchers provide the region's...


  • Mobile, Alabama, United States Infirmary Health Full time

    Overview: Qualifications: Minimum Qualifications Working knowledge of federal, state and payer-specific regulations and policies pertaining to documentation, coding and reimbursement Working knowledge of data analysis and personal computer spreadsheet software Well-developed leadership and interpersonal skills Polished presentation...


  • Mobile, Alabama, United States AltaPointe Health Full time

    Overview: CarePointe is AltaPointe's access-to-care department and the single point of entry into the majority of AltaPointe's programs and services. CarePointe is responsible for coordinating consumer care throughout our continuum, which may include facilitating hospital admissions and outpatient appointments, verifying insurance coverage, making discharge...


  • Mobile, Alabama, United States Infirmary Health Full time

    Overview: Qualifications: Minimum Qualifications: High school graduate or GED equivalent Demonstrated communications skills Working knowledge of insurance regulations, procedure and diagnosis coding, and automated insurance billing  Desired Qualifications: Working knowledge of automated medical insurance billing including Medicare, Medicaid, Blue...


  • Mobile, Alabama, United States Infirmary Health Full time

    Overview: Qualifications: Minimum Qualifications: Associate Degree in Secretarial Science or equivalent education and experience Excellent communication and keyboarding skills Demonstrated ability to deal discreetly with sensitive and confidential information and to work independently, making limited decisions based on knowledge of system policies and...


  • Mobile, Alabama, United States USA Health Full time

    Overview: USA Health is Transforming Medicine along the Gulf Coast to care for the unique needs of our community.    USA Health is changing how medical care, education and research impact the health of people who live in Mobile and the surrounding area. Our team of doctors, advanced care providers, nurses, therapists and researchers provide the region's...

  • Medical Billing

    1 week ago


    Mobile, Alabama, United States USA Health Full time

    Overview: USA Health is Transforming Medicine along the Gulf Coast to care for the unique needs of our community.   USA Health is changing how medical care, education and research impact the health of people who live in Mobile and the surrounding area. Our team of doctors, advanced care providers, nurses, therapists and researchers provide the region's...

  • Cardiology Coder

    1 month ago


    Mobile, United States Cardiology Associates Full time

    Job DescriptionJob DescriptionSalary: About Us:  Cardiology Associates is a leading medical practice dedicated to providing exceptional patient care and innovative treatments for heart-related conditions.  Our team of 30 cardiologists and 22 APPs (Advanced Practice Practitioners) represent all the subspecialties within cardiology including clinical,...

  • Quality Data

    3 weeks ago


    Mobile, Alabama, United States USA Health Full time

    Overview: USA Health is Transforming Medicine along the Gulf Coast to care for the unique needs of our community.   USA Health is changing how medical care, education and research impact the health of people who live in Mobile and the surrounding area. Our team of doctors, advanced care providers, nurses, therapists and researchers provide the region's...


  • Mobile, Alabama, United States USA Health Full time

    Overview: USA Health is Transforming Medicine along the Gulf Coast to care for the unique needs of our community. USA Health is changing how medical care, education and research impact the health of people who live in Mobile and the surrounding area. Our team of doctors, advanced care providers, nurses, therapists and researchers provide the region's most...


  • Mobile, United States i3 Verticals, Inc. Full time

    JOB TITLE: Revenue Cycle Specialist DEPARTMENT: Healthcare Vertical: ACS REPORTS TO: Manager and/or Area Manager SUPERVISORY RESPONSIBILITIES: no JOB LOCATION: Mobile TRAVEL: no SUMMARY OF POSITION: Responsible for processing, reviewing, and filing insurance to the resolution of claim payment and assist the inquiry team with billing questions from...


  • Mobile, Alabama, United States AltaPointe Health Full time

    Overview: The Behavioral Health Crisis Center is strategically placed in Mobile County with easy access for the area with the highest need and the most frequent use, the midtown/downtown area of Mobile. This Crisis Center operates a 24/7/365 with a full complement of staff to provide crisis de-escalation and resolution no matter the time or the day.   A...


  • Mobile, Alabama, United States AltaPointe Health Full time

    Responsibilities: Clinical Responsibilities: Directs the clinical nursing services provided at Children’s Outpatient Program clinics and Accordia Health Bayou LaBatre in Mobile County. Identifies problems, evaluates alternative and implements effective solutions. Monitors program contracts, budgets, staff productivity as directed. Ensures compliance...


  • Mobile, United States i3 Verticals Management Services, Inc. Full time

    Job DescriptionJob DescriptionJOB TITLE: Revenue Cycle SpecialistDEPARTMENT: Healthcare Vertical: ACSREPORTS TO: Manager and/or Area ManagerSUPERVISORY RESPONSIBILITIES: noJOB LOCATION: MobileTRAVEL: noSUMMARY OF POSITION: Responsible for processing, reviewing, and filing insurance to the resolution of claim payment and assist the inquiry team with billing...


  • Mobile, United States Austal Full time

    REPORTS TO: Supply Chain Lead Quotation Specialist SUPERVISES: N/A GENERAL PURPOSE AND SCOPE: The Quotation Specialist III will play a strategic role in improving our probability to win new contract work through competitive quoting and increasing company profits by understanding value proposition of products against competition. The role requires...


  • Mobile, United States AltaPointe Health Systems Full time

    CarePointe is AltaPointe's access-to-care department and the single point of entry into the majority of AltaPointe's programs and services. CarePointe is responsible for coordinating consumer care throughout our continuum, which may include facilitating hospital admissions and outpatient appointments, verifying insurance coverage, making discharge...


  • Birmingham, Alabama, United States AbbVie Full time

    Job Description The Customer Solutions Specialist (CSS) is a key member of the Access and Reimbursement team within AbbVie Patient Services. The CSS calls on HCP offices in their assigned territory to represent and serve as a subject matter expert on AbbVie’s in-office portals and access related solutions.    The CSS also partners closely with other...


  • Gadsden, Alabama, United States Riverview Regional Medical Center Full time

    Overview:   Benefits Statement We offer: Competitive Compensation Generous benefits plan: Medical, Dental, Vision, 401K Collaborative work teams & cohorts …and much more! We would love to have you on our Team!   Located in Gadsden, Alabama, Riverview Regional Medical Center is a 281-bed acute-care hospital serving more than 350,000 residents in...


  • Birmingham, Alabama, United States Linesight Full time

    Overview: As a Project Controls Specialist at Linesight, you will work with highly experienced, culturally diverse, and passionate teams nurturing a strong social dynamic and a shared sense of achievement. You will gain vast industry experience that will open doors for you, extend your skillset and expand your perspective. We will empower, support, and...

  • MDS Director

    3 weeks ago


    Mobile, United States Kensington Health and Rehab Full time

    This position requires experience in a Post-Acute, Skilled, Long-Term care Facility. Please only apply if you have the qualifications. EXPERIENCE IN MDS REQUIRED. RACC CERTIFICATION PREFERRED. Position Summary: Directs and manages the completion of the Resident Assessment (MDS), Triggers and RAPs in accordance with current rules, regulations and...