Biller/Coder - Ambulatory Revenue Cycle, Full-time Days (HYBRID), focus on Surgical experience

3 weeks ago


St Augustine, United States flagler hospital Full time

Focus on Surgical experience.

The Biller Coder assigns diagnoses and procedure codes to patient records for services rendered. Submits claims and
statements to third-party payers and guarantors. Maintains correspondence regarding billing questions and field calls
from patients regarding statements.

Verifies accuracy of patient’s insurance company name/address. Sends original claims along with any supporting documentation to insurance companies. Runs daily batch report for billing and balances to daily schedule of fees charged. Loads correct forms into printer and prints insurance claims; submits claims electronically when accepted by payor. Determines need for any supporting documentation required by the insurance company/case and copies documents for inclusion with claim form. Submits claim to patient’s secondary insurance (including primary carrier’s EOB) after receiving correct payment from primary carrier. Verifies accuracy of insurance payments received/posted. Assigns correct ICD-10-CM code to all diagnoses and correct ICD-10 PCS code to all procedures documented in the medical record. Assesses documentation to ensure it is adequate and appropriate to support the diagnoses and procedures to be coded. Receives all calls and correspondence related to patient bills, whether from patients or insurance companies. Answers billing questions in a clear and polite manner; pulls business charts/computer files as necessary to answer questions. Follows up with collections representative or business office manager on any problem claims regarding coding/supply charges.

Experience:  

1-year Third Party Payer Coding experience required. 2 years preferred.


Skills and Abilities:

Must be able to work on complicated accounts by diligently pursuing the reasons for lack of or incomplete payment. Must be able to identify the proper persons to assist with the problems. Must understand the priorities in which patient accounts need to be worked and proceed accordingly. Must understand contracts, contract language, and maintain good working relationships with payors.

Certificates/Licenses/Registration

Certified Professional Coder (CPC)
or
Certified Coding Specialist (CCS)
or
Certified Coding Associate (CCA)


  • VP Revenue Cycle

    1 week ago


    St Paul, United States Fairview Health Services Full time

    Overview The Vice President of Patient Access and Clearance Services is a key member of the Revenue Cycle senior and servant leadership team. The position is accountable for setting, measuring, monitoring and achieving leading practice system operating standards for front end preservice revenue cycle functions including consistent metrics and performance...

  • VP Revenue Cycle

    4 days ago


    St Paul, United States Fairview Health Services Full time

    Overview: The Vice President of Patient Access and Clearance Services is a key member of the Revenue Cycle senior and servant leadership team. The position is accountable for setting, measuring, monitoring and achieving leading practice system operating standards for front end preservice revenue cycle functions including consistent metrics and performance...


  • St. Petersburg, United States Johns Hopkins Medicine Full time

    You were meant for Hopkins Come see why the Johns Hopkins Hospital is a world-renowned leader in patient care, serving the greater Baltimore community and patients from all across the globe. Our friendly and knowledgeable staff teams provide support throughout our many specialty departments and centers, from primary visits to emergency care. What Awaits You?...


  • St. Petersburg, United States Johns Hopkins Medicine Full time

    You were meant for Hopkins! Come see why the Johns Hopkins Hospital is a world-renowned leader in patient care, serving the greater Baltimore community and patients from all across the globe. Our friendly and knowledgeable staff teams provide support throughout our many specialty departments and centers, from primary visits to emergency care. What Awaits...


  • St. Louis, United States United Surgical Partners International Inc (USPI) Full time

    Des Peres Square Surgery Center is hiring a Full Time Pre-Op/PACU Registered Nurse!Welcome to Des Peres Square Surgery Center!At Des Peres Square Surgery Center, we pride ourselves on providing a superior surgical experience within a high-quality, service-oriented environment. As a facility accredited by the Accreditation Association for Ambulatory Health...


  • St Louis, United States NextGen Healthcare Full time

    Job Description: As a key leader in NextGen's Revenue Cycle team, the Director, Revenue Integrity and Client Engagement is responsible for identifying and leading efforts to improve revenue cycle performance with NextGen's clients, and our internal revenue cycle operations. The incumbent will direct projects to implement new solutions and drive process...

  • EKG Cardio Tech

    6 days ago


    St. Augustine, United States Flagler Health+ Full time

    The Cardio Tech performs direct patient care and indirect patient care tasks as assigned. In this role the individual routinely administers cardiovascular diagnostic testing as order by physician in assigned areas: ECG, NICOM, amongst others.Upon the order of a physician provides direct patient care services: (1) Holter Monitor and Ambulatory Blood...


  • St Louis, United States CareerBuilder Full time

    Named 150 Top Places to Work in Healthcare 2023 - Becker's Healthcare Named One of America's Greatest Workplaces for Diversity 2023 - Newsweek Named One of America's Greatest Workplaces for Women 2023 - Newsweek SSM Health is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through a robust and...

  • Surgical Technician

    1 week ago


    St Matthews, United States Surgery Partners Full time

    Description JOB TITLE: Surgical Technologist (Full-Time) SUPERVISION RECEIVED: Physician and/or Registered Nurse GENERAL SUMMARY OF DUTIES: Surgical technologists, also called scrubs and surgical or operating room technicians, assist in surgical operations under the supervision of surgeons, registered nurses, or other surgical personnel. Surgical...

  • Clinical Director

    6 days ago


    St Louis, United States United Surgical Partners Full time

    Gateway Endoscopy Center is hiring Clinical Director! Gateway Endoscopy Center, a busy ambulatory GI facility in west St. Louis county needs to add a Clinical Director to its staff. The Clinical Director is responsible for overseeing and developing the center's clinical departments through key tasks such as hiring, evaluating, mentoring, scheduling, and...


  • St Louis, Missouri, United States Memorial Health Care System Full time

    Position: Hospital Based Inpatient Coder - RemoteSummary:Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software...


  • St. Louis, United States USPI Full time

    Des Peres Square Surgery Center is hiring a Full Time Pre-Op/PACU Registered Nurse! Welcome to Des Peres Square Surgery Center! At Des Peres Square Surgery Center, we pride ourselves on providing a superior surgical experience within a high-quality, service-oriented environment. As a facility accredited by the Accreditation Association for Ambulatory...

  • Cancer Registrar

    2 weeks ago


    St. Augustine, United States Flagler Health+ Full time

    The Cancer Registrar is responsible for complete and accurate abstracting of cancer data in accordance with the American College of Surgeons requirements and the Florida Cancer Data system. The incumbent identifies applicable cases for inclusion in the registry (case- finding), abstract and lifetime follow-up of cancer cases diagnosed and/or treated at UF...

  • Monitor Technician

    3 days ago


    St. Augustine, United States Flagler Health+ Full time

    The Monitor Technician supports patient provision of care by continuous observation for patients' vitals readings, cardiac rhythms, and overall health status. The Monitor Technician documents and reports findings and any abnormalities to nursing staff.Monitors patient cardiac rhythm, vital signs and overall status for assigned patient throughout shift....


  • St. Augustine, United States Flagler Health+ Full time

    Required:Bachelor's Degree in Healthcare Administration and/or Business Administration7 years minimum experience working in a relevant healthcare setting.5 years minimum experience in healthcare leadership.Preferences:Master's Degree of Health Administration or Master's Degree of Business AdministrationCertified Medical Practice ExecutiveEssential...


  • St. Louis, United States St Lukes Episcopal Presbyterian Hospital Full time

    St. Lukes Hospital is seeking a full-time experienced Otolaryngologist specializing in ear, nose and throat care to serve as a dedicated physician leader. St. Lukes Hospital and Medical Group is in need of a determined leader who will help start the practice from the ground up with focus on creating a sustainable outpatient and surgical practice. This...


  • St. Augustine, Florida, United States Curare Group, Inc. Full time

    We are seeking a day shift Hospitalist in a suburb of Jacksonville, Florida. This opening is with a smaller group in an amazing smaller coastal city near Daytona Beach. The group has had the contact for many years and they never have need. This need is only open due to increased census. If you want to enjoy your job, this is the place to be - everyone says...


  • St Augustine, United States Unified Women's Healthcare Full time

    Overview: We are seeking a highly organized and experienced Practice Administrator to oversee the operations of our OBGYN office, managing multiple locations in the St. Augustine area. The ideal candidate will have a strong background in healthcare administration, with specific experience working in OBGYN practices and managing a team of healthcare...


  • St. Augustine, United States Flagler Health+ Full time

    Requirements:Must have a minimum of 5 Years of Sterile Processing experience.Must have a minimum of 1 year Sterile Processing experience holding CRCST.Certified Registered Central Service Technician (CRCST)Post-Employment: Certification in Healthcare Leadership (CHL) preferred. CHL required within 1 year of hire. Core Competencies passed at 90 days from date...


  • St Augustine, United States Flagler Health+ Full time

    Requirements:Must have a minimum of 5 Years of Sterile Processing experience.Must have a minimum of 1 year Sterile Processing experience holding CRCST.Certified Registered Central Service Technician (CRCST) Post-Employment: Certification in Healthcare Leadership (CHL) preferred. CHL required within 1 year of hire. Core Competencies passed at 90 days from...