Coding / Revenue Cycle Specialist

1 week ago


BellairMeadowbrook Terrace, Florida, United States Redeemer Health Full time
OVERVIEW:

Joining Redeemer Health means becoming part of an inclusive, supportive team where your professional growth is valued. Our strength comes from bringing different perspectives and talent to our workforce, spanning PA & NJ. We offer programs that set up new team members for long-term success including education assistance, scholarships, and career training.  With medical and dental coverage, access to childcare & fitness facilities on campus, investment in your retirement, and community events, your career at Redeemer is more than a job.  You'll discover a commitment to quality care in a safe environment and a foundation from which you can provide and receive personalized attention.  We look forward to being a part of your professional journey.  We invite you to apply today.

SUMMARY OF JOB:

The Coding Specialist assigns diagnostic and procedural codes consistent with ICD-10 and CPT-4 guidelines, UHDDS sequencing guidelines, CMS coding guidelines, Medicare and Medicaid regulations and the American Hospital Association coding guidelines and  it's publication, Coding Clinic, and AMA's publication, CPT Assistant, for assigned hospital based professional service areas of HRPAS employed practitioners.  Responsible for consistently meeting quality expectations for documentation review, coding,  and meets Redeemer Health's expected productivity standards for the position. Performs assigned duties in accordance with health system   specific coding policies and procedures.  The  Coding Specialist  will assist the assigned HRPAS hospital based providers  with instruction, feedback and documentation review in their particular specialty area.   Responsible for remaining current with latest healthcare technology and coding advice through reading available coding literature, attendance of seminars and in-services , internet research and other educational resources. Collaborates with charge entry personnel to ensure proper entry of diagnostic and billing codes in accordance with guidelines and for assigned areas and for trouble shooting any system or payor rejections for coding and/or documentation purposes.  Performs duties in support of Redeemer Health mission to ensure the highest quality of patient care in an economically sound and efficient manner.

CONNECTING TO MISSION:

All individuals, within the scope of their position are responsible to perform their job in light of the Mission & Values of the Health System.  Regardless of position, every job contributes to the challenge of providing health care.  There is an ongoing responsibility for ensuring that the values of Respect , Compassion , Justice , Hospitality , Holitisic Approach, Stewardship, and Collaboration are present in our interactions with one another and in the services we provide.

RECRUITMENT REQUIREMENTS:

   Registered Health Information Administrator or Registered Health Information Technician or equivalent experience, with a Certified Coding Specialist Certification.

·       Must have a minimum of two years of progressive coding and/or billing and registration functions in health care setting and   experience utilizing ICD-9/10-CM and CPT-4 in medical/physician specialties..  

·       Background in Anatomy, Physiology, Clinical Medicine and Medical Terminology.  

·       A graduate of an accredited coding program with certification of completion or successful completion of college credited course work in Medical Terminology, Anatomy & Physiology and Pathophysiology/Disease Processes/Pharmacology required.

·       Works claim edits identified along with compliance of the Medicare Coverage Determinations ( MCD ) , National Coverage Determination ( NCD ) as well as payer specific edits as outlined via contractual agreements particularly around coding matters and when other factors causing the edits are identified refers to proper person to ensure a clean claim is submitted. 

·       Serve as an information rescource and guide to clinicians, champion the need to change coding behaviors and serve as subject matter expert .

·       Submit any issues or trends found within documentation of a physician and/or physician extender to that provider directly or to supervisor.

·       Review to ensure that clinical documentation substantiates the evaluation and management, procedures and modifier selected in accordance with Federal, State and system documentation and coding requirements.

·       Manage and reslove Zero-Pay Worklist , Fully Worked Receivables, complete special project work, review and respond to adjustments/payment data with approval (or initiate appeal) communicate trends and root issues through proper lines of reporting

·       Requires the ability to read and interpret medical terminology and apply coding skills utilizing knowledge of anatomy, physiology and disease processes as well as procedural coding.  

·       Prior experience in coding mentorship and compliance review preferred particularly with physicians/providers. 

·       Must be detail oriented and have sound computer skills. 

·       Experience with review of electronic health records software applications.

LICENSE AND REGULATORY REQUIREMENTS:

Certified Coding Specialist (CCS)

EOE

EQUAL OPPORTUNITY:

Redeemer Health is an equal opportunity employer.  We prohibit discrimination in employment due to race, color, gender, religion, creed, national origin, age, sex, sexual orientation, gender identity or expression, disability veteran status or any other protected classification required by law.



  • Bellair-Meadowbrook Terrace, Florida, United States Redeemer Health Full time

    The Coding Specialist role at Redeemer Health involves assigning diagnostic and procedural codes consistent with various guidelines and regulations. Key responsibilities include assisting assigned HRPAS hospital-based providers with instruction, feedback, and documentation review, remaining current with the latest healthcare technology and coding advice, and...


  • Bellair-Meadowbrook Terrace, Florida, United States Redeemer Health Full time

    Job Summary: As a Revenue Cycle Specialist, you will play a vital role in ensuring the accuracy and efficiency of our revenue cycle operations. You will work closely with our team to analyze data, identify trends, and implement process improvements to optimize financial performance.


  • Bellair-Meadowbrook Terrace, Florida, United States Redeemer Health Full time

    Job Description OVERVIEW:Joining Redeemer Health means becoming part of an inclusive, supportive team where your professional growth is valued. Our strength comes from bringing different perspectives and talent to our workforce, spanning PA & NJ. We offer programs that set up new team members for long-term success including education assistance,...


  • Bellair-Meadowbrook Terrace, Florida, United States Redeemer Health Full time

    Job DescriptionOVERVIEW:Joining Redeemer Health means becoming part of an inclusive, supportive team where your professional growth is valued. Our strength comes from bringing different perspectives and talent to our workforce, spanning PA & NJ. We offer programs that set up new team members for long-term success including education assistance, scholarships,...


  • Bellair-Meadowbrook Terrace, Florida, United States Redeemer Health Part time

    OVERVIEW:Joining Redeemer Health means becoming part of an inclusive, supportive team where your professional growth is valued. Our strength comes from bringing different perspectives and talent to our workforce, spanning PA & NJ. We offer programs that set up new team members for long-term success including education assistance, scholarships, and career...


  • Bellair-Meadowbrook Terrace, Florida, United States Redeemer Health Part time

    OVERVIEW:Joining Redeemer Health means becoming part of an inclusive, supportive team where your professional growth is valued. Our strength comes from bringing different perspectives and talent to our workforce, spanning PA & NJ. We offer programs that set up new team members for long-term success including education assistance, scholarships, and career...


  • Bellair-Meadowbrook Terrace, Florida, United States Redeemer Health Full time

    Code Like You Mean ItRedeemer Health is seeking a skilled Coding Specialist to join our team. In this role, you will assign diagnostic and procedural codes consistent with ICD-10 and CPT-4 guidelines, sequencing guidelines, CMS coding guidelines, Medicare and Medicaid regulations, and American Hospital Association coding guidelines. Your key responsibilities...


  • Bellair-Meadowbrook Terrace, Florida, United States Redeemer Health Full time

    About Redeemer HealthWe are a healthcare organization that values diversity, inclusivity, and professional growth. Our team is dedicated to providing quality care in a safe environment, and we strive to make a positive impact in the lives of our patients and staff.As a member of our team, you can expect a supportive and collaborative work environment,...


  • Bellair-Meadowbrook Terrace, Florida, United States Redeemer Health Full time

    About UsWe are a healthcare organization committed to delivering high-quality patient care in an economically sound and efficient manner. Our team is passionate about making a positive impact in the lives of our patients and staff.We strive to create a work environment that is inclusive, supportive, and collaborative, where our team members can grow...


  • Bellair-Meadowbrook Terrace, Florida, United States Redeemer Health Full time

    Required Skills and Qualifications:To be successful in this role, you must have a Registered Health Information Administrator or Registered Health Information Technician certification or equivalent experience, with a Certified Coding Specialist Certification. A minimum of two years of progressive coding and/or billing and registration functions in a...


  • Bellair-Meadowbrook Terrace, Florida, United States Redeemer Health Full time

    OverviewRedeemer Health is a healthcare organization that values professional growth and development. Our team is inclusive and supportive, with a focus on delivering high-quality patient care in an economically sound and efficient manner.We offer education assistance, scholarships, and career training programs to help our employees succeed. Medical and...


  • Temple Terrace, Florida, United States Florida Orthopaedic Institute Full time

    In this role you will: The Revenue Cycle Specialist works with insurance carriers regarding claim status and denial management. Follows Florida Orthopaedic Institutes policy and procedures along with applying federal and state guidelines to collection efforts. Interprets and follows up on Explanation of Benefits. Assuring timely collection of accounts...


  • Bellair-Meadowbrook Terrace, Florida, United States Redeemer Health Full time

    Key Responsibilities:This position involves consistently meeting quality expectations for documentation review, coding, and productivity standards for the position. The Coding Specialist will assist assigned HRPAS hospital-based providers with instruction, feedback, and documentation review in their particular specialty area. Additionally, they will...


  • Bellair-Meadowbrook Terrace, Florida, United States Redeemer Health Full time

    Job SummaryThe Coding Specialist will be responsible for ensuring the accuracy and completeness of medical records by assigning diagnostic and procedural codes, reviewing documentation, and collaborating with healthcare professionals.This position requires strong analytical and problem-solving skills, as well as the ability to read and interpret medical...


  • Bellair-Meadowbrook Terrace, Florida, United States Redeemer Health Full time

    About the RoleThe Coding Specialist will play a critical role in ensuring the accuracy and completeness of medical records. This involves working closely with healthcare professionals to assign diagnostic and procedural codes, as well as reviewing documentation to ensure compliance with Federal, State, and system requirements.This position requires strong...


  • Bellair-Meadowbrook Terrace, Florida, United States Redeemer Health Full time

    At Redeemer Health, we strive to provide exceptional patient care in an economically sound and efficient manner. Our Coding Specialist plays a critical role in ensuring the accuracy and completeness of patient data by assigning diagnostic and procedural codes consistent with various guidelines and regulations. Key responsibilities include assisting assigned...

  • Revenue Cycle Manager

    2 weeks ago


    Temple Terrace, Florida, United States Florida Orthopaedic Institute Full time

    **Job Description:**    Florida Orthopaedic Institute seeks a skilled Revenue Cycle Specialist to join our team. As a key member of our revenue cycle department, you will be responsible for ensuring timely collection of accounts receivable and monitoring account activity.    Key Responsibilities:Performing collection activities, such as status calls...


  • Temple Terrace, Florida, United States Florida Orthopaedic Institute Full time

    About the RoleWe are seeking a highly skilled Revenue Cycle Specialist to join our team at Florida Orthopaedic Institute.Key ResponsibilitiesTakes appropriate actions on denied charges to ensure claims are paid on the first follow-up call or appeal.Works with assigned queues, aging and denial reports to accomplish the set goal for the position.Responsible...


  • Temple Terrace, Florida, United States Florida Orthopaedic Institute Full time

    In this role you will :Under direct supervision of the Revenue Cycle Ancillary Supervisor, this position is responsible for assuring timely collection of accounts receivable, monitoring account activity and providing adequate follow up to ensure maximum reimbursement is received for Ancillary billing. The ideal candidate would have a strong understanding of...


  • Temple Terrace, Florida, United States Florida Orthopaedic Institute Full time

    In this role you will: Under direct supervision of the Revenue Cycle Ancillary Supervisor, this position is responsible for assuring timely collection of accounts receivable, monitoring account activity and providing adequate follow up to ensure maximum reimbursement is received for Ancillary billing. The ideal candidate would have a strong understanding of...