16 jobs found in Pensacola

Coding Auditor The Coding Auditor reviews/audits patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment, as applicable, according to established guidelines. This position issues the coding "report card" quarterly to all coders. This position provides coding training and education. This position may audit accounts for ER Charging accuracy and perform RAC and other third party audit appeals. Responsibilities Reviews patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment according to established guidelines and scores appropriately, if applicable. Works with CDIS on DRG assignment and educates on missed Query opportunities. Works with staff on coding guidelines and correct code assignment Informs manager of any activities which do not meet federal or state coding and billing requirements Appeals RAC DRG review charts. Receives requests from business office on issues relating to coding and responds...

Nemours Children's Health is seeking a remote Professional Fee Abstractor responsible for accurate coding of medical claims, ensuring compliance with payer guidelines. Ideal candidates will have 3-5 years of coding experience in ICU/Critical Care and hold necessary certifications like CPC, CCS-P, RHIA, or RHIT. The role emphasizes teamwork, analytical skills, and a thorough understanding of medical terminology. Join a dedicated team to optimize billing processes and enhance patient care through precise coding! #J-18808-Ljbffr

Baptist Health Care is seeking a Coding Auditor to review audits of patient records for accurate ICD-10-CM/PCS and CPT codes. The role involves issuing quarterly coding reports and providing training to coding staff. The ideal candidate will have experience in inpatient and outpatient coding, as well as knowledge of regulatory issues related to Medicare. Candidates must have a Technical Diploma in Coding, and certifications such as CCS_AHIMA, CPC_AAPC, or CCA_AHIMA are required. This is a critical position that ensures compliance with federal and state regulations. #J-18808-Ljbffr

Job Description Location Requirement: Candidates must reside in Florida, Alabama, or Georgia. If offered the position, they will be required to come onsite in Pensacola, FL for orientation. The Coder is responsible for ensuring that claims reflect accurate diagnosis as ordered by the health care provider. This position validates that the coding methodology correctly reflects how the tests were performed and meets all state, federal, local, and payer guidance. Responsibilities Reviews patient medical records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines. Applies sequencing guidelines to coded data according to official coding rules. Reviews medical records to ensure appropriate documentation. Maintains knowledge of coding and diagnostic procedures, staying current with federal legislative changes that affect outcomes. Communicates questions or concerns to the Coding Manager, HIM Services Director, or BHC’s Revenue Integrity...

Nemours Children's Health is seeking a remote Professional Fee Abstractor to review professional sessions and apply ICD-10-CM, CPT, HCPCS codes, and modifiers per payer guidelines. The role requires collaborating with providers to ensure accurate coding across multiple specialties. The position supports 60–100 sessions per shift, focuses on high‑risk encounters, and aims to optimize charge capture while meeting production metrics and quality standards. #J-18808-Ljbffr

Baptist Health Care, Inc. is seeking a professional Medical Coder to ensure accurate ICD-10-CM and CPT-4 coding in patient records. You will validate coding reflects tests performed and complies with all payer guidance. The role requires collaboration with Coding Manager and Revenue Integrity to resolve issues. Qualified candidates have a High School Diploma or equivalent and 1–3 years coding experience or formal coding education. Onsite orientation in Pensacola, FL will be required if offered. #J-18808-Ljbffr

Baptist Health Care in Pensacola, Florida is hiring a Coder to ensure accurate diagnosis coding based on health care provider orders. This role requires strong knowledge of coding methodologies and compliance with state and federal guidelines. Candidates must possess a High School Diploma and relevant coding certifications such as CCS_AHIMA and CPC_AAPC, with 1-3 years of experience preferred. The position involves reviewing medical records and resolving coding issues with medical staff. #J-18808-Ljbffr

Baptist Health Care is seeking a Coder II responsible for reviewing outpatient records and assigning ICD-10-CM or CPT-4 codes. The ideal candidate will maintain a 97% accuracy rate while adhering to established coding standards. Responsibilities include reviewing patient medical records, applying coding rules, and collaborating with medical staff to address coding concerns. This role requires relevant certifications and a strong understanding of coding guidelines. #J-18808-Ljbffr

Baptist Health Care is seeking a Coding Auditor to review and audit patient records for correct ICD-10-CM/PCS codes, CPT codes, POA assignment and MS-DRG assignment. The role will issue quarterly report cards and provide coding training and education to coders. The ideal candidate has at least five years of inpatient and/or outpatient coding experience and holds CCS, CPC, and CCA certifications. Knowledge of Medicare and other third-party payer regulations is required. #J-18808-Ljbffr

Nemours Children's Health is seeking a remote Professional Fee Abstractor to code professional sessions, apply ICD‑10‑CM and CPT/HCPCS codes, and support accurate claim processing across multiple specialties. The role emphasizes remote work with collaboration across care teams. Requirements include 3–5 years ICU/Critical Care coding, CPC/CCS-P or RHIA/RHIT credentials, and strong medical terminology knowledge. A high school diploma is required, with an Associate's degree preferred. #J-18808-Ljbffr

Job Description The Coding Auditor reviews/audits patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment, as applicable, according to established guidelines. This position issues the coding "report card" quarterly to all coders. This position provides coding training and education. This position may audit accounts for ER Charging accuracy and perform RAC and other third party audit appeals. Responsibilities Reviews patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment according to established guidelines and scores appropriately, if applicable. Works with CDIS on DRG assignment and educates on missed Query opportunities. Works with staff on coding guidelines and correct code assignment. Informs manager of any activities which do not meet federal or state coding and billing requirements. Appeals RAC DRG review charts. Receives requests from business office on issues relating to coding and responds...

Job Posting The Coder is responsible for ensuring that claims reflect accurate diagnosis as ordered by the health care provider. This position validates that the coding methodology correctly reflects how the tests was performed and meets all state federal local and payer guidance. Responsibilities Reviews patient medical records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines. Applies sequencing guidelines to coded data according to official coding rules. Reviews medical records to ensure appropriate documentation. Responsible for being knowledgeable of coding and diagnostic procedures, as well as remaining current about federal legislative changes that affect outcome. Communicate questions or concerns to the Coding Manager, HIM Services Director, or BHC's Revenue Integrity Department to ensure prompt resolution. Works with medical staff to resolve coding issues and associated problems. Reports and communicates any...

Job Description The Coder II reviews outpatient records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines with 97% accuracy rate, while maintaining coding standards for productivity. This position reviews outpatient records and assigns codes according to outpatient rules. The Coder II may be responsible for ER Facility Charging, if applicable. This position follows up on outstanding unbilled accounts on a regular basis. This position does not have excessive re-bills. Responsibilities Reviews patient medical records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines. Applies sequencing guidelines to coded data according to official coding rules. Reviews medical records to ensure appropriate documentation is there to support codes/ER charges assigned. Responsible for being knowledgeable of coding and diagnostic procedures, as well as remaining current about federal legislative changes that...

Job Description The Coder II reviews outpatient records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines with 97% accuracy rate, while maintaining coding standards for productivity. This position reviews outpatient records and assigns codes according to outpatient rules. The Coder II may be responsible for ER Facility Charging, if applicable. This position follows up on outstanding unbilled accounts on a regular basis. This positon does not have excessive re-bills. Responsibilities Reviews patient medical records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines. Applies sequencing guidelines to coded data according to official coding rules. Reviews medical records to ensure appropriate documentation is there to support codes/ER charges assigned. Responsible for being knowledgeable of coding and diagnostic procedures, as well as remaining current about federal legislative changes...

Why Peoples? Peoples Health Services is the only family-owned, locally governed Hospice and Home Health provider in the Florida Panhandle. We believe that when we take care of the people who care for our patients, everyone benefits. We offer competitive pay, medical, dental, vision, group life, short-term disability benefits, a PTO program, 6 paid holidays, recognition programs, and work-life balance initiatives including a Relax & Recharge Day annually. Join a team that is dedicated to caring for our community-and each other. Position Summary: The Business Process Specialist-Biller-PCR is primarily responsible for performing all tasks required for the Medicare Pre-Claim Review process including but not limited to obtaining, reviewing, and accurately submitting all documentation required for pre-bill audits (both initial submissions and resubmissions). Additional responsibilities include ability to perform all authorization and billing department functions. All...

Job Description The Coding Auditor reviews/audits patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment, as applicable, according to established guidelines. This position issues the coding "report card" quarterly to all coders. This position provides coding training and education. This position may audit accounts for ER Charging accuracy and perform RAC and other third party audit appeals. Responsibilities Reviews patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment according to established guidelines and scores appropriately, if applicable. Works with CDIS on DRG assignment and educates on missed Query opportunities. Works with staff on coding guidelines and correct code assignment Informs manager of any activities which do not meet federal or state coding and billing requirements Appeals RAC DRG review charts. Receives requests from business office on issues relating to coding and...