30 jobs found in Petersburg

Join Our Thriving Pediatric Orthopaedic Group! Are you a detail-oriented insurance collector passionate about ensuring accurate billing in a fast-paced environment? We are seeking a highly motivated Billing Specialist to join our revenue cycle management team and play a vital role in bringing patient accounts to a zero balance. Role Overview In this role, you will oversee the billing process for healthcare services, ensuring accurate claim submissions and full payment collection. Your responsibilities will include reviewing rejected claims, making justified adjustments, handling appeals for denied or underpaid claims, creating monthly Accounts Receivable reports, and resolving issues with provider representatives. What You'll Do Independently: Analyze claim denials and take corrective action, including corrected claims, reconsiderations, and appeals. Apply accurate adjustments based on insurance guidelines and contracts. Manage secondary insurance and patient responsibility....

Penn Medicine, University of Pennsylvania Health System is seeking a Coding Specialist to code and abstract inpatient and outpatient records. This role ensures compliance and accuracy while adhering to coding standards. The candidate should have a high school diploma, CCS certification, and experience in ICD-10-CM PCS and CPT-4 coding. This full-time position offers flexible hours and remote work options. #J-18808-Ljbffr

Job Description Job Description Description: At Sage Clinical RCM, you'll code high-acuity inpatient encounters across a national portfolio of health systems, from academic medical centers to community hospitals. No two client environments are identical, and that's the point. You'll sharpen your skills across specialties, payers, and documentation styles instead of coding the same census for years. What You'll Do Review inpatient encounters and assign accurate ICD-10-CM/PCS codes and DRGs that hold up to audit. Read documentation critically. When it doesn't support the coded services, flag it and escalate the gap. Code in full compliance with CMS requirements, payer-specific rules, and official coding guidelines. Move confidently between client workflows, systems, and audit expectations. Hold the line on quality (95% accuracy or better) while meeting realistic productivity standards. Requirements: What You Bring Active RHIA, RHIT, and/or CCS credential....

Job Description Job Description Description: Position Overview The Professional Billing Coder – Vascular Surgery is responsible for accurate coding of professional services related to vascular procedures. This role supports compliant billing practices and contributes to revenue integrity and audit readiness. Requirements: Key Responsibilities Assign accurate CPT, HCPCS, and ICD-10-CM codes for vascular surgery procedures Review operative and procedural documentation for coding accuracy and completeness Apply appropriate modifiers and NCCI edits • Ensure adherence to CMS, AMA, and payer guidelines Maintain accuracy and productivity standards in a high-volume environment Support internal audits and quality improvement initiatives Required Qualifications Minimum 2+ years of professional billing coding experience Proven experience with vascular surgery coding Strong knowledge of CPT, ICD-10-CM, modifiers, and NCCI edits CPC or equivalent certification...

Occupational Therapist (OT) - Acute Care - Southside Medical Center Candidates accepting a full time offer of employment may be eligible for a sign-on bonus up to $5,000! Rules & restrictions apply, ask your recruiter for details. Internal BSMH associates are not eligible for sign-on bonuses. Occupational Therapist (OT) - Acute Care Southside Medical Center in Petersburg, VA Full Time, Days (8AM - 4:30PM; one weekend a month required) Primary Function/General Purpose of Position Occupational Therapists are responsible for providing patients with treatment to help them develop and improve their ability to complete everyday tasks related to their job and daily life. They perform patient evaluations and re-evaluations, establish patient treatment plans based on the referral from the physician/referral source (if required), and document the patients' care and direct supportive staff regarding treatment process. This may involve outpatients, inpatients, pediatrics and...

Job Description Job Description Description: Role Summary Responsible for reviewing medical records and assigning accurate CPT, HCPCS, ICD-10-CM, and appropriate modifiers for outpatient services. This role supports compliant coding and consistent performance across a variety of outpatient encounter types. Core Responsibilities Review medical records and assign accurate CPT/HCPCS, ICD-10-CM, and modifiers. Ensure documentation supports coded services and identify/escalate discrepancies or gaps. Ensure compliance with CMS, payer-specific rules, and official coding guidelines (including NCCI edits). Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards. Requirements: Minimum Qualifications Credentials: CPC, CCS, RHIA, or RHIT (active). Experience: Minimum 3+ years outpatient coding experience across multiple outpatient service types. Skills & Knowledge: Strong knowledge of CPT, HCPCS, ICD-10-CM,...

Job Description Job Description Description: The Professional Fee (ProFee) Coder is responsible for reviewing provider documentation and assigning accurate CPT, HCPCS, and ICD-10-CM codes for physician services. This role supports compliant coding, accurate charge capture, and overall revenue integrity across a variety of specialties and client environments. Coders may support single-specialty or multi-specialty engagements depending on client needs and experience. Requirements: Core Responsibilities (Sage Standards) Review provider documentation to assign accurate CPT, HCPCS, and ICD-10-CM codes Ensure documentation supports coded services and identify discrepancies Apply appropriate modifiers, NCCI edits, and payer-specific coding rules Ensure compliance with CMS, AMA, and payer guidelines Maintain =95% coding accuracy and meet established productivity standards Identify documentation gaps and escalate for clarification when needed Participate in quality...

Guardian Pharmacy, LLC in St. Petersburg, Florida, is looking for a Pharmacy Billing Specialist to ensure accurate processing of customer bills and insurance claims. This full-time position offers an opportunity to work in a diverse environment where you'll handle patient billing issues, maintain compliance, and contribute to customer service excellence. Qualifications include a high school diploma, pharmacy technician certification preferred, and related experience. Guardian Pharmacy offers competitive compensation, health benefits, and a supportive workplace that values integrity and teamwork. #J-18808-Ljbffr

Join Our Thriving Pediatric Orthopaedic Group! Are you a detail-oriented insurance collector passionate about ensuring accurate billing in a fast-paced environment? We are seeking a highly motivated Billing Specialist to join our revenue cycle management team and play a vital role in bringing patient accounts to a zero balance. Role Overview: In this role, you will oversee the billing process for healthcare services, ensuring accurate claim submissions and full payment collection. Your responsibilities will include reviewing rejected claims, making justified adjustments, handling appeals for denied or underpaid claims, creating monthly Accounts Receivable reports, and resolving issues with provider representatives. What You'll Do: Independently: Analyze claim denials and take corrective action, including corrected claims, reconsiderations, and appeals. Apply accurate adjustments based on insurance guidelines and contracts. Manage secondary insurance and patient...

Job Description Job Description Description: Role Summary Responsible for reviewing provider documentation and assigning accurate CPT, HCPCS, and ICD-10-CM codes for physician services. This role supports compliant coding, accurate charge capture, and overall revenue integrity across a variety of specialties, supporting single-specialty or multi-specialty engagements. Core Responsibilities Review provider documentation to assign accurate CPT, HCPCS, and ICD-10-CM codes. Ensure documentation supports coded services and identify/escalate discrepancies or gaps. Ensure compliance with CMS, payer-specific rules, and official coding guidelines (including AMA and NCCI edits). Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards. Requirements: Minimum Qualifications Credentials: CPC, CCS-P, RHIA, or RHIT (active and in good standing). Experience: Minimum 2–3+ years professional fee coding experience. Experience in...

Sage Clinical RCM, LLC is seeking a Professional Fee Coder to ensure accurate coding for physician services across various specialties. This role involves reviewing provider documentation and adhering to coding guidelines to maintain high standards of compliance and accuracy. The ideal candidate will have experience in coding and a relevant certification, demonstrating knowledge of CPT, HCPCS, and ICD-10-CM. This position offers a fully remote work environment with the opportunity for career advancement. #J-18808-Ljbffr

Sage Clinical RCM, LLC is looking for a Professional Billing Coder – Surgical Specialty in Florida. This remote role involves accurate coding of complex surgical procedures to ensure compliance and timely claims. Candidates should have at least 2 years of billing coding experience, strong knowledge of coding guidelines, and a CPC certification preferred. Join a quality-driven culture that supports healthcare organizations nationwide and values accuracy without unreasonable productivity expectations. #J-18808-Ljbffr

Sage Clinical RCM, LLC is seeking experienced professionals to conduct inpatient coding audits in a fully remote setting. Ideal candidates will possess CCS, RHIA, or RHIT credentials and have at least 3 years of inpatient coding and 2 years of auditing experience. You will validate coding accuracy, provide actionable feedback, and contribute to a quality-first culture across diverse health systems. The position allows flexibility in work arrangements, offering full-time, part-time, or project-based options. #J-18808-Ljbffr

Children's Orthopaedic and Scoliosis Surgery Associates, LLP in Saint Petersburg, FL is seeking a Billing Specialist to manage the revenue cycle. You will review denials, submit clean claims, and pursue accurate collections while coordinating with providers and front desk. The role emphasizes adherence to payer policies, data accuracy, and timely reporting. On-site work at the St. Petersburg or Tampa office, with strong team collaboration and growth opportunities. #J-18808-Ljbffr

Join Our Thriving Pediatric Orthopaedic Group! Are you a detail-oriented insurance collector passionate about ensuring accurate billing in a fast-paced environment? We are seeking a highly motivated Billing Specialist to join our revenue cycle management team and play a vital role in bringing patient accounts to a zero balance. Role Overview: In this role, you will oversee the billing process for healthcare services, ensuring accurate claim submissions and full payment collection. Your responsibilities will include reviewing rejected claims, making justified adjustments, handling appeals for denied or underpaid claims, creating monthly Accounts Receivable reports, and resolving issues with provider representatives. What You\'ll Do Independently: Analyze claim denials and take corrective action, including corrected claims, reconsiderations, and appeals. Apply accurate adjustments based on insurance guidelines and contracts. Manage secondary insurance and patient...

Children's Orthopaedic and Scoliosis Surgery Associates, LLP in Saint Petersburg, FL is seeking a Billing Specialist to manage the revenue cycle. You will review denials, submit clean claims, and pursue accurate collections while coordinating with providers and front desk. The role emphasizes adherence to payer policies, data accuracy, and timely reporting. On-site work at the St. Petersburg or Tampa office, with strong team collaboration and growth opportunities. #J-18808-Ljbffr

Job Description Job Description Description: Position Overview The Professional Billing Coder – Surgical Specialty is responsible for accurate and compliant coding of physician professional services for complex surgical procedures. This role supports timely claim submission, regulatory compliance, and revenue integrity within a hospital-based professional billing environment. Requirements: Key Responsibilities Assign accurate CPT, HCPCS, and ICD-10-CM codes for cardiothoracic and other special surgical services Review operative reports, clinic notes, and supporting documentation to ensure complete and compliant coding Apply appropriate modifiers, bundling rules, and NCCI edits Ensure compliance with CMS, AMA, and payer-specific billing guidelines • Identify documentation gaps and communicate clarification needs as appropriate Meet established productivity and quality standards • Participate in internal quality reviews and audits as required Required...

Job Description Job Description Description: Position Overview The Professional Billing Coder – Cardiothoracic / Special Surgical is responsible for accurate and compliant coding of physician professional services for complex surgical procedures. This role supports timely claim submission, regulatory compliance, and revenue integrity within a hospital-based professional billing environment. Requirements: Key Responsibilities Assign accurate CPT, HCPCS, and ICD-10-CM codes for cardiothoracic and other special surgical services Review operative reports, clinic notes, and supporting documentation to ensure complete and compliant coding Apply appropriate modifiers, bundling rules, and NCCI edits • Ensure compliance with CMS, AMA, and payer-specific billing guidelines Identify documentation gaps and communicate clarification needs as appropriate Meet established productivity and quality standards Participate in internal quality reviews and audits as required...

Job Description Job Description Description: Role Summary Responsible for reviewing medical records and assigning accurate CPT, HCPCS, ICD-10-CM, and appropriate modifiers for outpatient services. This role supports compliant coding and consistent performance across a variety of outpatient encounter types. Requirements: Core Responsibilities Review medical records and assign accurate CPT/HCPCS, ICD-10-CM, and modifiers. Ensure documentation supports coded services and identify/escalate discrepancies or gaps. Ensure compliance with CMS, payer-specific rules, and official coding guidelines (including NCCI edits). Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards. Minimum Qualifications Credentials: CPC, CCS, RHIA, or RHIT (active). Experience: Minimum 3+ years outpatient coding experience across multiple outpatient service types. Skills & Knowledge: Strong knowledge of?CPT, HCPCS, ICD-10-CM, modifiers, and...

Job Description Job Description Description: Role Summary Responsible for reviewing inpatient coding to validate accuracy, compliance, and documentation support. This role identifies risks, ensures consistency in DRG assignment, and provides actionable feedback to improve coding quality. Core Responsibilities Perform retrospective and/or concurrent audits of inpatient coding. Validate ICD-10-CM/PCS code assignment and MS-DRG/APR-DRG accuracy. Follow and adhere to AHIMA’s Standards of Ethical Coding, all applicable regulations and guidelines, and all client specific policies. Identify trends, risks, and opportunities for coding improvement. Provide clear, actionable audit feedback and education to client & internal coding staff. Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards. Requirements: Minimum Qualifications Credentials: CCS, RHIA, or RHIT (active). Experience: Minimum 3+ years of...