39 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. 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. 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. Collaboratively:...

Occupational Therapist (OT) - Acute Care - Southside Medical Center - FT - Petersburg, VA Sign on Bonus up to $5,000 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 off-site locations. Essential Job Functions Reviews physician referral, patient's condition and medical history to determine occupational therapy treatment needs. Performs and documents patient evaluation, re-evaluation and develops treatment and discharge plans per department...

Physician Coding Education SpecialistPerforms, develops, and implements coding related efficiency processes to monitor professional coding to ensure optimal efficiency and follow the controlling compliance guidelines with governmental and private payers. The Physician Coding Education Specialist is responsible for analyzing physician coding trends and providing educations that will contribute to effective productivities.Responsibilities Essential Functions:Responsible for internal auditing and analyzing professional coding for all service lines.Guide and educate coding team members by addressing errors, performance issues, and trends identified through reporting.Takes an active role in developing and presenting educational programs to physicians, physician extenders, and physician offices.Effectively communicates best practice physician coding related feedback with physicians, non-physician providers, physician office staff, administration, practice managers, and team members of...

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

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. Minimum Qualifications Credentials: CCS, RHIA, or RHIT (active). Experience: Minimum 3+ years of inpatient coding and at least 2 years of auditing...

Suncoast Center, Inc. seeks an experienced Medical Billing specialist to manage outpatient insurance claims, denials, and authorizations. You will work with Medicaid, Medicare, commercial and managed care payers, ensuring accurate data entry and billing in the EHR. The role requires familiarity with ICD-10CM, CPT and HCPCS, and preference for behavioral health billing experience. A background check and valid Florida license are expected, with health benefits and a supportive work environment. #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

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 OverviewIn 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 DoIndependently: 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...

Sage Clinical RCM, LLC is seeking a Professional Billing Coder for Vascular Surgery in the United States. This role involves accurate coding of professional services, ensuring adherence to billing practices and guidelines, while contributing to revenue integrity. Candidates must have over 2 years of coding experience, particularly in vascular surgery, and a relevant certification is preferred. Join us to support leading healthcare organizations in a collaborative and quality-driven culture with flexible work hours. #J-18808-Ljbffr

Sage Clinical RCM, LLC seeks an experienced inpatient coder for a fully remote role serving a national health-system portfolio. You will review encounters, assign ICD-10-CM/PCS codes and DRGs, and ensure CMS and payer guidelines compliance across varied client environments. The position requires RHIA/RHIT/CCS credentials and 3+ years of inpatient coding in acute care; 5+ years for certain engagements. EPIC/Cerner proficiency and CAC tools are essential for success. #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

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....

Zelis Healthcare, LLC is seeking an RN or LVN with inpatient coding expertise to perform comprehensive DRG reviews for post-service and pre-payment claims. The role emphasizes accurate coding, documentation, and customer-facing rationale based on medical records, with a focus on readmission analysis and policy compliance. The successful candidate will have CCS/CIC certification within 4–6 months of hire, 1–3 years of ICD-10 CM/MS-DRG reviews, and strong organizational skills. #J-18808-Ljbffr

Join our coding team as a Medical Coder specializing in ICD-10 coding. You will be responsible for accurately coding medical records and ensuring compliance with coding guidelines. Key Responsibilities: Review and analyze medical records Assign appropriate ICD-10 and CPT codes Ensure coding accuracy and compliance Work with physicians to clarify documentation Maintain coding productivity standards Stay updated with coding changes and guidelines Requirements Requirements: Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification Minimum 3 years of medical coding experience Strong knowledge of ICD-10-CM and CPT coding systems Experience with multiple medical specialties Excellent analytical and problem-solving skills Detail-oriented with high accuracy Associate degree in Health Information Management or related field Join Our Team Today! We're always looking for talented individuals to join our team. Explore our open positions and find your next career...

Agile Nexus Solutions in Florida is seeking a Medical Coder specializing in ICD-10 coding to join our team. You will review medical records, assign ICD-10-CM and CPT codes, and ensure coding compliance. The ideal candidate holds CPC or CCS certification, with at least 3 years of medical coding experience across multiple specialties, and an associate degree in Health Information Management or a related field. #J-18808-Ljbffr

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...

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,...

Sage Clinical RCM, LLC in Saint Petersburg, Florida, is seeking a remote coding specialist to review provider documentation and assign accurate CPT, HCPCS, and ICD-10-CM codes. The role is focused on maintaining compliance and quality metrics across various specialties. The ideal candidate will have 2-3+ years of experience in professional fee coding and possess active credentials such as CPC, CCS-P, RHIA, or RHIT. This full-time position allows for flexible work options within a collaborative remote environment. #J-18808-Ljbffr

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

A healthcare technology company seeks a skilled professional to conduct comprehensive inpatient DRG reviews and validation within the Price Optimization division. Candidates must have an RN or LVN degree and an inpatient coding certification. This role requires attention to detail and experience with Health Insurance and Medicare guidelines. The position includes a competitive salary range and offers a hybrid work culture, allowing for flexibility in work location while maintaining a focus on teamwork and productivity. #J-18808-Ljbffr