28 jobs found in Petersburg

Job Description Job Description Job descriptionMedical Billing Specialist/Front Office SupportWe are looking for a competent, conscientious, service-oriented individual with strong character to perform medical billing functions at one of our gastroenterology practices. This individual will provide exceptional customer service while primarily being responsible to perform billing related functions. The Billing Specialist is expected to be knowledgeable of the specific provisions in the managed care contracts as they relate to billing/reimbursement and shall be most current with coding policy and patient confidentiality requirements. This individual is expected to be flexible to perform a variety of duties. This position requires strong interpersonal skills to regularly interact professionally, promptly, and courteously with patients, physicians and their offices and other organizations' personnel to maintain strong public and community relations while responding to their...

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

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

Company Description AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas – immunology, oncology, neuroscience, and eye care – and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at www.abbvie.com . Follow @abbvie on X , Facebook , Instagram , YouTube , LinkedIn and Tik Tok . Job Description This role is field-based, and candidates should live within a reasonable distance from the primary city. Talent will be hired at a level commensurate with experience. Execute brand strategy and tactics in field, sales performance, effectively manage assigned territory and targeted accounts, build strong customer relationships and customer needs solving capability to maximize short and long term sales performance placing...

Medical Billing Specialist (Revenue Cycle Management) – Bilingual Spanish Preferred This is not a Remote position; it is in the Office Monday - Friday. This is not an entry-level role and requires independent ownership of revenue cycle processes. Position Summary Reliant Healthcare Group is seeking an experienced Medical Billing Specialist with demonstrated Revenue Cycle Management (RCM) expertise. This role is responsible for managing AR, payer follow-ups, and claim resolution to ensure timely reimbursement. Essential Duties & Responsibilities Manage full Revenue Cycle Management (RCM) processes Verify insurance eligibility and benefits for commercial and Medicaid MCO payers Follow up on Accounts Receivable exceeding 30 days Review AR aging reports and resolve outstanding balances Post payments and perform account reconciliations Obtain and manage insurance authorizations Review and correct claims to prevent denials Interpret payer contracts and...

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...

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....

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

About You You are a person who is passionate about accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. Tell us about your experience with Medical Coding. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position Assign the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation in the medical...

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

Orthopaedic Medical Billing Specialist Children's Orthopaedic and Scoliosis Surgery Associates, LLP 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 under‑paid 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...

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

Occupational Therapist (OT) - Acute Care - Southside Medical Center - PRN - Petersburg, VA The Occupational Therapist plays a crucial role in enhancing patients' ability to perform daily tasks related to work and life. They conduct assessments, devise treatment plans based on physician referrals, and document patient progress. This encompasses outpatient, inpatient, pediatric, and off-site settings. Essential Functions: Review physician referrals and patient medical history to determine therapy needs. Conduct and document patient evaluations, re-evaluations, and treatment plans according to department protocols. Administer prescribed occupational therapy treatments and create custom equipment for individual needs. Develop programs focusing on functional skills, vocational training, daily activities, and motor skills. Monitor progress and adjust treatment goals and plans as necessary, participating in patient care conferences. Educate patients and families on at-home...

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, modifiers, and...

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...

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: Sage Clinical RCM, LLC is seeking an experienced Outpatient Coding Auditor with a strong background in surgical coding. This role is responsible for auditing outpatient surgical encounters to ensure accurate code assignment, compliance with regulatory guidelines, and adherence to payer and client requirements. The ideal candidate has hands-on experience auditing complex outpatient surgical cases and providing clear, constructive feedback to coding staff. Key Responsibilities Perform audits of outpatient surgical encounters, including operative reports and related documentation Validate accurate assignment of CPT, ICD-10-CM, modifiers, and applicable APCs Ensure compliance with CMS, payer, and official coding guidelines Identify trends, risks, and educational opportunities based on audit findings Provide written audit feedback and coding education to support quality improvement Collaborate with coding leadership and...