21 jobs found in St. Petersburg

Job Description Job Description Description: Professional Billing (PB) Coder – Cardiothoracic / Special Surgical Employment Type: Full-Time Experience Required: 2+ years PB coding 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. 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...

Job Description Job Description Description: Professional Billing (PB) Coder – Vascular Surgery Employment Type: Full-Time Experience Required: 2+ years PB coding 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. 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...

Job Description Job Description Description: 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...

Job Description Job Description Description: Outpatient Coding Auditor – Surgical Specialty Location: Remote Employment Type: Full-Time / Contract (as applicable) Position Summary 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...

Job Description Job Description Description: Position Summary: The purpose of the Inpatient Coder position is to review documentation and code records to determine the appropriate designation of diagnosis, procedure, and codes while maintaining compliance with coding guidelines and client guidelines. Essential Functions: Analyze, evaluate and review client medical records to ensure accuracy of code assignment Prepare daily coding logs Demonstrate proficiency in coding including ICD-10 and maintain 95% 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 Maintain productivity and quality based on national standards and/or applicable standards Maintain professional monthly educational standards to adhere to coding guidelines & regulatory standards Other duties as assigned based on company needs and client projects Requirements: Education / Experience...

We are seeking an experienced Medical Biller / Coder to join a busy specialty practice. This is a full-time, temp-to-perm opportunity for a detail-oriented professional with strong surgical billing and coding experience. Work-from-home option after a 90-day probationary period. Location: St. Petersburg, FL Schedule: Monday–Friday, 8:00 AM–5:00 PM (No weekends) Pay: $20–$26/hour (based on experience) Key Responsibilities Accurately code surgical cases and diagnostic services Verify and document surgical benefits Manage surgical denials and submit written appeals Coordinate peer-to-peer review calls Prepare Letters of Agreement (LOAs) with non-participating insurance plans Calculate and estimate surgical costs for guarantors Respond to billing inquiries via the billing rotation line Perform additional billing duties as assigned Qualifications Minimum 3+ years of medical billing and coding experience (required) Medical Billing and Coding...

Job Description Job Description We are partnering with a premier specialty medical group to find a detail-oriented Medical Billing Specialist for a temp-to-hire opportunity. In this role, you will be a vital member of the revenue cycle management team, overseeing the billing process to ensure accurate claim submissions and full payment collection. This is a high-functioning team environment that values proactive communication and a positive attitude. If you are a motivated professional looking to bring patient accounts to a zero balance while working for a company that offers an incredible benefits package, we want to hear from you. Our client offers 100% premium health & dental benefit coverage for the employee, PTO, and life insurance.   Duties and Responsibilities: Claims Management: Analyze and resolve rejected claims, ensuring accurate coding and modifiers per payer policies. Review and address rejected claims within a five-day window. Appeals Process:...

Job Description Job Description Medical Billing Specialist Florida Pediatric Associates is seeking an experienced Medical Billing Specialist to join the team. Hybrid Work : Employee will be able to work 4 days from home and 1 from the office. Top benefits package includes: 90% Employer Paid Employee Medical Dental Vision 100% Employer Paid STD & LTD Supplemental Insurance Options 7 Paid Holidays 401k Plan and Amazing Work Environment Education: High School Diploma or GED Certification in medical coding (CPC) preferred Working knowledge of Medicare and Florida Medicaid coding rules and regulations including but not limited to as National Correct Coding Initiative edits and payer guidelines. Working knowledge of the current International Classification of Diseases (ICD), Current Procedural Technology (CPT) and Healthcare Common Procedure Coding System (HCPCS) coding and terminology. Experience: Two of more years of medical coding...

A leading healthcare provider in the United States is seeking an Inpatient Coder to review documentation and code medical records accurately. The ideal candidate should have at least 5 years of hospital-based coding experience and be proficient in ICD-10. Responsibilities include ensuring accuracy in coding assignments and maintaining compliance with relevant guidelines. This full-time position offers a chance to work in a dynamic environment while adhering to high standards of coding ethics and accuracy. #J-18808-Ljbffr

Professional Billing (PB) Coder – Cardiothoracic / Special Surgical Join to apply for the Professional Billing (PB) Coder – Cardiothoracic / Special Surgical role at Home and Stone Investments Pinellas Park, FL | $18.00–$20.00 per hour | Full‑time | Entry Level 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. 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...

Outpatient Coding Auditor – Surgical Specialty Join to apply for the Outpatient Coding Auditor – Surgical Specialty role at Home and Stone Investments. Location: Remote Employment Type: Full-Time / Contract (as applicable) Position Summary 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,...

Professional Billing (PB) Coder – Vascular Surgery Full-Time 2+ years PB coding 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. 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...

A medical billing company in Saint Petersburg, FL is seeking an Entry Level Professional Billing (PB) Coder to handle coding for cardiothoracic and special surgical services. Responsibilities include accurate assignment of CPT, HCPCS, and ICD-10-CM codes, compliance with CMS guidelines, and participation in quality reviews. Ideal candidates should have 2+ years of billing coding experience and a strong understanding of coding principles. This full-time position offers a starting pay of $18.00–$20.00 per hour. #J-18808-Ljbffr

Inpatient Coder Join to apply for the Inpatient Coder role at Home and Stone Investments Position Summary The purpose of the Inpatient Coder position is to review documentation and code records to determine the appropriate designation of diagnosis, procedure, and codes while maintaining compliance with coding guidelines and client guidelines. Essential Functions Analyze, evaluate and review client medical records to ensure accuracy of code assignment Prepare daily coding logs Demonstrate proficiency in coding including ICD‑10 and maintain 95% 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 Maintain productivity and quality based on national standards and/or applicable standards Maintain professional monthly educational standards to adhere to coding guidelines & regulatory standards Other duties as assigned based on company needs and client projects Requirements...

A healthcare investment firm seeks a Professional Billing Coder specializing in vascular surgery. Responsibilities include coding of surgical procedures, reviewing documentation for accuracy, and ensuring compliance with billing guidelines. Ideal candidates should have at least 2 years of billing coding experience and knowledge of CPT and ICD-10-CM codes. The position is full-time and requires strong attention to detail and adherence to guidelines, offering a pathway for entry-level applicants in the finance and auditing sector. #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...

Join to apply for the Medical Billing Specialist role at Children's Orthopaedic and Scoliosis Surgery Associates, LLP Job Overview 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. Responsibilities Independently analyze claim denials and take corrective action, including corrected claims, reconsiderations, and...

CPC - Certified Professional Coder (medical billing) Tutor Join to apply for the CPC - Certified Professional Coder (medical billing) Tutor role at Varsity Tutors, a Nerdy Company . 2 days ago Be among the first 25 applicants. Varsity Tutors Live Learning Platform has thousands of students looking for online CPC tutors nationally. As a tutor on the Platform, you’ll have the flexibility to set your own schedule, earn competitive rates, and make a real impact on students’ learning journeys—all from the comfort of your home. Base pay range $25.00/hr - $40.00/hr Why Join Our Platform? Earn incrementally higher pay for each session with the same student—reaching up to $40/hour. Get paid up to twice per week, ensuring fast and reliable compensation for the tutoring sessions you conduct and invoice. Set your own hours and tutor as much as you’d like. Tutor remotely using our purpose-built Live Learning Platform—no commuting required. Get matched with students best-suited to...

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...

Billing Specialist The medical billing specialist is responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustments and collections of Medicare, Medicaid, Medicaid Managed Care, and commercial insurance payers. The medical billing and collection specialist must possess critical thinking skills and understanding of Medicare, Medicaid eligibility requirements as well as commercial insurance payer payment methods to correctly record contractual adjustments base on payer contracts or government regulations. In addition, the medical billing and collection specialist must demonstrate proficiency with billing system to ensure all functionality is utilized for the utmost efficient processing of claims to Insurances nationwide. Accountabilities Responsible for charge and payment entry within Electronic Health Record. Coordinates and...