5 jobs found in Tallahassee

**Job Family** **:** General Coding **Travel Required** **:** None **Clearance Required** **:** None Under general supervision, an **Diagnostic Radiology Coder,** codes ED Department charts and procedures and/or charge tickets as assigned. If requested by supervisor, provides technical guidance and training on medical coding to physicians and/or other department staff. Maintains knowledge of AMA guidelines and billing compliance and performs all other duties as required. Must be self-directed / self-motivated; must have good communication and interpersonal skills. Must be: (1) detail oriented (2) accept responsibility for the direction, control and planning of ones own work; (3) recognize the rights and responsibilities of patient and employee confidentiality; (4) adaptable to change and improvement; (5) relate to others in a manner which creates a sense of teamwork and cooperation; (6)show exemplary attitude in levels of maturity, responsibility, judgment...

**Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job is responsible for educating providers on proper billing behavior and proper usage of procedure codes and/or modifiers who are identified as outliers in regards to billing Highmark for certain targeted codes; outreach may occur in various formats including written letters, emails, and consultations via telephone. Documents explanations from Provider Outliers to be used in the analysis of billing behavior and cost savings. **ESSENTIAL RESPONSIBILITIES** + Performs outreach via telephone or other means to identified Outlier Providers informing them of their inclusion as an Outlier; meaningfully discusses the Outlier Providers' billing practices and provides education on proper usage of procedure codes and/or modifiers. May also field incoming calls from providers. + Applies medical coding knowledge to determine applicable education for Outlier Providers on industry standards and guidelines as...

Responsibilities: Job Summary: Ensures the accurate coding of diagnosis, surgical and medical procedures. Coordinates coding reviews and identifies opportunities for improvement of issues related to the accurate assignment of ICD-9/ICD10 and CPT codes to Inpatient and outpatient medical records and for abstracting information for the clinical data base. Collaborates with HIM, hospital and medical staff related to coding and documentation processes/procedures. Reviews inpatient medical records to validate the accuracy of ICD and DRG assignment, as well as the accurate capture of data such as attending physician, discharge status, and present on admission status. Provides feedback to involved coders on a case by case basis to address and correct identified issues. Serves as a liaison with the Clinical Documentation Improvement Department. Identifies trends of concern and makes recommendations to and assists the Coding Manager with actions to address the issue. Frequent moving...

Responsibilities: As a Medical Biller you will be responsible for patient accounts, ensuring that all needed information is correct in the specific billing system so that the charges can be processed and sent for payment. Responsible for patient accounts until paid in full or turned over to an outside collection agency. Posting (charges, adjustments and payments), EOB follow-up, working A/R, working with various insurance companies. Experience in medical/physician hospital patient billing background is required. Preferred e xperience in Primary Care billing and/or working claim denials with ability to recognize and resolve claim issues. Must have knowledge in: Diagnosis/procedure coding relationships Medical terminology, anatomy and physiology Medicare policies, LCD's, NCD's Detail oriented with ability to complete and meet end of month deadlines Reports: Practice Administrator Supervises: None Qualifications:...

Job Description Job Description Location: Raymond Diehl Area/Department: Finance Hours per week: 40 F/T or P/T status: Full Time Work schedule/hours: Based upon the company's needs, weekly work schedule may vary between M-F 8 am - 5:30 pm Job Summary: This role will provide coding quality auditing services and evaluate clinical documentation to ensure accurate coding. This position is responsible for timely communication of identified quality issues concerning documentation and coding. The ultimate goal is improvement in coding accuracy. The minimum productivity goal is set by project with an expectation of minimum 95% accuracy rate. Minimum Qualifications: High School diploma or equivalent required. Associate's degree or equivalent from two-year college or technical school preferred. AAPC/AHIMA certification and at least 1 year of previous coding experience required. Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC) preferred....