11 jobs found in West Palm Beach

Job Description Job Description Position Summary The Medical Billing & Coding Specialist is responsible for accurate medical coding, timely claim submission, and effective follow-up to ensure optimal reimbursement. This role plays a critical part in the revenue cycle by preparing, reviewing, and submitting clean claims, resolving unpaid or denied claims, and maintaining compliance with coding and payer requirements. The ideal candidate is detail-oriented, self-motivated, and experienced in working with a variety of insurance plans. Key Responsibilities Prepare, review, and submit clean claims to insurance carriers electronically in a timely manner. Review and correct denied or unpaid claims and resubmit as appropriate. Identify, investigate, and resolve billing discrepancies and payer issues. Apply accurate CPT codes, ICD-10 diagnoses, and appropriate modifiers in accordance with payer guidelines. Perform account follow-up and manage appeals to ensure...

A leading medical services company is seeking a CPC certified medical coder to perform audits and utilization reviews. This role requires strong Texas-based coding experience and the ability to support legal cases through expert testimony. Candidates should have at least 5 years of coding experience, excellent documentation skills, and familiarity with Texas Medicaid policies. This position may be part-time based on qualifications and is open to Texas residents only. #J-18808-Ljbffr

Pelvic Rehabilitation Medicine in West Palm Beach, FL is seeking a Medical Billing Representative to join our Revenue Cycle team. The role focuses on billing, collections, and denials management across states, with a central billing office in West Palm Beach. The position offers hourly pay of $19-$21, with benefits including health, vision, dental, PTO, FSA, and potential for bonus. Strong communication and analytical skills are essential to improve claim resolution and cash flow. #J-18808-Ljbffr

Overview Calling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for highly motivated Coders, bill reviewers, and payment integrity reviewers to join our team. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential. Job Summary: A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct. You will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines. Core Duties & Responsibilities Evaluates the appropriateness of codes and determine whether they meet all established program standards Ensures that the medical records are matched appropriately to the codes and if not, obtains them...

Review E/M services under 2021+ guidelines MUST RESIDE IN TEXAS AND HAVE CODING AND AUDITING EXPERIENCE. Counter Affidavit as well as Testimony experience is preferred. Requirements We are seeking an experienced CPC certified medical coder to perform coding audits, utilization reviews, audits and more. We are looking for someone who can provide litigation support including deposition and testimony services when needed. The ideal candidate must have strong Texas based coding experience and a thorough understanding of medical necessity, documentation compliance, and payer audit defense. Counter Affidavit experience is preferred. Responsibilities Perform detailed medical coding audits (ICD-10-CM, CPT, HCPCS) Conduct utilization reviews to determine medical necessity and documentation compliance Review and prepare demand packages and audit response materials Analyze records for payer disputes and recoupmentsPrepare written audit findings and defensible reports Provide expert...

Become a part of our caring community and help us put health first The IPA Consultative Coding Professional provides medical coding expertise and consultative support to Independent Practice Association (IPA) affiliates nationwide. These affiliates include MSO‑contracted independent providers. You will be the primary coding and documentation resource for assigned providers, supporting accuracy, compliance, and performance in risk adjustment and value‑based care initiatives. You will analyze trends, triage, and answer questions in real‑time, as well as research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. Location: West Palm Beach 33406 Relationship Management and Provider Support Be the primary contact for assigned IPA providers for all coding and documentation‑related inquiries. Build consultative relationships with providers to support continuous improvement in coding accuracy and documentation practices. Deliver...

Become a part of our caring community Become a part of our caring community and help us put health first The IPA Consultative Coding Professional provides medical coding expertise and consultative support to Independent Practice Association (IPA) affiliates nationwide. These affiliates include MSO-contracted independent providers. You will be the primary coding and documentation resource for assigned providers, supporting accuracy, compliance, and performance in risk adjustment and value-based care initiatives. You will analyze trends, triage, and answer questions in real-time, as well as research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. As an IPA Consultative Coding Professional, we will assign you a panel of up to 30 providers within a defined market or region. You will deliver ongoing education, support coding workflows, and ensure agreement on organizational documentation and coding standards, while...

Summary MRTs are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. These coding practitioners analyze and abstract patients. health records and assign alphanumeric codes for each diagnosis and procedure. Responsibilities THIS IS AN ON SITE POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION Duties of the Medical Records Technician (Coder) In/Outpatient include, but not limited to: Assigns codes to documented patient care encounters (outpatient and/or inpatient professional services) covering the full range of health care services provided by the VAMC. Selects and assigns codes from the current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS). Adheres to...

Medical Coding Professional 2 The IPA Consultative Coding Professional provides medical coding expertise and consultative support to Independent Practice Association (IPA) affiliates nationwide. These affiliates include MSO-contracted independent providers. You will be the primary coding and documentation resource for assigned providers, supporting accuracy, compliance, and performance in risk adjustment and value-based care initiatives. You will analyze trends, triage, and answer questions in real-time, as well as research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. As an IPA Consultative Coding Professional, we will assign you a panel of up to 30 providers within a defined market or region. You will deliver ongoing education, support coding workflows, and ensure agreement on organizational documentation and coding standards, while collaborating with STARS leaders and champions to identify STARS gaps and deficiencies....

Benefits: Bonus based on performance Competitive salary Opportunity for advancement Paid time off Relocation bonus Training & development Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Medical Biller to join our team! As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and attorneys to obtain records, and accurately record patient information. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone. Must have experience with Personal Injury Billing. Responsibilities Assist clients with processing insurance claims...

Job Type Full-time Description JOB TITLE: Medical Billing Representative LOCATION: West Palm Beach, FL DEPARTMENT: Revenue Cycle SALARY: $19 - $21 hour BENEFITS: Health, Vision and Dental, Paid holiday and PTO, FSA, High income potential with base and bonus structure, etc. We are looking for a motivated Medical Billing Specialist to be a part of our growing team. Duties and Responsibilities: Manage billing and collections success for multiple medical practices operating in different states from our central billing office in West Palm Beach. Identify denial trends and manage appeals. Be able to identify, articulate, address and demonstrate root cause of non-payment or underpayment. Be accountable to management for collections and accounts receivable of assigned practices. Rejection and Denial management. Answering medical record requests related to claim resolution. Office communication ( frequent) Additional duties as assigned...