North Florida Surgeons

Job Description Job Description Description: General Summary of Duties: Apply advanced coding knowledge to submit claims on behalf of the company for services rendered by providers within the organization as assigned. The Certified Coder will serve as the knowledge base for coding assistance to physician and staff and provide training on new and changing coding policies from government and commercial carriers. Essential Duties: (This list may not include all of the duties assigned.) Apply accurate coding to submit initial clean claims to insure prompt and accurate payment exercising compliance in accordance with CPT, government and carrier policy and guidelines. Maintains claim submission and carrier response within timely filing limits set forth by the carrier and/or carrier contracts. Maintains current levels of account aging for assigned offices. Maintains productivity and quality standards as set by company. Reviews accounts for proper reimbursement from carriers and...

General Summary of Duties: Apply advanced coding knowledge to submit claims on behalf of the company for services rendered by providers within the organization as assigned. The Certified Coder will serve as the knowledge base for coding assistance to physician and staff and provide training on new and changing coding policies from government and commercial carriers. Essential Duties: (This list may not include all of the duties assigned.) Apply accurate coding to submit initial clean claims to insure prompt and accurate payment exercising compliance in accordance with CPT, government and carrier policy and guidelines. Maintains claim submission and carrier response within timely filing limits set forth by the carrier and/or carrier contracts. Maintains current levels of account aging for assigned offices. Maintains productivity and quality standards as set by company. Reviews accounts for proper reimbursement from carriers and patients. Submits adjustment requests for...

North Florida Medical Services (located in Mandarin/Jacksonville, FL) is a growing management services organization which provides revenue cycle services to multiple surgical group practices. Our growing company is in need of a Medical Coding Auditor to help conduct quality reviews of both clinical and non-clinical professionals. We are looking for an energetic, results driven auditor who shares our passion for process effectiveness, continuous improvement, quality, and ongoing education of our providers and staff members on coding matters. Top responsibilities include: 1. Works with Coding and Compliance Manager to schedule and conducts focused retrospective quality reviews of physicians, mid-levels, and both internal and external coders. 2. Works with Coding and Compliance Manager to assure coding accuracy is monitored and education provided based on the results of the coding reviews. 3. Prepares reports for management review and identifies trends. 4. Reviews are to...