5 jobs found

Job Summary The Professional Fee Coder (ProFee) is responsible for reviewing provider documentation and assigning accurate ICD-10-CM, CPT, and HCPCS Level II codes for physician professional services. This role supports compliant coding, timely charge capture, and clean claim submission in accordance with current AMA, CMS, NCCI, and payer guidelines. Specialty Experience Required At least three years of recent professional fee coding experience, including direct, recent experience in all of the following areas: Inpatient neonatal and NICU coding Pediatric coding Neonatal and pediatric critical care coding Responsibilities Include, but Are Not Limited To Review provider documentation and assign accurate ICD-10-CM, CPT, HCPCS Level II codes, and applicable modifiers for professional fee services. Select appropriate Evaluation and Management levels based on current MDM and time guidelines and ensure documentation supports code selection. Apply neonatal...

Risk Adjustment Coder, Auditor and Educator Location:   West Palm Beach, FL (On-site/Local — Multi-Site Primary Care Medical Group)   Job Type:   Full-Time   Department:   Coding & Risk Adjustment / Clinical Quality About the Role Our multi-site primary care medical group is seeking an experienced   MRA Coder and Educator   to lead risk adjustment coding education and training across our West Palm Beach–area clinics. This role is central to ensuring accurate, complete, and compliant HCC/risk adjustment documentation and coding practices among our primary care providers and clinical staff. The ideal candidate is both a   coding subject matter expert   and a   skilled communicator and presenter   — someone who can translate complex risk adjustment concepts into clear, actionable training that resonates with busy physicians and site-level management, while building strong, trust-based relationships across the organization. Key Responsibilities...

Seeking Certified Medical Coder (CPC or similar) to coordinate our quality programs.  Work with payers to ensure we are identifying and closing care gaps, meeting HEDIS and MIPS measures.  Provide provider and staff education.  Work with our business office to identify and train staff and providers on emerging patterns of denials due to ICD10, CPT and CPT2 coding.  Make sure HCCs and appropriate chronic conditions have been addressed.  Be the liason with our payer population health reps and our ACO.   Excellent benefit package:  We pay 100% of employee Health, Dental, Vision, LTD, $50k Life Ins.policies.  Also STD, Accident, Cancer and Critical Illness policies available.  Bonuses paid in June and December.  Internal Medicine has 2 retirement programs (a profit sharing plan and a 401k) and contributes to both on behalf of the employee.  The employee can also contribute to the 401k on a pre-tax basis.  

Medical Billing Supervisor will handle the daily operation of the billing department for a private practice with 8 providers.    Responsibilities include but are not limited to the following:  Ensure posting and collections of all billable encounters are completed in an accurate and filed in a timely manner. Manage changes in billing and coding environments as they occur through each payor source including Medicaid, Commercial, and Private Pay. Train billing and clinical staff in use of new codes Ensure that current fee schedules and billing manuals are being used for all payers billed while adhering to all organizational billing policies and procedures. Monitor, track and handle systems for billing (e.g. claim rejection) and provide detailed bi-weekly reports. Monitor aged accounts on a continuous basis working with staff to address oversights or problems within payers and patients. Ensure staff follow the process to work unpaid claims Maintain EHR user status...