16 cpc certified professional coder jobs found in Miami, FL

Amtex Systems Inc is an information technology and talent solutions company offering talent and BI consulting to the companies in US for over 20 years. Our solutions are designed to fill resource gaps, by providing the right candidates who deliver value to the organization. Our propensity to nurture and build strong relationships with our clients helps us better understand their business demands and gives us the ability to provide services that are on time and rise above the rest. We are urgently looking for Rx Claim coders for one of our healthcare client. Multiple positions open 100% REMOTE Must have experience Rx claims experience in most recent project Responsibilities Responsible for adjudicating all CoPay Assist Rx claims electronically. Responsible for adjudicating all Rx claims and billing. Build, maintain, and audit benefits in RxClaim Automated and manual testing using RxClaim Run patient Rx claim to get paid, and contact them for co-pay amount RXCLAIM And...

Job Description Job Description At Viva Mas Medical Centers, we are guided by the saying “The Hands that Care for You.” We are growing and are looking for great people to join our mission! En los Centros Médicos Viva Más, nos guiamos por el lema “Las manos que te cuidan”. ¡Estamos creciendo y buscamos personas buena para unirse a nuestra misión! We currently have an opportunity for a Risk Adjustment Coder for our Kendall location. Position Overview: We are seeking a skilled and detail-oriented Risk Adjustment Coder to join our dynamic team. As a Risk Adjustment Coder, you will be responsible for accurately coding and documenting medical records to ensure that our organization receives appropriate reimbursement for services rendered. You will closely collaborate with healthcare providers, coding auditors, and billing teams to ensure compliance with coding guidelines and successfully identify and document all relevant diagnoses for risk adjustment purposes. The...

Job Description Job Description Responsibilities for Medical Coder Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes. Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations. Follow up with the provider on any documentation that is insufficient or unclear. Communicate with other clinical staff regarding documentation. Search for information in cases where the coding is complex or unusual. Receive and review patient charts and documents for accuracy. Review the previous day's batch of patient notes for evaluation and coding. Ensure that all codes are current and active. Benefits Excellent health and dental insurance coverage Free vision, life, and hospital gap insurance 12 paid holidays Paid Time Off 401K with company match up to 4% Requirements: Must have experience in medical claims processing and adjudication,...

Job Description: The primary purpose of this position is to provide coding and report design expertise in support of client and team objectives. This self-driven person will be responsible for delivering coding and report design expertise in support of client and team objectives. Work will include enhancements to existing code, support changes, and new development, as assigned. A person in this position will work with development team members to modify and design new reports based on database tables, provide thorough documentation of report requirements as it relates to business processes, track report change requests and deliver products in an agile environment. This individual will set goals by identifying requirements, use cases, and tests, estimating hours required for business analysis and task completion, and ensure clear communication regarding components to be delivered to the business. Communication with...

Must Haves: Must have an active coding certification and 0-3 years of coding experience: Full list of accepted certs AHIMA CCS (Certified Coding Specialist) AAPC (Verify at AAPC Credential Verification, CPC Certification Verification) CPC (Certified Professional Coder) CPC-A (Certified Professional Coder Apprentice) CRC (Certified Risk Adjustment Coder) CCA (Certified Coding Associate) HCC/Risk Adjustment Coding experience ICD-10 proficiency/certification Production driven coding experience Must be able to commit to working 40+ hours per week and seasonal overtime, no part time jobs allowed Access to a private home office and high speed internet if Onshore Ability to commute to the Manilla, Philippines office if Offshore Plusses: Experience working in a remote setting Experience working in a production driven environment CPT Coding experience National RAD-V/HEDIS abstraction experience Clinical Care or Managed Care experience...

Overview: Cano Health fosters a culture driven by providing superior primary care services in the communities we serve, while forming lifelong bonds with our members. Driven by our mission to improve the health, wellness, and quality of life of our patients, Cano Health continues to work towards making a difference in primary healthcare. At Cano Health , our service focused, patient-centered, and proactive approach to care succeeds because of the commitment, hearts, and minds of our people. Our values and guiding principles provide purpose to create meaningful change in the lives of our patients, with a leadership approach that empowers our people to directly contribute to the success of our health and wellness efforts. The Cano Movement is proof of what people with a passion for healthcare can accomplish. Join the Cano Movement! The movement that doesnt just offer a job, it offers an opportunity to serve and grow with purpose. At Cano Health, you can join a...

Overview: Cano Health fosters a culture driven by providing superior primary care services in the communities we serve, while forming lifelong bonds with our members. Guided by our mission to improve the health, wellness, and quality of life of our patients, Cano Health continues to work towards making a difference in primary healthcare. At Cano Health, our cultural attributes are to be patient centered, service focused, results oriented, trustworthy, transparent, and to continuously improve. Join our collaborative team, dedicated to the pursuit of excellence in health and wellness. Cano Health offers competitive salaries, medical, dental & vision insurance, employee mental health program, paid time off, paid holidays, 401(k) with employer match, employee stock purchase program, tuition reimbursement and much more. The Risk Adjustment Coder will identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical...

Job Description Job Description   Job Description A certified professional biller/coder (CPC) Salary 15-25 base on expertise and experience Responsibilities: · Overseeing the medical coding for all healthcare activities · Ensure that medical coding used is in compliance with all medical coding laws and regulations · Ensure that the coding used is for reimbursable expenses when necessary · Provide regular coding, Home Health coding, or hospital coding as appropriate · Communicating with patients regarding rejected claims or procedures · Interact with doctors, nurses, and office staff · Able to work during regular business hours and rarely work overtime or weekends as necessary · Responsible for entering charges in as accurate a manner as possible, which means coordinating with the doctor’s office to obtain any missing information (i.e., insurance cards, authorizations, op reports, etc.) Knowledge of correct CPT coding and ICD10 coding · CPR bills all types of...

Job Description Job Description Job Summary As an MRA Comprehensive Review Coder, you will play a vital role in ensuring accurate and complete medical documentation coding for Medicare Risk Adjustment (MRA) purposes. Your primary responsibility will be reviewing medical records, extracting relevant information, and assigning appropriate diagnosis codes following established guidelines. Your coding expertise will directly impact the accuracy of risk adjustment data, which is crucial for proper reimbursement and quality reporting. Attention to detail, proficiency in coding systems, and adherence to compliance regulations are essential for success in this role. Job Responsibilities: Review and analyze medical records to identify diagnoses, procedures, and relevant clinical information necessary for MRA coding. Complete a sample audit of progress notes, populate information in Excel spreadsheet and provide feedback to physician regarding the documentation and coding...

; ; Summary: Reviews medical record documentation. May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance. ; Detailed responsibilities: •Reviews medical record documentation to determine all appropriate diagnostic, procedural and modifier code assignments. For hospital coding, reviews medical record documentation (i.e., provider orders); may code outpatient diagnostic and therapeutic encounters requiring minimal procedural coding. •May assign and sequence diagnostic, CPT (Current Procedural Terminology) procedure codes (minimal) and modifiers based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP) guidance in encoder software and/or department coding policies and procedures. Using encoder, reviews Ambulatory Payment Classifications (APC) and Enhanced...

; ; Summary: Reviews medical record documentation to assign ICD-10 CM codes to complex diagnoses and CPT codes and modifiers to procedures for outpatient encounters to ensure proper coding, billing and compliance. ; Detailed responsibilities: •Reviews encounters to assign and sequence appropriate diagnoses and procedure codes as well as modifiers to complex diagnostic and surgical encounters in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP), guidance in encoder software and HIM coding policies and procedures. •Using encoder, reviews Ambulatory Payment Classifications (APC) and Enhanced Ambulatory Patient Groups (EAPG) assignments. Reviews coding edits. Reviews Local Coverage Determination (LCD) edits and guidance for codes meeting medical necessity. Researches electronic medical record for any additional diagnoses documented to meet medical necessity. •Seeks clarification from healthcare providers or other designated resources...

HealthStone Primary Care Partners is hiring qualified medical risk coders to be part of their growing organization. HealthStone is located in Hollywood, FL and currently consist of 12 locations and over 30 primary care providers. This position is a fulltime, 'Hybrid' position in which the risk coder will work both remotely and onsite as part of the coding and compliance team. HealthStone promotes a team environment. Responsibilities Assign appropriate ICD–10-CM codes, mapping to risk adjustment models as applicable. Assign Event codes when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes. Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines. Comply with HIPAA laws and regulations. Maintain quality and production standards required by company - all medical coders must maintain minimum QA passing requirements....

We are looking for a certified medical biller. Experience in Orthopedics is a plus. We are looking for part-time and full-time billers We are also looking for interns Salary based on experience Monday - Friday ***THIS IS NOT A REMOTE POSITION***

CSI Companies is collaborating with a renown revenue cycle services organization to find a Remote Inpatient Coder to join their expanding team. Our client has partnered with one of the nation's largest healthcare and hospital systems, with a strong commitment to delivering the best patient care and experience! Location: Remote within the US (Excluding California & Colorado) Compensation: $23-29/hour based on experience Hours: Flexible scheduling - 40 hours/week Primary Responsibilities: Assign ICD-10-PCS codes and ICD-10-CM codes as needed. Review and evaluate hospital inpatient medical records. Handle coding quality edits and customer complaints related to potential coding errors. Minimum Qualifications: Minimum of 1 year of acute care hospital inpatient coding required RHIT, RHIA, or CCS certification required IP (hospital) DRG coding for acute care background ICD-10-CM and ICD-10-PCS coding technical skills Benefits Offered...

Job Description Job Description We are looking for an upbeat, energetic, experienced, medical biller/coder to join our growing office. ChiroCare of Florida is a multi-disciplinary MSO servicing medical practices in the pain, injury & wellness space. Headquartered in beautiful Pompano Beach, we are a busy, fast-paced office experiencing high growth and looking for the right person to join our team! Experience in medical billing is required, and prior experience in orthopedic surgical coding is preferred, but not mandatory. Must be team-oriented and excited to contribute to a growing company. Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing Applies payments and adjustments to patient accounts Follow up with insurance payers for processing of appeals and errors Provide and maintain Notice of Initiation of Treatment timelines Maintain current understanding of applicable coding guidelines, state and...

Job Description Job Description Premier Medical Center, a prestigious and state-of-the-art medical facility located in the beautiful city of Boca Raton, FL, is seeking a skilled and dedicated Medical Biller/Check-In Check-Out Clerk to join our dynamic team. If you have a passion for providing exceptional customer service and possess excellent organizational and billing skills, this is an outstanding opportunity to work in a high-end medical center known for its commitment to excellence. Responsibilities: Handle patient check-in and check-out processes, ensuring accuracy and efficiency. Verify and update patient demographic information, insurance details, and medical history. Schedule patient appointments and coordinate with healthcare providers to optimize the patient flow. Collect co-pays, deductibles, and outstanding balances, providing clear explanations of payment responsibilities. Prepare and submit medical claims to insurance companies, following proper coding and...