9 profee coder jobs found in St. Petersburg, FL

Job Description Job Description Description: The Professional Fee (ProFee) Coder is responsible for reviewing provider documentation and assigning accurate CPT, HCPCS, and ICD-10-CM codes for physician services. This role supports compliant coding, accurate charge capture, and overall revenue integrity across a variety of specialties and client environments. Coders may support single-specialty or multi-specialty engagements depending on client needs and experience. Requirements: Core Responsibilities (Sage Standards) Review provider documentation to assign accurate CPT, HCPCS, and ICD-10-CM codes Ensure documentation supports coded services and identify discrepancies Apply appropriate modifiers, NCCI edits, and payer-specific coding rules Ensure compliance with CMS, AMA, and payer guidelines Maintain =95% coding accuracy and meet established productivity standards Identify documentation gaps and escalate for clarification when needed Participate in quality...

Job Description Job Description Description: Role Summary Responsible for reviewing provider documentation and assigning accurate CPT, HCPCS, and ICD-10-CM codes for physician services. This role supports compliant coding, accurate charge capture, and overall revenue integrity across a variety of specialties, supporting single-specialty or multi-specialty engagements. Core Responsibilities Review provider documentation to assign accurate CPT, HCPCS, and ICD-10-CM codes. Ensure documentation supports coded services and identify/escalate discrepancies or gaps. Ensure compliance with CMS, payer-specific rules, and official coding guidelines (including AMA and NCCI edits). Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards. Requirements: Minimum Qualifications Credentials: CPC, CCS-P, RHIA, or RHIT (active and in good standing). Experience: Minimum 2–3+ years professional fee coding experience. Experience in...

Sage Clinical RCM, LLC is seeking a Professional Fee Coder to ensure accurate coding for physician services across various specialties. This role involves reviewing provider documentation and adhering to coding guidelines to maintain high standards of compliance and accuracy. The ideal candidate will have experience in coding and a relevant certification, demonstrating knowledge of CPT, HCPCS, and ICD-10-CM. This position offers a fully remote work environment with the opportunity for career advancement. #J-18808-Ljbffr

Sage Clinical RCM, LLC is seeking a Professional Fee Coder to ensure accurate coding for physician services across various specialties. This role involves reviewing provider documentation and adhering to coding guidelines to maintain high standards of compliance and accuracy. The ideal candidate will have experience in coding and a relevant certification, demonstrating knowledge of CPT, HCPCS, and ICD-10-CM. This position offers a fully remote work environment with the opportunity for career advancement. #J-18808-Ljbffr

Job Description Job Description Description: Position Overview The Professional Billing Coder – Vascular Surgery is responsible for accurate coding of professional services related to vascular procedures. This role supports compliant billing practices and contributes to revenue integrity and audit readiness. Requirements: Key Responsibilities Assign accurate CPT, HCPCS, and ICD-10-CM codes for vascular surgery procedures Review operative and procedural documentation for coding accuracy and completeness Apply appropriate modifiers and NCCI edits • Ensure adherence to CMS, AMA, and payer guidelines Maintain accuracy and productivity standards in a high-volume environment Support internal audits and quality improvement initiatives Required Qualifications Minimum 2+ years of professional billing coding experience Proven experience with vascular surgery coding Strong knowledge of CPT, ICD-10-CM, modifiers, and NCCI edits CPC or equivalent certification...

Medical Coder Certified The Medical Coder Certified is responsible for accurate coding, charge verification, and data abstraction necessary for billing in various professional healthcare settings. Works from the appropriate documentation in the medical record. Classification systems include ICD-10, CPT, HCPCS, as well as other specialty systems as required by diagnostic category. This position plays a critical role in ensuring compliance with established coding guidelines and regulations to guarantee proper reimbursement. Qualifications Required: High School Diploma or GED Certification Certified Professional Coder - CPC Or Certified Coding Specialist Physician - CCS-P Work Experience and Additional Information Minimum of two (2) years in practical coding experience is required. Coders are held to high standard; best practices are to achieve a greater than 95% accuracy rate during coding assessments. Primary Location: Tampa Work Locations: USF Faculty Office Building 13220...

Blackstone Medical Services is a leader in healthcare services, specializing in at-home sleep testing for sleep apnea. Our mission is to provide exceptional service to our clients while ensuring compliance and efficiency in all operations. Position Summary The Medical Billing Specialist is responsible for managing the billing and reimbursement cycle for sleep testing services. This role ensures accurate claim submission, proper follow-up with insurance companies, and resolution of billing discrepancies to maximize revenue and maintain compliance with payer requirements. Key Responsibilities Prepare, review, and submit clean claims to insurance companies in a timely manner. Verify insurance eligibility and benefits for patients prior to services being rendered. Post payments, adjustments, and denials accurately into the billing system. Follow up on unpaid or denied claims, working with insurance representatives to resolve issues. Communicate with patients regarding billing...

Job Description Job Description The Medical Billing Specialist plays a crucial role in healthcare financial operations by managing patient billing processes and ensuring accurate and timely reimbursement from insurance companies and patients. This role requires expertise in medical billing systems, coding accuracy, and strong communication skills to interact with healthcare providers and payers effectively. Responsibilities Process and review medical claims for accuracy and compliance with insurance requirements Submit claims to insurance companies and follow up on unpaid or denied claims Verify patient insurance coverage and eligibility Maintain accurate patient billing records and documentation Follow up on unpaid or denied claims through effective collection strategies. Assist in resolving billing inquiries from patients and insurance companies promptly and professionally. Collaborate with healthcare providers to ensure correct coding and billing...