64 professional billing jobs found in St. Petersburg, FL

Job Description Job Description Description: Position Overview The Professional Billing Coder – Surgical Specialty is responsible for accurate and compliant coding of physician professional services for complex surgical procedures. This role supports timely claim submission, regulatory compliance, and revenue integrity within a hospital-based professional billing environment. Requirements:   Key Responsibilities Assign accurate CPT, HCPCS, and ICD-10-CM codes for cardiothoracic and other special surgical services  Review operative reports, clinic notes, and supporting documentation to ensure complete and compliant coding  Apply appropriate modifiers, bundling rules, and NCCI edits  Ensure compliance with CMS, AMA, and payer-specific billing guidelines • Identify documentation gaps and communicate clarification needs as appropriate  Meet established productivity and quality standards • Participate in internal quality reviews and audits as required Required...

Job Description Job Description Description:   Position Overview The Professional Billing Coder – Cardiothoracic / Special Surgical is responsible for accurate and compliant coding of physician professional services for complex surgical procedures. This role supports timely claim submission, regulatory compliance, and revenue integrity within a hospital-based professional billing environment. Requirements:   Key Responsibilities Assign accurate CPT, HCPCS, and ICD-10-CM codes for cardiothoracic and other special surgical services  Review operative reports, clinic notes, and supporting documentation to ensure complete and compliant coding  Apply appropriate modifiers, bundling rules, and NCCI edits • Ensure compliance with CMS, AMA, and payer-specific billing guidelines  Identify documentation gaps and communicate clarification needs as appropriate  Meet established productivity and quality standards  Participate in internal quality reviews and audits as required...

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...

Sage Clinical RCM, LLC is looking for a Professional Billing Coder – Surgical Specialty in Florida. This remote role involves accurate coding of complex surgical procedures to ensure compliance and timely claims. Candidates should have at least 2 years of billing coding experience, strong knowledge of coding guidelines, and a CPC certification preferred. Join a quality-driven culture that supports healthcare organizations nationwide and values accuracy without unreasonable productivity expectations. #J-18808-Ljbffr

Sage Clinical RCM, LLC is seeking a Professional Billing Coder for Vascular Surgery in the United States. This role involves accurate coding of professional services, ensuring adherence to billing practices and guidelines, while contributing to revenue integrity. Candidates must have over 2 years of coding experience, particularly in vascular surgery, and a relevant certification is preferred. Join us to support leading healthcare organizations in a collaborative and quality-driven culture with flexible work hours. #J-18808-Ljbffr

Sage Clinical RCM, LLC is seeking a Professional Billing Coder for Vascular Surgery in the United States. This role involves accurate coding of professional services, ensuring adherence to billing practices and guidelines, while contributing to revenue integrity. Candidates must have over 2 years of coding experience, particularly in vascular surgery, and a relevant certification is preferred. Join us to support leading healthcare organizations in a collaborative and quality-driven culture with flexible work hours. #J-18808-Ljbffr

Sage Clinical RCM, LLC is looking for a Professional Billing Coder – Surgical Specialty in Florida. This remote role involves accurate coding of complex surgical procedures to ensure compliance and timely claims. Candidates should have at least 2 years of billing coding experience, strong knowledge of coding guidelines, and a CPC certification preferred. Join a quality-driven culture that supports healthcare organizations nationwide and values accuracy without unreasonable productivity expectations. #J-18808-Ljbffr

Join Our Thriving Pediatric Orthopaedic Group! Are you a detail-oriented insurance collector passionate about ensuring accurate billing in a fast-paced environment? We are seeking a highly motivated Billing Specialist to join our revenue cycle management team and play a vital role in bringing patient accounts to a zero balance. In this role, you will oversee the billing process for healthcare services, ensuring accurate claim submissions and full payment collection. Your responsibilities will include reviewing rejected claims, making justified adjustments, handling appeals for denied or underpaid claims, creating monthly Accounts Receivable reports, and resolving issues with provider representatives. Independently: Analyze claim denials and take corrective action, including corrected claims, reconsiderations, and appeals. Apply accurate adjustments based on insurance guidelines and contracts. Manage secondary insurance and patient responsibility. Collaboratively:...

Physician Coding Education SpecialistPerforms, develops, and implements coding related efficiency processes to monitor professional coding to ensure optimal efficiency and follow the controlling compliance guidelines with governmental and private payers. The Physician Coding Education Specialist is responsible for analyzing physician coding trends and providing educations that will contribute to effective productivities.Responsibilities Essential Functions:Responsible for internal auditing and analyzing professional coding for all service lines.Guide and educate coding team members by addressing errors, performance issues, and trends identified through reporting.Takes an active role in developing and presenting educational programs to physicians, physician extenders, and physician offices.Effectively communicates best practice physician coding related feedback with physicians, non-physician providers, physician office staff, administration, practice managers, and team members of...

Join Our Thriving Pediatric Orthopaedic Group!Are you a detail-oriented insurance collector passionate about ensuring accurate billing in a fast-paced environment? We are seeking a highly motivated Billing Specialist to join our revenue cycle management team and play a vital role in bringing patient accounts to a zero balance.Role OverviewIn this role, you will oversee the billing process for healthcare services, ensuring accurate claim submissions and full payment collection. Your responsibilities will include reviewing rejected claims, making justified adjustments, handling appeals for denied or underpaid claims, creating monthly Accounts Receivable reports, and resolving issues with provider representatives.What You'll DoIndependently: Analyze claim denials and take corrective action, including corrected claims, reconsiderations, and appeals.Apply accurate adjustments based on insurance guidelines and contracts.Manage secondary insurance and patient...

Join Our Thriving Pediatric Orthopaedic Group! Are you a detail-oriented insurance collector passionate about ensuring accurate billing in a fast-paced environment? We are seeking a highly motivated Billing Specialist to join our revenue cycle management team and play a vital role in bringing patient accounts to a zero balance. Role Overview In this role, you will oversee the billing process for healthcare services, ensuring accurate claim submissions and full payment collection. Your responsibilities will include reviewing rejected claims, making justified adjustments, handling appeals for denied or underpaid claims, creating monthly Accounts Receivable reports, and resolving issues with provider representatives. What You'll Do Independently: Analyze claim denials and take corrective action, including corrected claims, reconsiderations, and appeals. Apply accurate adjustments based on insurance guidelines and contracts. Manage secondary insurance and patient responsibility....

Join Our Thriving Pediatric Orthopaedic Group! Are you a detail-oriented insurance collector passionate about ensuring accurate billing in a fast-paced environment? We are seeking a highly motivated Billing Specialist to join our revenue cycle management team and play a vital role in bringing patient accounts to a zero balance. Role Overview: In this role, you will oversee the billing process for healthcare services, ensuring accurate claim submissions and full payment collection. Your responsibilities will include reviewing rejected claims, making justified adjustments, handling appeals for denied or underpaid claims, creating monthly Accounts Receivable reports, and resolving issues with provider representatives. What You\'ll Do Independently: Analyze claim denials and take corrective action, including corrected claims, reconsiderations, and appeals. Apply accurate adjustments based on insurance guidelines and contracts. Manage secondary insurance and patient...

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...

Join Our Thriving Pediatric Orthopaedic Group! Are you a detail-oriented insurance collector passionate about ensuring accurate billing in a fast-paced environment? We are seeking a highly motivated Billing Specialist to join our revenue cycle management team and play a vital role in bringing patient accounts to a zero balance. Role Overview In this role, you will oversee the billing process for healthcare services, ensuring accurate claim submissions and full payment collection. Your responsibilities will include reviewing rejected claims, making justified adjustments, handling appeals for denied or underpaid claims, creating monthly Accounts Receivable reports, and resolving issues with provider representatives. What You'll Do Independently: Analyze claim denials and take corrective action, including corrected claims, reconsiderations, and appeals. Apply accurate adjustments based on insurance guidelines and contracts. Manage secondary insurance and patient responsibility....

Medical Billing Supervisor Location: 12490 Ulmerton Rd., Largo, FL Schedule: Monday - Friday 8am to 5pm This position performs complex, technical, analytical, and financial work specializing in supervising a variety of functions associated with the execution of an ambulance billing revenue cycle. Competences and functions include: Execution of the Emergency Medical Services (EMS) medical billing system with emphasis on ensuring funds due to the County are received from public and private insurance companies, including The Center for Medicare and Medicaid Services (CMS); Monitoring the quantity and accuracy of activities performed by subordinate staff; Development of work plans; Developing and maintaining performance standard associated with various functions; Appropriately apply Pinellas County Human Resource Rules and Departmental policies and procedures; Resolving elevated complaints from the public and professional partners; Coordination with the County Attorney’s Office as...

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : Complete in as short as a few weeks to a few months Online and in-person options available Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available to...

Are you a highly organized professional with a strong background in medical office billing? Do you thrive in a dynamic environment where attention to detail is your top priority? PrideStaff, a nationally recognized staffing firm, is currently seeking a Healthcare Billing Coordinator on behalf of a highly respected, established healthcare services organization. In this role, you will be the administrative backbone of the financial department. We are looking for an organizational powerhouse who deeply understands the lifecycle of billing in a medical office, can oversee accounts, and ensures that nothing falls through the cracks. WHAT YOU WILL DO Manage and oversee the daily billing operations and workflows for a busy healthcare office environment Coordinate seamlessly with the outsourced medical coding team to ensure accurate and timely claim submissions Track accounts receivable, process incoming payments, and confidently follow up on outstanding balances Review patient...

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : Complete in as short as a few weeks to a few months Online and in-person options available Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available to...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Certified Coder Full Time Admin - IC Clearwater, FL, US 3 days ago Requisition ID: 3213 Join Evara Health—Driven by Purpose, Powered by People. Evara Health provides essential, high-quality care to the communities who need it most through 17 centers and mobile units offering primary care, dental, behavioral health, pediatrics, and more. Evara Health is recognized for its innovative, team-based approach, commitment to community health, and dedication to making healthcare accessible for all. Our people fuel our impact. Team members come for the purpose and stay for the supportive culture and strong, community-focused teams. Build a career that goes beyond a job—it changes lives. About this Role: Medical Coding & Charge Review Review and validate diagnosis and procedure codes to ensure accuracy, compliance, and...

Overview The purpose of the Medical Biller is to help our clients correctly bill their insurance companies for the services they receive at Bayside Urgent Care Center. This role helps patients understand their insurance coverage and billings, and it helps the urgent care by ensuring we are paid for our services. It is an essential urgent care job. Responsibilities Create accurate, formally correct insurance claims and send these claims to insurance companies for reimbursement. Be familiar with and able to perform duties with electronic billing software and practice management systems, including electronic and paper claim processing and clearinghouses. Have familiarity with and be able to perform duties with all claim formats for major payers (e.g., BCBS and other private payers, Medicare, Medicaid, TRICARE, workers’ compensation, and disability organizations); adjust claims as required. Obtain referrals and pre-authorizations as required for procedures. Verify that...

Joining AdventHealth Being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits Schedule: Full time Shift: Day (United States of America) Address: 1919 E Hwy 50 City: Clermont State: Florida Postal Code: 34711 Job...

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 or GED Certification Certified Professional Coder - CPC 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 practice is to achieve a greater than 95% accuracy rate during coding assessments. Primary Location Tampa Work Locations USF Faculty Office Building 13220 USF...

Under general supervision and in accordance with established policies, procedures, and professional guidelines, the Medical Auditor performs detailed medical record reviews to validate the accuracy of charge capture, hospital billing and ensure compliance with departmental charge policies and regulatory requirements. This role identifies billing discrepancies, documentation gaps, and compliance trends, and recommends corrective actions to departmental leadership when recurring issues are identified. The Medical Auditor represents Tampa General Hospital in matters related to billing, documentation, and reimbursement with third‑party payers, patients, and hospital personnel, while performing all duties in alignment with the mission, vision, and values of Tampa General Hospital. Essential Functions: Conducts comprehensive medical record audits to validate accuracy of hospital billing and compliance with departmental charge policies. Reviews clinical documentation to ensure services...

Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care. As a Medical Billing & Coding Specialist in a hybrid role, you’ll ensure timely and accurate claims submission, coding accuracy, and payment optimization while supporting documentation #J-18808-Ljbffr