Top 8 Coding and billing specialist Jobs in Clermont, Fl

Coding and Billing Specialist
Nemours —Orlando, FL
- Full-time
- Anatomy knowledge
- Surgery
- 3 years
Physician Coding Ed Specialist
Orlando Health —Orlando, FL
- Full-time
- Hybrid work
- Microsoft Outlook
- 5 years
- Research
- Flextime
- Benefits from day one
Outpatient Surgical Urology Physician Enterprise Coder
AdventHealth Corporate —Altamonte Springs, FL
- $19.22 - $35.75 an hour
- Full-time
- Background check
- Surgery
- Mid-level
- Paid parental leave
- Disability insurance
2d
Medical Receptionist
Little Champions Therapy and Services, LLC —Clermont, FL
- $17 - $19 an hour
- Part-time
- Microsoft Excel
- Customer service
- Medical office experience
Quick Apply
8d
Medical Biller/Collector/Charge Entry
Radiance Women Center OBGYN —Orlando, FL
- $20 - $22 an hour
- Full-time
- Organizational skills
- In-person
- Medical terminology
- Dental insurance
- 401(k)
Quick Apply
8d
Medical Billing & Insurance Specialist – Claims, Eligibility & ICD-10/CPT(1 Year of Previous Exp Req
PremierMED Ophthalmology —Winter Garden, FL
- $16.00 - $16.01 an hour
- Full-time
- HIPAA
- Driver's License
- Bachelor's degree
Quick Apply
4d

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coding and billing specialist jobs near clermont, fl

Coding and Billing Specialist

Nemours -
Orlando, FL

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Job Details

Full-time

Qualifications

Anatomy knowledge
Associate's degree
Medical terminology

Full Job Description

Nemours is seeking a Coding and Billing Specialist in Orlando, FL

Assesses documentation for each service rendered in the hospital’s place of service, in order to accurately code principal diagnoses (i.e. preponderance of care sequence), secondary conditions, procedures, and social determinant codes using American Hospital Association guidelines, Current Procedural Terminology guidelines, payer specific rules for commercial and/or Medicaid insurance, and drug administration for specified service lines impacting Florida’s enhanced ambulatory grouping. This includes excellent working knowledge of revenue charge capture and the impact to hospital billing (i.e. soft vs. hard coded charges),working knowledge of revenue codes, relevant grouper function and financial impact; assessment and entry of surgical charges (i.e. supplies, implants), and pharmacy charges (i.e. contrast, patient supplied, etc).

Essential Functions

Ability to comprehend medical record documentation to accurately assign codes for both concurrent and discharged accounts across multiple specialties.

Meets minimum requirements for production and quality monthly.

Requires a working knowledge of code sequencing for grouper-related payers with attention to detail to avoid rework and waste with charge capture assessment component.

Requires understanding and application of M.E.A.T. criteria (i.e., monitoring, evaluation, assessment, treatment) using ICD 10 CM transaction data set to capture diagnoses.

Analyzes high-risk encounters for accurate and/or missing charges gaps prior to encounter completion (i.e., missing charges from anesthesia, surgery) when manual charge capture occurs.

Understand complexity of billing requirements and incorporates payer specific trends into day-to-day reviews to reduce “take backs” associated with un-clear, or un-substantiated care rendered. (i.e., varying modifier assignment for EAPG vs. Non-EAPG payer specificity)

Requires excellent coding knowledge of ICD 10 CM, CPT 4, and modifier application, with expectations to maintain certification (i.e., CCS, CPC, RHIT, or RHIA) and apply ICD 10 CM Coding Guidelines specific to both inpatient and outpatient encounters.

Facilitate modifications to clinical documentation through query interaction to ensure that the information captured supports the level of service rendered, with attention towards chronic conditions, hierarchical condition categories (HCC), and risk adjustment factors (RAF).

Demonstrates an excellent working knowledge of hospital information systems to retrieve data specific information (i.e., order diagnosis, patient type) within a complicated filing schema including non-hospital data (i.e., Media Tab, Office Visits etc)

Requirements

Associate's degree required

Medical Terminology, Anatomy and Physiology

One of the following: CPC, CCS, RHIT, RHIA, COC; Preferred CRC

3-5 years expereince

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coding and billing specialist jobs in clermont, fl

Coding and Billing Specialist

Physician Coding Ed Specialist

Outpatient Surgical Urology Physician Enterprise Coder

Medical Receptionist

Medical Biller/Collector/Charge Entry

Medical Billing & Insurance Specialist – Claims, Eligibility & ICD-10/CPT(1 Year of Previous Exp Req

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