Top 76 medical coder Jobs in netherland fl

Inpatient DRG Reviewer
Zelis —Saint Petersburg, FL
- $79,000 - $99,750 a year
- Full-time
- Hybrid work
- LVN
- RN License
- Mid-level
- Paid holidays
- Disability insurance
Revenue Cycle Coordinator
Klement Dental Partners —Saint Petersburg, FL
- $19 - $25 an hour
- Full-time
- Pass drug screening
- Criminal background check
- Organizational skills
- Paid holidays
- Health insurance
Quick Apply
Medical Account Collections-Patient Account Representative (Bilingual Preferred)
Chambers Medical Group —Brandon, FL
- From $14 an hour
- Part-time
- Bilingual
- Background check
- Spanish
Quick Apply
Medicare Risk Adjustment Coder
Core Healthcare Alliance —Florida
- $50,000 - $65,000 a year
- Full-time
- 5 years
- Organizational skills
- Senior level
- Health insurance
- Dental insurance
Quick Apply
Inpatient Coding Specialist, Fully Remote, $5000 Bonus,CCS or RHIT certified
Baptist Health South Florida —Florida
- $29.41 - $38.23 an hour
- Remote
- Microsoft Word
- Mid-level
- High school diploma or GED
- Wellness program
- Continuing education credits
Coding Specialist (remote position)
Chapters Health System, Inc —Temple Terrace, FL
- $24.30 - $36.16 an hour
- Full-time
- Remote
- Background check
- Anatomy knowledge
- Computer literacy
Quick Apply
Medical Records Coder II (PRN) (REMOTE)
BayCare —Tampa, FL
- Full-time
- Remote
- Customer service
- Mid-level
- High school diploma or GED
Specialty Coder II - Anesthesia (REMOTE)
BayCare —Tampa, FL
- Full-time
- Remote
- Customer service
- Medical office experience
- Mid-level
- Health insurance
- Dental insurance
HIM Coder 2 - Inpatient Coding
Tampa General Hospital —Tampa, FL
- From $25.54 an hour
- Full-time
- Remote
- Anatomy knowledge
- Mid-level
- Acute care
Anesthesia Specialty Coder II (REMOTE)
BayCare —Tampa, FL
- Full-time
- Remote
- Customer service
- Medical office experience
- Mid-level
- Health insurance
- Dental insurance
16h
Medical Billing & Coding Analyst - Tampa Bay area
Rimkus —Tampa, FL
- Full-time
- Hybrid work
- Nursing
- Mid-level
- 3 years
- AD&D insurance
- Disability insurance
Quick Apply
Document Review Clerk
Lincare Pharmacy Services Inc. —Clearwater, FL
- Remote
- Computer literacy
- High school diploma or GED
- Quality control
Quick Apply
10h
Recovery Specialist
Sanderson Firm —Bradenton, FL
- $22 - $25 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Paid holidays
- Disability insurance
Quick Apply
Coding Specialist – Outpatient Surgery, Health Information Management, FT,8A-4:30P
Baptist Health South Florida —Florida
- $26.90 - $34.97 an hour
- Full-time
- Surgery
- Software troubleshooting
- Computer literacy
- Wellness program
- Continuing education credits
Medical Coder Certified - USFTGP UMSA RCO Back End
USF Tampa General —Tampa, FL
- From $22.03 an hour
- Full-time
- Hybrid work
- Mid-level
- Office
- High school diploma or GED
Medical Coder Certified - USFTGP UMSA RCO Back End
Tampa General Hospital —Tampa, FL
- From $22.03 an hour
- Full-time
- Hybrid work
- Mid-level
- Office
- High school diploma or GED
Inpatient DRG Sr. Reviewer
Zelis —Saint Petersburg, FL
- $95,000 - $120,650 a year
- Full-time
- Hybrid work
- RN License
- 5 years
- Research
- Paid holidays
- Disability insurance
Clinical Documentation Specialist
United Vein & Vascular Centers —Tampa, FL
- HIPAA
- Travel
- LPN
- Health insurance
Quick Apply
Insurance Verification Specialist
Women's Care —Tampa, FL
- Full-time
- Medical office experience
- HIPAA
- Mid-level
- Paid holidays
- Dental insurance
Quick Apply
Medical Coder Educator - USFTGP UMSA RCO Back End
USF Tampa General —Tampa, FL
- From $51,563.20 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- High school diploma or GED

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medical coder jobs near netherland fl

Inpatient DRG Reviewer

Zelis -
Saint Petersburg, FL

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Job Details

Full-time
$79,000 - $99,750 a year

Benefits

Paid holidays
Disability insurance
Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching
Prescription drug insurance

Qualifications

Defect resolution root cause analysis
Inpatient
Medicare
LVN
RN License
Audit report preparation
Process optimization
Health insurance policy knowledge
Process improvement
Healthcare documentation compliance audits
Medical billing compliance checks
Mid-level
Audit Reporting
Evidence-based practice
Retrospective medical coding audits
Medicare regulations
Document review
Organizational skills
Root cause analysis
Insurance claims auditing
Clinical documentation standards
Healthcare claims compliance audits
Standard operating procedures (SOPs)
Communication skills
DRG

Full Job Description

Description

At Zelis, we Get Stuff Done. So, let’s get to it!

A Little About Us

Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients.

A Little About You

You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are.

Position Overview

As part of the Price Optimization division, this role is responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding Guidelines, AHA Coding Clinic and client specific coverage policies. Conduct prompt claim review to support internal inventory management to achieve greatest savings for clients.

What you will do:

Perform comprehensive inpatient DRG validation reviews to determine accuracy of the DRG billed, based on industry standard coding guidelines and the clinical evidence supplied by the provider in the form of medical records such as physician notes, lab tests, images (x-rays etc.), and with due consideration to any applicable medical policies, medical best practice, etc.
Perform readmission reviews, including evaluating prior and current admissions to determine preventability, relatedness, and compliance with readmission policies.
Based on the evidence presented in the medical records, determine, and record the appropriate (revised) Diagnosis Codes, Procedure Codes and Discharge Status Code applicable to the claim.
Using the revised codes, regroup the claim using provided software to determine the ‘new DRG’
Where the regrouped ‘new DRG’ differs from what was originally claimed by the provider, write a customer facing ‘rationale’ or ‘findings’ statement, highlighting the problems found and justifying the revised choices of new codes and DRG, based on the clinical evidence obtained during the review
Document all aspects of audits including uploading all provider communications, clinical rationale, and/or financial research
Identify new DRG coding concepts to expand the DRG product.
Manage assigned claims and claim report, adhering to client turnaround time, and department Standard Operating Procedures
Meet and/or exceed all internal and department productivity and quality standards
Recommend new methods to improve departmental procedures
Achieve and maintain personal production and savings quota
Maintain awareness of and ensure adherence to Zelis standards regarding privacy

What you will bring:

RN or LVN required
Inpatient Coding Certification required (CCS, CIC) within 4 – 6 months of hire date
1 -3 years reviewing and or auditing ICD-10 CM, MS-DRG and APPR-DRG claims preferred
Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare programs
Experience performing readmission reviews, including evaluating relatedness, preventability, and compliance with readmission policies
Understanding of hospital coding and billing rules
Clinical skills to evaluate appropriate Medical Record Coding
Experience conducting root cause analysis and identifying solutions
Strong organization skills with attention to detail
Outstanding verbal and written communication skills

Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future.

Location and Workplace Flexibility

We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies.

Base Salary Range

$79,000.00 - $99,750.00

At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role.

Zelis’ full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees’ health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage.

Equal Employment Opportunity
Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

We welcome applicants from all backgrounds and encourage you to apply even if you don’t meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all.

Accessibility Support
We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email [email protected].

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

Apply Now

Refine Your Search

medical coder jobs in netherland fl

Inpatient DRG Reviewer

Revenue Cycle Coordinator

Medical Account Collections-Patient Account Representative (Bilingual Preferred)

Medicare Risk Adjustment Coder

Inpatient Coding Specialist, Fully Remote, $5000 Bonus,CCS or RHIT certified

Coding Specialist (remote position)

Medical Records Coder II (PRN) (REMOTE)

Specialty Coder II - Anesthesia (REMOTE)

HIM Coder 2 - Inpatient Coding

Anesthesia Specialty Coder II (REMOTE)

Medical Billing & Coding Analyst - Tampa Bay area

Document Review Clerk

Recovery Specialist

Coding Specialist – Outpatient Surgery, Health Information Management, FT,8A-4:30P

Medical Coder Certified - USFTGP UMSA RCO Back End

Medical Coder Certified - USFTGP UMSA RCO Back End

Inpatient DRG Sr. Reviewer

Clinical Documentation Specialist

Insurance Verification Specialist

Medical Coder Educator - USFTGP UMSA RCO Back End

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