Professional Medical Billing Instructor
St. Louis College of Health Careers, a locally owned and operated College with 2 campuses, focused on allied health education, is seeking highly skilled professionals for immediate openings. Bachelors' degree preferred and Coding certification required for position. Teaching assignment may include some evenings.
Qualifications:
CPC or CCS certification. 2-3 years billing and coding experience, inpatient and outpatient. Excellent communications and management skills, Microsoft word, Excel, and Power Point knowledge and HIPAA awareness.
Responsibilities:
• Prepare course instruction based upon provided syllabus/outline.
• Cover all material in depth and scope as described in syllabus.
• Provide a variety of teaching styles and methods to accommodate diverse learning styles of students.
• Maintain retention in classes taught by recording accurate daily attendance and reporting absentees to lead instructors.
• Maintain academic grades per each student and report below average scores to lead instructors.
• Commence class at the designated time and provide a full schedule of instruction for each class period.
• Advise and tutor students as needed.
Hospital Coder
Immediate openings for full and part time inpatient/outpatient hospital coders available
with remote coding company. Work from home. You must have obtained AAPC or AHIMA
certification and have a minimum of 5 years experience in inpatient coding. Knowledge and familiarity with ASC coding guidelines a plus.
To apply, email your resume and salary requirements to hr@mdstrategies.com.
Medical Biller/Accounts Receivable Supervisor
Large ophthalmology practice in Chesterfield looking for an experienced medical biller to supervise the
billing team and coordinate the accounts receivable management process. Qualified candidates must have direct experience with coding, charge entry, electronic claims processing and patient billing,
and accounts receivable management.
Qualifications:
•Five plus years of management experience in billing and accounts receivable management
•Certified coder with surgery billing experience preferred
•Direct patient customer service experience and be familiar with patient collections and
•follow-up policies and procedures
•Strong leadership and excellent communication skills
•Detail oriented
•Ability to analyze billing and accounts receivable data
•Working knowledge of medical billing and third party payor reimbursement
•Understanding of and experience with computers, Medical Manager experience a plus
•Basic knowledge of professional sound business practices
•Ability to demonstrate independent judgment and initiative
Competitive salary and rich benefit package.
Coding Manager
Coding Manager for Lake Regional Health System located in Osage Beach, Missouri.
Our growing forty five Physician multi-specility group has an immediate opening for
a hands-on working manager who will be responsible for directing, supervising
and coordinating the daily activities for the Professional Specialty Coding Staff
and the Professional Coding Audit Staff.
A current CPC certification is required and additional CCS-P certification is preferred. A minimum of five years experience in leading, directing and managing a coding staff is also required.
The candidate selected must possess an extensive background
with CPT and ICD-9 coding. A Bachelor's degree in health, business administration,
or medical records administration is preferred.
Medical Billing Coder
Coder/Biller Physician Office (Fenton, Missouri)
Employee will be responsible for creating approximately 1000 claims per month in electronic medical record system using physician progress notes and physician query. Claims will then be reviewed by employee before submission for completeness and accuracy prior to electronic submission. Input of all hospital charges for two physicians. Responsible for the oversight of office insurance transactions ensuring that all requirements are met in order to maximize reimbursement. Working with Central Billing Office regarding claim denials and appeals that are pertinent to Fenton practice. Successful candidate must be able to work independently and receive a minimum of detailed supervision. Reports to Office Manager for a very busy four clinician office.
• Prior medical office coding and billing experience required
• CPC - Certification in coding required
• Minimum of two years of coding experience required
• Strong knowledge of managed cared, insurance billings, CPT and ICD-9 coding
• Experience with EMR preferred
• Knowledge of MS office including Word and Excel required
• Minimum of 3-5 years experience working in physician practice environment
• Experience in auditing clinician documentation strongly preferred
Full time position for a hospital owned physician organization. Days - Monday through Friday. Good benefit package, ETO, pleasant working conditions.
Interested candidates should email resumes/transcripts to: job082409@stlprofessionalcoders.com
Medical Billing Coder
Seeking a Biller for demographic and charge data entry for non-invasive cardiology testing services. This is a temporary position that may lead to a full-time regular position. Duties include CPT and ICD-9 coding of reports, charge entry, and verification that all charges are captured. Qualified candidate must be keyboard-proficient, able to handle a high volume, and possess a good eye for detail.
Claims Specialist
Patents First Health Care Surgery Center located at 901 Patients First Drive in Washington Missouri is seeking a Full-Time (Monday - Friday) Claims Specialist for our insurance claims department.
A qualified candidate will have three plus years experience working with insurance companies to follow up, resolve and manage claims. Must be extremely organized and detailed in management of claims and associated paperwork. Ambulatory Surgery Center (ASC) billing and coding experience is preferred. Knowledge of health insurance claim denials is needed. Experience understanding and explaining patient statements, as well as the collections process, is a plus.
This position offers a competitive compensation package, including medical, dental, vision, 401K, profit sharing, vacation and more!
For immediate consideration please apply online at Our Career Center.
RN with a CPC-H, Full-Time
HealthCare USA of Missouri, a dynamic health maintenance organization has an immediate Full-Time opening in our St. Louis office
Medical Review Nurse
HealthCare USA is seeking an individual that will be responsible for reviewing and analyzing information to make medical determinations as necessary. Applies clinical knowledge to assess the medical necessity, level of services, and/or appropriateness of care in cases requiring prospective, concurrent, or retrospective utilization review.
ESSENTIAL RESPONSIBILITIES
Based on area of specialization, employee may perform any or all of the responsibilities listed below.
Claims Review
Conducts medical reviews of individual provider and hospital claims for coding and billing accuracy and medical appropriateness for all products in support of company medical payment policies and cost containment initiatives.
Processes and/or reviews claims for compliance and level of care in a timely manner that meets or exceeds production and quality goals. Reviews all complex physician, facility, and specialty claims and adjustments to ensure compliance with company policies and procedures.
Assesses, investigates and resolves information to respond to difficult inquiries including, but not limited to, authorizations, payments, denials and coordination of benefits.
Interfaces with customers by telephone, correspondence and/or in person to answer questions and resolve process issues.
Utilization Management
Conducts retrospective medical necessity and experimental/investigational reviews of inpatient admissions, diagnostic testing and ambulatory services. Meets health plan or applicable accreditation organizational requirements for decision-making and notification process timeframes.
Utilizes established criteria to authorize inpatient admissions, diagnostic testing and ambulatory services. Makes referrals to the health plan/clinical operations Medical Director for determinations when criteria are not met.
Communicates determinations verbally and/or in writing to appropriate business department as required by the health plan/business department internal workflow policies.
Pre-Existing Condition Review
Coordinates, directs, and performs retrospective reviews of individual medical history to identify possible pre-exiting conditions.
Conducts analysis and research of medical and claims history to make payment determination.
Actively identifies possible fraud/misrepresentation cases. May assist with preparation of cases for referral to medical underwriting and medical management.
All Functions
Identifies training needs within the team. May train service teams based on outcomes of medical reviews as well as process and/or procedure changes.
Drives the team to identify and implement process improvements; encourages ownership of and group participation in improvement initiatives.
Identifies and recommends opportunities for cost savings and improving outcomes.
Performs other duties as required.
JOB SPECIFICATIONS
Registered Nurse with a current RN license in good standing in the state where job duties are performed.
Bachelor's degree and/or Certified Professional Code-CPC-H preferred.
Previous (3-5 years) clinical experience.
Knowledge of medical terminology and ICD-9, CPT-4, and HCPCS coding.
Working knowledge of coordination of benefits and health care products under both fully insured and self-funded arrangements preferred.
Strong analytical and problem solving skills.
Excellent organizational, interpersonal and communication skills.
HealthCare USA is an Equal Employment Opportunity/Affirmative Action employer.
Entry Level Full-Time Instructor Position
Full time days approximately 7:00am to 3:30pm Monday - Friday.
Requirements: Must have at least three years Medical Billing and/or Coding Experience (prefer a balance of both), and you must have graduated from a Medical Billing/Coding Program.
Benefits include: Health, Dental and Vision Insurance offered upon the completion of ninety days of employment, 401K after six months and an educational reimbursement fund after one full year of employment.
Please reference that you saw the ad on the St. Louis Professional Coder's web site.
Manager of Coding and Auditing
The Manager of Coding and Auditing will supervise the auditors/coders as well as serves as an expert technical resource for coding subject matters; they will monitor codes for accuracy; implement organizational wide audits; develop and maintain coding related documents and the department intranet; prepares and analyzes operational data and prepares reports and documents; communicate appropriately to staff and providers.
Requirements:
Formal training which will be indicated by a Bachelors Degree and a CCS-P or a CPC. At least five years experience with all aspects of physician coding with emphasis on Evaluation and Management coding. Prior knowledge of Medicare coding rules. Auditing experience is a must. Must be detail oriented and able to effectively communicate with physicians and physician office staff. Must be computer proficient with experience in MS Word and MS Excel.
We offer competitive salary and excellent benefits, including 401k and Profit Sharing. EOE
Coding Analyst I - Full Time - St. Louis
Job Description:
Perform coding research as well as documentation, drafting of policies and procedures of coding work to support new business implementations and to implement both Enterprise and other initiatives. Conduct complex business and operational analyses related to implementation of such initiatives and identify areas for improvement and clarification for better operational efficiency resulting in better initiative, contract, and benefit implementation as well as better maintenance long-term.
Knowledge/Experience:
Associate's degree or equivalent experience in business, health care management, insurance, risk management, or healthcare related field. At least 2 years experience in managed care, State and/or Federal health care programs (i.e., Medicaid, Medicare) or the health insurance industry and 1-2 years of coding experience in a managed care environment. Extensive knowledge of coding and billing practices for physicians, hospitals, and ancillary providers as well as knowledge about contracting, claims processing, and provider customer service/relations. AMISYS experience preferred.
Licenses/Certifications:
Requires one of the following certifications: Certified Professional Coder (CPC),
Certified Professional Coder - Payor-based (CPC-P), Certified Professional Coder - Hospital-based (CPC-H), Certified Coding Specialist - Physician-based (CCS-P), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Information Administrator (RHIA)
Position Responsibilities:
• Initiate, monitor, and implement updates to code sets within the AMISYS system (ICD-9-CM, CPT, and HCPCS) as well as the continued maintenance of these code sets.
• Serve as a technical resource / coding subject matter expert on new business activities, Enterprise initiatives, and contract implementation activities.
• Brainstorm, communicate, and facilitate execution of solutions to organizational issues from a technical and operational viewpoint and be able to communicate them to appropriate parties in a format and manner that can be easily understood.
• Work with the Internal Audit department and health plans to reduce contract implementation errors and to resolve any outstanding audit findings related to coding guidelines from American Medical Association, Current Procedure Terminology, and the Health Care Procedural Coding System.
• Monitor documentation related to business processes as well as State payment and benefit information in a manner consistent with the formats acceptable to and understood by other organizational stakeholders.
• Develop and maintain coding related documents and web site space within the company's internal web page application.
• Ability to travel as projects or business needs require.
To apply for this position please us this link: www.centene.com.
Patient Accounts Specialist - Full Time
St. Louis County Health Department is currently accepting applications for a Patient Accounts Specialist. Applicants must be certified as a Registered Medical Coder (RMC) or Certified Professional Coder (CPC), someone with a CPC is preferred. Three years of experience in a medical setting including knowledge of medical terminology, CPT, ICD-9, HCPC codes and state and local statutes on Medicaid, Medicare and Managed Care Plans preferred; or an equivalent combination of education and experience.
Salary Information: $11.84 - $17.76 Hourly - $947.20 - $1,420.80 Biweekly -
$24,627.20 - $36,940.80 Annually.
Duties:
* Processes and analyzes medical claims.
* Examines claims for accuracy and completion using standard claims processing, policies, procedures and mandated state regulations.
* Re-processes completed claims with eligibility and coding discrepancies.
* Handles complex electronic claims to completion.
* Uses the computer to produce and review unpaid claims reports.
* Reviews EOB's for payments and adjustments and/or rebills claims within the pre-established time period.
* Responds to complex billing inquires from patients, insurance companies and attorneys.
* Identifies,assesses and responds to individual patient, employee or provider concerns.
* Produces delinquent account reports and sends correspondence to account holders; sets up payment arrangements where applicable.
* Forwards delinquent accounts to collections agencies for further collections efforts.
* Performs additional and related duties as may be required.
Please visit our web site at www.stlouisco.com to learn more about available positions.
Experienced Certified Coder - Full Time - St. Louis
Busy Orthopedic Surgery Practice seeks experienced certified coder to enhance our Business Office. Experience is required. Orthopedic coding and/or surgery center coding experience is preferred but not required. Flexible hours and excellent benefits are available. We offer an exceptional working environment. Ability to work well with a team is imperative. Duties may include but not be limited to coding, appeals, auditing and follow up.
No phone calls please.
No agency placements.
Supervisor Provider Reimbursement - Full Time - St. Louis
Job Description:
Supervise the Provider Reimbursement function and monitor contract implementation activities. Identify areas for improvement and implement solutions to increase efficiencies within these areas which results in higher quality contract implementation, lower administrative and operational costs, and better claims payment accuracy.
Knowledge/Experience:
Bachelor's degree or equivalent experience in business, health care management, insurance, risk management, or healthcare related field. 6-8 years of experience in managed care or other health related field and 4-6 years of related claims, claims system configuration, or contract implementation experience. Experience performing claims/data analysis and reporting required. At least 2 years of process management, project management, quality and/or process improvement experience. Experience with reimbursement methodologies and/or benefits requirements preferred. Experience in Microsoft Excel using tables, formulas, and performing data manipulation. Experience in Microsoft Word creating tables, editing documents, and formatting documents. Management or lead experience a plus.
Licenses/Certifications:
AMISYS certifications, Microsoft Office professional certifications, Certified Professional Coder (CPC), or Registered Health Information Technician (RHIT) designations preferred.
Position Responsibilities:
• Evaluate and monitor staff performance, project plans, workloads, quality and prioritization of projects to reduce backlogs, increase efficiency and accuracy.
• Measure and monitor department goals.
• Document policies and procedures for Contracting as they related to contract implementation or network development.
• Conduct business and operational analysis to increase efficiency and accuracy of contract implementation. Identify opportunities for process redesign and improvement.
• Document business processes and provider reimbursement areas such as State payment rules, benefit information, authorization requirements, and reimbursement methodologies to ensure they are documented in a manner consistent with the formats acceptable to and understood by other organizational stakeholders.
• Brainstorm, communicate, and facilitate execution of solutions to organizational issues from a technical and operational viewpoint and communicate them to appropriate stakeholders.
To apply for this position please us this link:www.centene.com/careers/opportunities and select in the drop down boxes Supervisor Provider Reimbursement.
Provider Reimbursement Analyst I - Full Time - St. Louis
Job Description:
Perform duties to support and monitor the contract implementation of hospital, physician, and ancillary networks in accordance with contracting standards and guidelines. Conduct claims, business, and operational analyses related to contract implementation to identify areas for improvement and clarification for better operational efficiencies resulting in higher quality implementation of contracts. Assist in other contract implementation activities such as claims research, testing of configuration, documentation of business and configuration requirements, formalizing contracting policies and procedures, monitoring adherence to standards and guidelines and analyzing operational risk in contracts, project prioritization, and acting as a resource for health plan contracting and contract implementation staff.
Knowledge/Experience:
Bachelor's degree or equivalent experience in business, health care management, insurance, risk management, or healthcare related field. 2-3 years of experience in managed care or other health related field and 1-2 years of related claims, claims system configuration, or contract implementation experience. Experience performing claims/data analysis and reporting required. Experience with reimbursement methodologies and/or benefits requirements preferred. Experience in Microsoft Excel using tables, formulas, and performing data manipulation. Experience in Microsoft Word creating tables, editing documents, and formatting documents.
Licenses/Certifications:
AMISYS certifications, Microsoft Office professional certifications, Certified Professional Coder (CPC), or Registered Health Information Technician (RHIT) designations preferred.
Position Responsibilities:
• Ensure compliance with contracting standards and processes including but not limited to, the performing baseline assessment of risk-sharing contracts, using approved reimbursement methodologies and model contract language, following proper provider set-up rules, and adhering to exception processes.
• Serve as a technical resource for contract implementation activities, contracting interpretations, and claims system abilities affecting provider reimbursement in areas such as funding arrangements/allocation, claims system limitations, benefit interpretation and configuration, authorization requirement design and set up, reimbursement methodologies and configuration, and claims payment.
• Translate complex ideas from a technical perspective into a business perspective and vice versa.
• Document and monitor business requirements, rules, decisions, and processes affecting provider reimbursement areas such as State payment rules, benefit information, authorization requirements, and reimbursement methodologies.
• Participate in new business or expansion activities related to provider reimbursement performing tasks included but not limited to identifying State payment rules, member benefits, authorization requirements, and funding arrangements.
• Document policies and procedures related to contract implementation, provider reimbursement, or network operations.
• Conduct business and operational analysis to increase efficiency and accuracy of contract implementation and identify opportunities for process redesign and improvement.
• Assist in the development of test plans and/or test scenarios.
• Ability to travel and work additional hours as projects or business needs require.
To apply for this position please us www.centene.com.
Medical Billing Coder
BJC Medical Group is seeking a medical billing coder with Cardiology knowledge. The candidate should posses good communication, data entry and computer skills. This candidate will interact with Medicare, Medicaid and other payers on a regular basis.
Qualifications:
2 to 4 years of experience is required
Associates Degree required
Certified Professional Coder (CPC) required
Registered Health Information Technician (RHIT) preferred
Registered Information Administrator (RHA) preferred
Experienced Biller/Coder - As of April 29, 2009 - this job is still available.
Wanted: Experienced Biller/Coder for busy medical office. At present one physician with possibility of expansion. Venturing into EMR and e-Prescribing. Any experience with these, as well as a pleasant, and cooperative spirit will be considered for the position. Prefer significant experience in billing and coding. CPC preferred, but not required. Practical experience is a must. Salary commensurate with experience.
Please send resume and contact information to: Job032509@stlprofessionalcoders.com
Billing/Coding Part-Time
We are hiring for an Outpatient Surgery Center. Billing/Coding Candidate will be performing all aspects of billing from front (data entry), coding and to back (collections). Candidate must be a multi-tasker, detail oriented, have teamwork mentality and demonstrate willingness to grow. Please do not respond if you prefer to perform a specific task because this will not be a fit for you. This is a small facility and cross-training and performance in all aspects is required.
No recruiters please - 32 hours - CPC-A preferred - Salary based on experience.
Appeals Analyst
Job Description:
Research, respond and track all written correspondence, including but not limited to complaints, appeals, independent review requests, PCP dismissals, HIPAA requests and fair hearing requests from members.
Timely and thorough investigation and processing of all complaints, grievances and appeals submitted by providers, members and subcontractors.
Coordinates case review for medical necessity with appropriated designated staff.
Ensure follow up with appropriate departments to obtain all pertinent information to perform an in-depth investigation of disposition or resolution.
Maintain Complaint, Grievance and Appeal Tracking Log, monitoring for trending to identify process improvement opportunities.
Maintain processed complaints, grievances and appeals.
Assist in preparation of narrative summaries of complaint, grievance and appeal activity for reporting purposes to the State and the QIC.
Assist in production of internal and state required reports.
Resource to staff, providers and subcontractors regarding Complaints, Grievances and Appeals issues.
Maintain and retain medical information pertaining to clinical practice and guidelines in accordance with HIPAA regulations and contractual agreement.
Licensure/Certification: Coding Certification (CPC, CCS, PCS)
Special Skills or Knowledge:
Claims and/or billing, coding experience required.
Experience in a managed care setting desirable.
Email your resume to: job9002205@stlprofessionalcoders.com
A/R Representative
Wanted: Experienced A/R Representative for busy Orthopedics Practice. The successful candidate will be responsible for following up claims paid incorrectly or not paid at all. This position requires a solid knowledge of insurance carrier policies and practices, correct billing, timely filing rules, bundling issues and a variety of other issues facing a busy business office. The person hired must be highly motivated, experienced in filing and correcting insurance claims, and a self starter.
For consideration email your resume to: job8002129@stlprofessionalcoders.com
Certified Coder, Part-Time
Wanted: Experienced Certified Coder for approximately 20 hours per week. This job requires the coding of surgeries, posting payments and working our accounts receivable aging/follow-up. The individual hired must be motivated, experienced and a self starter. This opening is located in St. John's Mercy Medical offices.
Please email your resume to: job9002121@stlprofessionalcoders.com
Coding Compliance Lead
The Coding Compliance Lead coordinates all coding compliance, code maintenance, coding education, physician audits, and ensures that coding policies and procedures comply with state and federal regulatory standards. Manages performance of Health Record Auditors. Prepares and analyzes operational data and prepares reports and documents.
PREFERRED QUALIFICATIONS:
Formal training which will be indicated by a Bachelors degree in Health Information Management, (RHIT or RHIA preferred) or 5+ years related experience in the field of coding/compliance. Must have a minimum of CPC. Must have a thorough comprehension of federal and state laws and knowledge of HIPAA, ICD-9, CPT, and HCPCS. Demonstrates knowledge of accurate application of current ICD-9, and CPT coding principals. Analytical ability sufficient to accurately abstract, code and interpret data from diverse sources. Understands the admission/discharge/transfer procedures and relationship to professional coding and billing.
PHYSICAL REQUIREMENTS:
Sit for prolonged periods of time. Work and move among all practices and departments of the organization. Excellent hand/eye coordination. Lift up to 25 pounds. Manual dexterity to operate personal computers and standard office machines. This is a full time position of 40 hours per week.
DEPARTMENT STANDARDS:
PERFORMS DEPARTMENT DUTIES IN A TIMELY AND EFFICIENT MANNER. MAINTAINS THE CONFIDENTIALITY OF PATIENT INFORMATION.
1. Embraces Esse Health's Core Values and abides by these values when performing all functions.
2. Code Maintenance
Checks for updates of ICD-9, CPT and HCPCS codes. Educates sites on implementation of use of new codes. Works with MIS to add new and revised codes into the system. Performs coding maintenance functions for the computer system. Assists with coding questions as needed.
3. Coding Education
Assists with training of new providers on coding and documentation guidelines. Trains staff on the use of an encoder. Conducts weekly review of pertinent web sites to research updates. Reviews denials and implements changes. Advises on necessary coding updates for practice superbills. Makes recommendations for new coding programs. Develops coding audit strategy.
4. Physician Audits
Conducts physician audits. Conducts Inpatient Review audits. Performs focused audits as deemed necessary.
5. Medical Record Policies
Provides guidance on retention and storage of records.
6. Monitors Web sites and Publications
NCD's and LCD's CMS open door forum Coding list serves, publications, CodeCorrect and mailing lists. HIPAA-OCR, CMS, web site, mailing list, list serve, and privately sponsored web sites.
Medicare: Missouri and Illinois, list serves and publications.
Federal Register
7. MA School- Educates MA's in Esse Health's MA school program on Medical Terminology, and Coding.
8. Attends all appropriate company meetings.
9. Performs other duties as assigned.
Coder - Quality Improvement Analyst
Perform quality improvement and coding audits on physicians' notes to insure accurate and complete ICD-9 coding. Knowledge of HCC coding a plus. Assist physicians with meeting managed care contractual agreements for quality measures. Perform various other quality improvement activities. Minimum 3-5 years or health-care experience including working with physicians. Associate degree required and bachelors degree preferred. Applicable work experience will be taken into consideration. RHIA/RHIT or CCS/CPC credential required. Excellent oral and written communication skills and ability to work collaboratively with physicians. St. Louis, MO 63141.
Requisition Number: 50310MCC Position Code: 50351N
At St. John's Mercy, we believe the best way to care for our patients is by caring for those who serve them. That's why we offer excellent compensation and benefits to attract the best people and those who are leaders in their fields. St. John's Mercy provides diverse career options, dynamic work environments and the chance to be part of a close-knit team of professionals dedicated to helping people live longer and healthier lives. Yet the greatest benefit of all? Making a difference to those who matter most. Bring your best to St. John's Mercy. You'll find the rewards something to smile about.
For more information and to apply online please visit: St. Johns Mercy Career Center
Experienced Coder Auditor/Trainer
Springfield S C, a leader in physician billing and revenue cycle management, is seeking top talent to help meet our expanding client base. At Springfield Service Corporation (SSC), our practice profiles range from large academic facilities to small group practices. Privately held, SSC is a financially secure, conservatively managed, and technologically oriented company. We are poised to continue our rapid growth as we expand into new regions of the country. We are actively looking for experienced professionals to join our dynamic Coding Teams in Tinley Park and in Springfield.
We are actively looking for experienced Coder Auditor/Trainer to join our dynamic office in Tinley Park, IL. This position can be either in-house or remote, but the ideal candidate would be within reasonable driving distance to Tinley Park.
JOB SUMMARY:
Coders specialize in coding information for insurance billing purposes. They assign a universal code to each diagnosis and procedure, consulting classification manuals to ensure the accuracy of assignments. The primary purpose of the Coding Auditor/Trainer is review procedure, diagnostic, radiological, and E/M coding for provider services. The Coding Auditor/Trainer is responsible for abstracting data from medical records, coding/auditing all diagnoses and procedures, and working collaboratively with the compliance department, coding team and account executives to ensure accurate coding.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Conduct weekly/monthly reviews for accuracy of CPT, ICD, HCPC and modifier coding of the SSC Coding team.
Train new staff by doing weekly reviews and providing educational materials as needed.
Work with management staff on employee accuracy concerns and generate reports that outline audit results.
Provide periodic educational sessions to staff and physician groups.
Accurately interpret commercial and government rules and regulations to provide coding compliance directives.
Participate in new client implementations to create Policies and Procedures for the Coding department and train staff as needed.
QUALIFICATIONS:
Demonstrate a good working knowledge of medical terminology, human anatomy, and coding.
Expert skills in coding CPT, ICD, HCPC and modification.
Must possess a solid knowledge of third party reimbursement regulations and billing practices.
Ability to examine documents for accuracy and completeness.
Detail oriented with the ability to identify and resolve problems.
Ability to communicate clearly and work effectively with co-workers.
Ability to work as a team member in all activities.
Conduct self in an ethical, honest, and professional manner.
Demonstrate continued willingness to learn and grow.
Successfully multitask with solid time management and organizational skills.
Effective written and verbal communication skills.
Professional and informative presentation skills with a comfort level to present in client financial meetings as well as educational programs for the coding staff.
EDUCATION and/or EXPERIENCE REQUIRED:
Minimum of 2-4 years coding experience.
Vocational or technical education beyond high school.
CPC or CCS or equivalent certification.
Proficient in Microsoft Word, Excel.
BENEFITS:
Annual bonus Opportunities.
401(k) with Company Match.
Medical, Dental, Vision Coverage.
Company Paid Life and Accidental Death and Dismemberment Policy.
Short- and Long- Term Disability Plans.
Employee Assistance Program.
Paid time off for Sick, Personal, Vacation, and Holiday.
Full-Time Coder/Receptionist
Busy physician's practice located near DePaul Hospital is looking to fill a full time coding and reception position, job duties will be shared between the two positions.
Health Record Auditor 1
PREFERRED QUALIFICATIONS:
RHIA, RHIT, CCS-P, or CPC with at least 1 year experience with all aspects of physician coding with emphasis on Evaluation and management coding. Prior knowledge of Medicare coding rules. Auditing experience is a plus. Must be detail-oriented and able to effectively communicate with physicians and physician office staff. Must be computer literate with experience in Word and Excel.
PHYSICAL REQUIREMENTS:
Physical guidelines include reliable transportation and the ability to travel to different physician offices in the St. Louis Metropolitan area. Some light lifting (20 pounds or less) may be required to transport records. Must be able to concentrate with some minor distractions that occur in a busy physician office. This is a full time position: 40 hours a week.
DEPARTMENT STANDARDS:
PERFORMS DEPARTMENT DUTIES IN A TIMELY AND EFFICIENT MANNER. MAINTAINS THE CONFIDENTIALITY OF PATIENT INFORMATION:
Under the direction of the Health Record Auditor Lead of Esse Health:
1. Run daily patient lists of charts to be reviewed for a specific date of service and print off the reports.
2. Distribute the report to the appropriate reviewer.
3. Audit each note for the date of service assigned. The note will be reviewed for coding compliance with ICD-9-CM guidelines and accuracy of coding. Also the note will be reviewed for appropriate use of HCC classification. Forms should be completed for each note that does not met criteria or follow appropriate guidelines.
4. A report should be generated for each physician to summarize any discrepancies in documentation and coding which will be sent each day to the appropriate physician.
5. Report to the Health Record Auditor Lead the number of audits performed daily. Random audits will be performed to check for accuracy.
6. Review any corrections to prior notes sent back from the physician from the prior day. Release the bill if corrections are in compliance.
7. Report any trends of poor documentation or other issues to the Health Record Auditor Lead to be reported to Vice President of Operations or Chief Executive Officer.
8. Perform special assignments and other duties, as assigned.
Experienced Coders
Springfield S C, a leader in physician billing and revenue cycle management, is seeking top talent to help meet our expanding client base.At Springfield Service Corporation (SSC), our practice profiles range from large academic facilities to small group practices. Privately held, SSC is a financially secure, conservatively managed, and technologically oriented company. We are poised to continue our rapid growth as we expand into new regions of the country. We are actively looking for experienced professionals to join our dynamic Coding Teams in Tinley Park and in Springfield. These positions can be available both in-house and remote work-from-home!
Responsibilities:
Review and/or assign accurate CPT-4 and HCPC codes.
Must possess moderate knowledge of level 1 and 2 modifiers.
Must possess moderate knowledge of CCI edits and LCD's and be able to accurately apply regulation knowledge to coding situations.
Function as a resource for moderately complex coding and error resolution concerns for other SSC employees.
Radiology Coders must be able to code the following modalities: level I, plus duplex and Doppler ultrasounds, CT's/CTA's, MRI's/MRA's, nuclear medicine, and basic IR procedures.
Multi-specialty Coders must possess correct coding/billing knowledge of 5+ specialties.
Able to work intermediate complexity TES edits.
Maintain the company accuracy rate of 95% weekly.
Meet set daily quota.
Benefits:
Annual bonus Opportunities.
401(k) with Company Match.
Medical, Dental, Vision Coverage.
Company Paid Life and Accidental Death and Dismemberment Policy.
Short- and Long- Term Disability Plans.
Employee Assistance Program.
Paid time off for Sick, Personal, Vacation, and Holiday.
Work from home option two days per week or possible remote position.
Requirements:
Demonstrate a good working knowledge of medical terminology, human anatomy, and coding.
Must possess knowledge of third party reimbursement regulations and billing practices.
Ability to examine documents for accuracy and completeness.
Detail oriented with the ability to identify and resolve problems.
Ability to communicate clearly and work effectively with co-workers.
Demonstrated continued willingness to learn and grow.
Conduct self in an ethical, honest, and professional manner.
At least one year experience in Coding and must have a CCS-P or CPC-P or equivalent certification.
High School Diploma or GED.
Experienced Coder Auditors
Springfield Service Corporation, a leader in physician billing and revenue cycle management, is seeking top talent to help meet our expanding client base. At Springfield Service Corporation (SSC), our practice profiles range from large academic facilities to small group practices. Privately held, SSC is a financially secure, conservatively managed, and technologically oriented company. We are poised to continue our rapid growth as we expand into new regions of the country. We are actively looking for experienced professionals to join our dynamic Coding Teams in Tinley Park and in Springfield. These positions can be available both in-house and remote work-from-home!
Summary:
Procedure, diagnostic, radiological, and E/M coding for provider services. Responsible for abstracting data from medical records, coding/auditing all diagnoses and procedures, and working collaboratively with the compliance department, coding team, and account executives to ensure accurate coding.
Responsibilities:
Review accuracy of CPT, ICD, HCPC and modifier coding of the SSC coding team.
Ability to provide accurate linkage from diagnosis to CPT-4/HCPC codes for physician practices.
Generate reports that outline audit results and provide accurate education to the staff.
Accurately interpret commercial and government rules and regulations to provide coding compliance directives.
Stays abreast of coding and billing changes by reviewing up-to-date information regarding coding.
Receive, research, and resolve billing and coding inquiries within SSC.
Participate in continuing education activities of staff and clients.
Maintain strictest confidentiality.
Ability to make quality, independent decisions.
Able to work effectively and efficiently under deadlines, high volumes, and multiple interruptions.
Benefits:
Annual bonus Opportunities.
401(k) with Company Match.
Medical, Dental, Vision Coverage.
Company Paid Life and Accidental Death and Dismemberment Policy.
Short- and Long- Term Disability Plans.
Employee Assistance Program.
Paid time off for Sick, Personal, Vacation, and Holiday.
Work from home option two days per week or possible remote position.
Requirements:
Demonstrate a good working knowledge of medical terminology, human anatomy, and coding.
Expert skills in coding CPT, ICD, HCPC and modification.
Must possess knowledge of third party reimbursement regulations and billing practices.
Ability to examine documents for accuracy and completeness.
Effective written and verbal communication skills.
Professional and informative presentation skills with a comfort level to present in client financial meeting s as well as educational programs for the coding staff.
CPC or equivalent with three or more years coding experience, preferably in Radiology, Cardio/Vasc, Anesthesia, or Surgery.
Billing and Collections
Part-time Biller Wanted - We are looking for the right person to add to our dedicated team in a busy orthopedic surgery center in Creve Coeur. This person will assist in many areas of the business office. Their primary responsibility will be to follow-up on past-due insurance claims and patient accounts. Experience required. Great job for a student or someone who prefers to work just a few days a week. Excellent working environment with fun people. Some added perks available.
City Place Surgery Center is looking for a billing and collections person. This is a part-time position for a busy, mainly orthopedic surgery center. Duties include following up on past-due accounts, both insurance and patient balances as well as assisting other positions in the office (scheduling, checking in patients, answering the phone, and filing). We are looking for a person with experience who understands the claims process, including managed care contracts and appeals. Helpful if they have had ASC background. Flexibility is important.
If interested please email your resume to:
Business Office Manager
Coding Specialist - Full Time
Coding
Specialist needed to provide timely and accurate medical
coding and billing of services provided in a physician's
office. Will train physicians and associates in
the areas of CPT / ICD-9 coding and serve as a resource to
all staff regarding any coding issues. Must have
experience with CPT / ICD-9 coding preferably in
cardiology, billing experience is also required. A
Certified Professional Coder or equivalent is
preferred. Some travel among local St. Louis area offices possible.
Coder / Medical Records Clerk
Lutheran Senior Services is seeking a full-time Coder/Medical Records Clerk. CPC certification or equivalent required.
Duties include ICD 9 Coding, data entry of physicians' orders, care plans and patient assessments.
Must have knowledge of Medicare regulations, excellent computer skills and attention to detail.
LSS offers a great work environment, competitive pay and benefits including 100% paid health and dental insurance for employees.
Corporate Compliance Analyst IV
University of Missouri Healthcare has an exciting opportunity available in our Corporate Compliance office for a Compliance Analyst IV. This position will primarily be responsible for providing scope for baseline, routine comprehensive regulatory and focused audits, identifying regulatory risk areas and prioritizing risks for education, writing reports, etc.
Duties include:
o Regulatory Coding/Documentation - supervising the audit process, quality control, and analysis.
o Conducting Confidential Audits performing focused audits.
o Education and Training providing audit results to providers, divisions, and departments.
o Medicare/Medicaid Post Payment Review reviewing post-payment claims and denied claims as requested for compliance with CMS regulations, rules, and laws.
o Interpretation and communication of transmittals, Missouri Medicare News, CMS news, and other trade magazines.
o Oversight or research on audit findings.
The successful candidate must possess a Bachelor's degree in Business or Healthcare related field. Master's degree preferred. Certification in one or more of the following is required: Certified Professional Coder (CPC), CPC-H, CCS, CCS-P, RHIA, RHIT, or certified in Healthcare Compliance (CCP). Other coding and/or billing or compliance certifications by reputable certifying agencies are acceptable.
Two years of work experience as a Compliance Analyst is required including experience with report writing and communication of audit results. Leadership, critical thinking, technical/research skills, and excellent communication skills required.
Located in central Missouri, Columbia is home to the University of Missouri and consistently ranked nationally as one of the most desirable places to live. This unique city combines the quality and culture of larger metropolitan areas with the warm hospitality of the Midwest.
An attractive salary and benefit package accompanies this position.
AA/EOI
Instructor On-line Billing and Coding
LA College International has an Immediate Need for On-line Billing and Coding instructors. Must have extensive experience in billing and coding.
Certified Medical Coder
Centrally located St. Louis medical
billing company is seeking a full time experienced
certified medical coder.
Office Manager
9:00 to 5:00 position at
Barnes-Jewish Hospital in St. Louis for
a psychiatrist office. Note: position
will move to St. John's Medical Center area in six
months. Primary duties will include
scheduling patients, checking in and out patients,
electronic billing, collecting payments and managing
patients' accounts, posting and balancing patient's
accounts and verifying with insurance companies
about benefits. Additional duties will include
ordering office supplies and maintaining inventories,
typing physician's correspondence, medication refills,
answering phone calls, taking messages and supervising other
employees. Good organization and customer service
skills, honesty and reliability are a must. Salary
depends on experience.
