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Certified Coder
North Florida Surgeons Jacksonville, FL
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$48k-61k (estimate)
Full Time 5 Days Ago
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North Florida Surgeons is Hiring a Certified Coder Near Jacksonville, FL

General Summary of Duties: Apply advanced coding knowledge to submit claims on behalf of the company for services rendered by providers within the organization as assigned. The Certified Coder will serve as the knowledge base for coding assistance to physician and staff and provide training on new and changing coding policies from government and commercial carriers.
Essential Duties: (This list may not include all of the duties assigned.)
  • Apply accurate coding to submit initial clean claims to insure prompt and accurate payment exercising compliance in accordance with CPT, government and carrier policy and guidelines.
  • Maintains claim submission and carrier response within timely filing limits set forth by the carrier and/or carrier contracts. Maintains current levels of account aging for assigned offices.
  • Maintains productivity and quality standards as set by company.
  • Reviews accounts for proper reimbursement from carriers and patients.
  • Submits adjustment requests for approval for fully worked claims.
  • May contact insurance companies and patients regarding payment in a timely manner.
  • May contact insurance companies regarding appeals and reviews of medical claims.
  • Determines appropriate coding on denied claims, sends reviews and appeals where necessary.
  • Maintains good working relationship with divisions by providing support and feedback by making recommendations for coding and/or billing to physician and/or office management staff. Contacts divisions as necessary to research coding, insurance and billing issues.
  • Participates in compliance training for office.
  • Maintains patient confidentiality.
  • Monitors daily and weekly reports to achieve overall coding and claim oversight.
  • Coordinates with the division with respect to bad debt and collection efforts.
  • Continuous education in areas specific to industry (coding, billing and insurance contracts) by utilizing bulletins, newsletters, seminars etc.
  • May be responsible for payment posting as needed.
  • Maintains CEU's for continued certification.
  • Performs other duties as required.
Requirements

  • Must reside in the state of Florida.
  • Knowledge, Skills and Abilities. Knowledge of clinic charging, billing and registration policies and procedures. Knowledge of insurance billing procedures. Knowledge of clinic departments and operational relationships. Skill in defining problems, collecting data, interpreting billing information. Skill in computer applications. Ability to perform mathematical computations and compute ratios and percentages. Ability to work pleasantly and effectively with patients and co-workers. Ability to communicate clearly.
  • Education: High school diploma, coding and billing courses helpful.
  • Experience: At least 5 years accounts management/billing experience in a health care organization. 5 years minimum of General surgery, ENT, and/or orthopedics coding from office notes and operative reports.
  • Certificate/License: Certified Medical Coder
Environmental/Working Conditions: Work is performed primarily in a remote environment with office work as scheduled or as needed. Involves frequent telephone contact with patients. Work may be stressful at times. Interaction with others is constant and interruptive. Contact involves dealing with patients, carriers and company personnel.
This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.

Job Summary

JOB TYPE

Full Time

SALARY

$48k-61k (estimate)

POST DATE

05/03/2024

EXPIRATION DATE

05/16/2024

WEBSITE

nflsurgeons.com

HEADQUARTERS

JACKSONVILLE, FL

SIZE

50 - 100

FOUNDED

1995

CEO

KAREN HYATT

REVENUE

<$5M

INDUSTRY

Ambulatory Healthcare Services

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The following is the career advancement route for Certified Coder positions, which can be used as a reference in future career path planning. As a Certified Coder, it can be promoted into senior positions as a Medical Records Coding Technician that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Certified Coder. You can explore the career advancement for a Certified Coder below and select your interested title to get hiring information.

If you are interested in becoming a Certified Coder, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Certified Coder for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Certified Coder job description and responsibilities

Medical coders are usually placed on tight production schedules and expected to complete a determined number of notes each day or to keep their lag days at a specified timeframe.

06/06/2022: Sacramento, CA

At the end of the day coders return unprocessed work, check productivity either by a manual count or by running a system report, and clean their work area.

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Depending on the clinical setting, medical coders may share a workspace with other coders assigned to opposing shifts where coding may continue around the clock.

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After gaining some experience, many coders are even able to work from home, which adds to the appeal of this profession for many.

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Hospital settings may seem more demanding because of the number of patients, but having fellow coders to share the workload can help keep things manageable.

03/13/2022: Anaheim, CA

Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Certified Coder jobs

Medical coders with an RHIT credential only have to take 20 CEUs.

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AAPC membership has networking access to RN coders across the country.

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Certified Nursing Assistants are responsible for many patient care tasks to ensure that each patient receives the comprehensive and personalized care they need.

05/03/2022: Gainesville, FL

Seek professional development opportunities.

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Pass the CPC Certification Exam.

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Step 3: View the best colleges and universities for Certified Coder.

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