Coder III

Tenet Healthcare; West Palm Beach (FL); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

401(k) with employer match

Paid time off

Education opportunities

Health savings accounts

Job summary

The Coder III at Tenet Physician Resources (Paley Orthopedic & Spine Institute) in Florida coordinates, performs and completes Medicare compliance tasks. Coding includes outpatient and inpatient services, ensuring accuracy per CMS, NCQA and Tenet policy.

Collaborate with physicians and billing staff, update patient records, conduct claims follow-up, protect confidentiality under HIPAA, and pursue ongoing coding education for ICD-10, CPT-4 and HCPCS.

Qualifications

• Experience in medical coding and healthcare terminology
• Familiarity with HIPAA and patient confidentiality
• Strong organizational and documentation skills

Responsibilities

• Coordinate and perform Medicare compliance coding for outpatient and inpatient services
• Ensure accurate ICD-9/ICD-10, CPT, and HCPCS coding per CMS and NCQA guidelines
• Update patient records with current insurance, contact information, and referring physicians
• Conduct claims follow-up and communicate needed documentation to physicians
• Maintain credentials and pursue ongoing coding education annually

Job description

Overview

Fuel your passion for patient-centered care and elevate your medical career in our thriving physician office. Join our collaborative team, where every day brings new opportunities to make a meaningful impact on the well-being of our community.

At Tenet Physician Resources, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:

• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Generous paid time off
• Career development and continuing education opportunities
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note: Eligibility for benefits may vary by location and is determined by employment status

Job Summary

The Coder III is responsible for coordinating, performing and completing Medicare compliancy. Coding consists of outpatient services in outpatient and inpatient services including procedures. To ensure coders provide technical aspects of the assignment diagnostic and carried out in accordance with established standards and in compliance NCQA and other regulatory agencies, and Tenet policy.

Responsibilities

Essential Duties and Responsibilities:

Include the following. Others may be assigned.

• Performs all assigned billing in a timely manner
• Communicates with the physician the documentation needed to complete job functions
• Ensures accurate coding from the medical record regarding ICD-9 and ICD-10, appropriate evaluation and management CPT code
• Updates patient record with patient’s current insurance, address and telephone numbers
• Identifies primary care doctor and referral source with contact information and documents it in the medical record
• Performs claims follow up and reviews with billing agent in a timely
• manner
• Protects patient confidentiality according to HIPAA guidelines
• Maintains proper credentials and researches coding issues to ensure correct coding initiative per CMS guidelines
• Identifies and attends one course/conference per specialty, per year to continue education in the coding field

Qualifications

EDUCATION / EXPERIENCE

Include minimum education, technical training, and/or experience required to perform

the job.

• AA Degree required
• Bachelors Degree preferred
• 5 years coding experience required
• Healthcare background is required
• CPT current competence with ICD- 10, ICD-9, CPT-4, and HCPCS required
• Coding scheme and reimbursement practices required
• RHIA, RHIT, CCS, CPC or COC certification is required
• Office, and Excel required
• Willingness to be flexible and adaptable in a complex, matrix environment

#LI-JK1

Organization Description

The mission of the Paley Orthopedic & Spine Institute is to provide some of the most technologically advanced treatments to improve the lives of those who suffer from congenital, developmental and post-traumatic orthopedic conditions. Serving children and adults from the local community, the United States and the world, the Paley Orthopedic & Spine Institute offers comprehensive, coordinated care from an experienced team of professionalsdesigned for the specific needs of each patient. At the Paley Orthopedic & Spine Institute, our treatment philosophy focuses on reconstruction over amputation and a commitment to preserving limbs and joints and restoring function.

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: http://www.uscis.gov/e-verify
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.

2603020760