Medical & Billing Coder

Dane Street; West Palm Beach (FL); Remote; USD 50,000 - 80,000; Full time

Job summary

Join a dynamic and fast-paced team at a leading company in the healthcare sector, where your expertise in coding and bill review will make a significant impact. This role offers the opportunity to apply your clinical knowledge to ensure accurate medical billing and coding. You'll collaborate with various teams, navigate complex cases, and provide exceptional customer service while meeting tight deadlines. With a strong focus on professional growth, this entry-level position promises a rewarding career path in a supportive environment that values performance excellence and attention to detail.

Benefits

Generous Paid Time Off

Excellent benefits package

Competitive salary

Qualifications

• Must have a CPC, AAPC, or DRG coder certification.
• Experience in a medical office or healthcare background is preferred.

Responsibilities

• Evaluate codes for appropriateness and adherence to standards.
• Provide quality assurance and clinical oversight for cases.

Skills

CPC certification

AAPC certification

DRG coding

Attention to detail

Communication skills

Self-motivation

Time management

Education

CPC, AAPC, or DRG coder certification

Tools

Google Chrome

Gmail

Google Docs

Google Sheets

Job description

Calling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for highly motivated Coders, bill reviewers, and payment integrity reviewers candidates to join our team. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential.

Job Summary:

A new program on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct. You will communicate with other reviewers and their office teams to ensure clarity of information, address all questions posed, and ensure reports are returned within client deadlines.

Core Duties & Responsibilities:

1. Evaluate the appropriateness of codes and determine whether they meet all established program standards.
2. Ensure that medical records are matched appropriately to the codes; obtain records if not.
3. Read and apply policy guidelines and healthcare terminology, and delineate when criteria are or are not met.
4. Evaluate claims for conflict of interest and criteria appropriateness.
5. Work within established timeframes set by program parameters.
6. Provide strong customer service skills and work closely with clients on a case-by-case basis to provide complete, timely, and error-free quality assurance of cases.
7. Provide clinical oversight to complex cases requiring additional review prior to return to the client.
8. Serve as an additional level of QA and clinical review for cases with quality issues.

Requirements

Required Education & Experience:

• Must have a CPC, AAPC, or DRG coder certification.
• Payment integrity or professional bill review experience is strongly preferred.
• Out-of-network bill review experience is a plus.
• Experience working in a remote environment is preferred.
• Experience in a medical office or healthcare background.

Required Skills:

• Must work with a sense of urgency and meet deadlines.
• Must be self-motivated, with a strong drive for performance excellence.
• Excellent written and verbal communication skills are required.
• Proficiency in navigating various computer programs (experience with Google Chrome, Gmail, Docs, Sheets, etc., is a plus).
• Attention to detail is REQUIRED.

Additional Information:

Please be aware that Dane Street will never conduct an interview via text or request checks from candidates for purchasing equipment.

Benefits:

We offer generous Paid Time Off, an excellent benefits package, and a competitive salary. If you thrive in a fast-paced environment and want to do meaningful work that impacts others' lives, we encourage you to apply!

About Dane Street:

A fast-paced, Inc. 500 Company with a high-performance culture, Dane Street processes over 200,000 insurance claims annually for leading national and regional carriers, third-party administrators, managed care organizations, employers, and pharmacy benefit managers. We provide customized Independent Medical Exam and Peer Review programs to assist our clients in reaching appropriate medical determinations as part of the claims management process.

Additional Details:

• Seniority level: Entry level
• Employment type: Full-time
• Job function: Other
• Industries: IT Services and IT Consulting

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