10 hours
2018-04-222018-05-22

Certified Medical Coder CPC

The Cardiac and Vascular Institute
Gainesville, FL 32605
The Cardiac and Vascular Institute of Gainesville, FL seeks to be the provider of choice for cardiovascular care to the people of North Central Florida by combining state of the art comprehensive cardiac services and care with innovative technology. We know that our employees are the key to our suceess, and are looking for people who want to help us in our mission.  We are seeking a CERTIFIED MEDICAL CODER in the BUSINESS SERVICES department of our practice.  This position is located in Gainesville zip code 32605.

           

SUMMARY: This position will serve as a Lead and perform auditing and advanced coding duties.   Responsible for auditing of charts and risk adjustment factor analyses for each doctor, establishing meaningful reports of your results and ago-to role for other CPC-Cs. You must have a current CPC or similar certification to be considered for this position.   



ESSENTIAL FUNCTIONS:



  1. Researches all information needed to insure complete billing process including obtaining medical records and required data from physicians.

  2. Reviews coding information about procedures and diagnosis on charge.

  3. Assists in the processing of insurance claims including Medicare, Medicaid, Commercial and other third party payers.

  4. Prepares and submits clean claims to various insurance companies either electronically or by paper.

  5. Answers questions from patients, clerical staff and insurance companies to ensure correct medical billing protocols have been performed.

  6. Identifies and resolves patient billing issues.

  7. Handles written correspondence and performs provider appeal issues with third party payers to ensure maximum reimbursement has been received for the practice.

  8. Responsible for handling A/R based on insurance carriers assigned and ensures A/R is paid and processed correctly in a timely manner.

  9. Assists with error resolution and provides feedback for enhancement purposes.

  10. Processes payments from insurance companies and prepares a daily deposit.

  11. Performs various A/R actions including handling telephone issues from patients and insurance companies, correcting and resubmitting claims to third party payers.

  12. Assists with the balancing and preparations of the practices daily close.

  13. Maintains required medical billing records, reports and files.

  14. Participates in educational activities and attends departmental meetings.

  15. Maintains the strictest confidentiality; adheres to all HIPAA guidelines/regulations.



EDUCATION:  High School Diploma or GED.



EXPERIENCE:  Minimum of four years medical billing experience in a health care organization.  Intergy medical billing software experience preferred.



ENVIRONMENTAL/WORKING CONDITIONS:  Work is performed in an office environment.  Job involves frequent contact with staff, patients, and insurance companies.  Interactions may be stressful at times while handling angry or upset patients and insurance aproviders.



PHYSICAL/MENTAL DEMANDS:  Requires sitting and standing associated within a normal office environment.  Manual dexterity needed for using a calculator and computer keyboard
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Certified Medical Coder CPC

The Cardiac and Vascular Institute
Gainesville, FL 32605

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Certified Medical Coder CPC

The Cardiac and Vascular Institute
Gainesville, FL
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