Coding and Billing Specialist

Job not on LinkedIn

🔥 15 hours ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $21 - $32 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

📊 Billing Specialist

👻 Ghost score 20%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Open for 1 day.
• Jobs at this company usually fill in 21 days.
• 48 open roles for a team of 91.

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Center for Health Care Strategies

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 1998

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

Healthcare • Consulting • Healthcare Insurance

Center for Health Care Strategies is a U. S. -based organization dedicated to improving the healthcare system to achieve better and more equitable outcomes, particularly for those served by Medicaid. The center focuses on issues like complex health and social needs, mental health, substance use, and aging and disability. It emphasizes cross-sector partnerships, community engagement, and health equity to transform the delivery system and promote value-based payments. The organization also supports leadership and capacity building efforts to drive system reform, including integrating Medicare and Medicaid services and advocating for trauma-informed care and primary care innovation.

📋 Description

• Assess documentation for hospital services to accurately code principal diagnoses, secondary conditions, procedures, and social determinant codes • Apply American Hospital Association, Current Procedural Terminology, ICD-10-CM, payer-specific, and drug-administration coding guidelines • Assess revenue charge capture, revenue codes, grouper functions, and financial impact on hospital billing • Enter and assess surgical, supply, implant, pharmacy, contrast, and patient-supplied charges • Assign codes for concurrent and discharged accounts across multiple specialties • Meet monthly production and quality requirements • Analyze high-risk encounters for missing or inaccurate charges before encounter completion • Apply payer-specific trends and modifier requirements to reduce billing take backs • Facilitate clinical documentation queries regarding level of service, chronic conditions, HCCs, and RAFs • Retrieve relevant data from hospital information systems and non-hospital records

🎯 Requirements

• Associate's degree required • Medical Terminology, Anatomy and Physiology • One of the following certifications required: CPC, CCS, RHIT, RHIA, or COC • CRC preferred • 3-5 years experience • Working knowledge of ICD-10-CM, CPT-4, modifier application, and coding guidelines • Maintain certification • Knowledge of hospital information systems and complex filing schemas • Knowledge of payer-specific rules, revenue codes, grouper functions, charge capture, and billing requirements

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