Medical & Billing Coder Job at Dane Street, LLC, West Palm Beach, FL

bHlZN2Y2aGNQN3MyWmRDbFFsK0M5UWsvaEE9PQ==
  • Dane Street, LLC
  • West Palm Beach, FL

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 offering 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 and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines.

Core Duties & Responsibilities:

  • Evaluates the appropriateness of codes and determine whether they meet all established program standards.
  • Ensures that the medical records are matched appropriately to the codes and if not, obtains them.
  • Read & apply policy guidelines and healthcare terminology and delineate when criteria are/are not met.
  • Evaluates claims for conflict of interest and criteria appropriateness.
  • Works within established timeframes set by program parameters.
  • Provides strong customer service skills and works closely with clients on a case- by-case basis to provide complete, timely, and error-free quality assurance of cases.
  • Provides clinical oversight to cases that are complex and need additional review prior to return to the client.
  • Serves as an additional level of QA and clinical knowledge/review for cases with quality Issues.

Requirements

Required Education & Experience:

● Must have a CPC, APCC, 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 health care 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 a variety of computer programs (Experience with Google Chrome, Gmail, Docs, Sheets, etc., is a plus).

● Attention to detail REQUIRED.

PLEASE BE AWARE: In the interest of the security of both parties, 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 are an outstanding candidate for this position, if you thrive in a fast-paced environment, and if you are interested in doing meaningful work that impacts others' lives, then we encourage you to apply!

ABOUT DANE STREET

A fast-paced, Inc. 500 Company with a high-performance culture, Dane Street is seeking

insightful, astute forward-thinking professionals. We process over 200,000 insurance

claims annually for leading national and regional Workers’ Compensation, Disability,

Auto and Group Health Carriers, Third-Party Administrators, Managed Care

Organizations, Employers and Pharmacy Benefit Managers. We provide customized

Independent Medical Exam and Peer Review programs that assist our clients in

reaching the appropriate medical determination as part of the claims management

process.

Job Tags

Full time, Work at office,

Similar Jobs

Engel & Volkers St. Louis - Gerard Group

Real Estate Sales Agent Job at Engel & Volkers St. Louis - Gerard Group

We are seeking a full-time Real Estate Sales Agent. We believe that hard work and superior sales skills are the foundation for long-term...  ...About Company: We are a leading brokerage promoting the development of successful agents through intelligent advisory, dedicated... 

Sanford Health

RN - Transplant Coordinator Job at Sanford Health

 ...Sign On Bonus available for Qualified Candidates! Department Details Join our expanding Kidney Transplant team. This Transplant Coordinator will work with our post-transplant patients providing education and coordination of care post transplant. Clinic hours are Monday... 

SpecialCase

Junior Data Analyst (Remote) Job at SpecialCase

`As the Data Analyst for the Security Analytics & Innovation team you will help in the development, deployment and administration of Analytical Products as well as Metrics & Reporting that supports the Security strategy, decision making and controls within the organization... 

All Lines Technology

Network Cyber Security Analyst II Job at All Lines Technology

All Lines Technology is looking for a Network Security AnalystII to play an integral role in protecting the confidentiality, integrity, and availability of its information assets. This individual will assist the Network Security Systems Manager in the field of network... 

Basilone Executive Search

Controller Job at Basilone Executive Search

Responsibilities Manage all accounting transactions Prepare budget forecasts Publish financial statements in time Handle monthly, quarterly and annual closings Reconcile accounts payable and receivable Ensure timely payments Compute taxes and prepare...