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

am43N2lXQ2JTNXpBai9qbnNxNVZrK25sTXc9PQ==
  • 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, Remote job,

Similar Jobs

StaffDash

EMT - Travel Contract Job at StaffDash

 ...EMT-B Location: Port Arthur, TX Job Summary: You will be assisting a private EMS company running a 911 service & IFTs as needed. Job Description: ~16-Week Assignment. ~14 Days ON / 14 Days OFF. ~ Wednesday to Wednesday. ~12 Hour Shifts ~$3,892 Per... 

JOVEN, Inc.

Health Educator Job at JOVEN, Inc.

 ...The Health Educator is responsible for delivering Abstinence based sexual risk avoidance education which provides youth with knowledge regarding the risks associated with nonmarital sexual activity, in an effort to decrease the teen pregnancy rate and prevent the spread... 

Baesman Group, Inc.

Printing Offset Press Operator (Press) Job at Baesman Group, Inc.

 ...take pride in helping our teammates achieve more than they thought possible. Baesman Group has an excellent opportunity for a Printing Press Operator to join our 3rd shift team . This individual will be responsible for the setup and operation of Heidelberg XL 105... 

Miranda Creative

Marketing Agency Executive Administrator Job at Miranda Creative

 ...Miranda Creative-a vibrant and award-winning full-service creative agency with over 35 years of experience and an impressive roster of...  ...at the executive level. Experience in a marketing or advertising environment is a plus. Bachelor's degree preferred but not... 

JOURNEYS WITH JP

Remote Travel Consultant Job at JOURNEYS WITH JP

 ...a new agent to join our dynamic team. As a family-owned agency, we pride ourselves on delivering highly personalized and tailored travel experiences. In this role, you'll collaborate with a diverse range of vendors to craft unforgettable vacations, including theme park...