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

RStsc1kyWVNEM1FqVkx1a3dHZGQrdUZsenc9PQ==
  • 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,

Similar Jobs

Microsoft Corporation

Front-End Web Developer, Minecraft Job at Microsoft Corporation

 ...world. Our community is global and incredibly diverse. When we are developing anything within our franchise, we keep this in mind. We want...  ...Studios team to be as diverse as our community.The Mojang Web Team is seeking a Front-End Web Developer to help craft modern,... 

Piedmont Healthcare Inc.

Lab Assistant Job at Piedmont Healthcare Inc.

 ...specimens in accordance with Piedmont policies and procedures. Assists technical staff in non-clinical tasks. Qualifications:...  ...MINIMUM EDUCATION REQUIRED: High School graduate or GED MINIMUM EXPERIENCE REQUIRED: None MINIMUM LICENSURE/CERTIFICATION REQUIRED BY... 

The Challenge Printing Company Inc

Carton Feeder\Packer Job at The Challenge Printing Company Inc

Description: The Challenge Printing Company, established in 1911, is the premier provider of printed packaging components to the pharmaceutical industry. Possess the physical dexterity to continuously pack handfuls of cartons into corrugated cases. Ability to read and... 

International Staffing Consultants, Inc.

Utilities Manager Job at International Staffing Consultants, Inc.

 ...implement solutions. Educate and train team members on energy-saving practices and sustainability initiatives. Negotiate and manage contracts with energy suppliers and contractors, ensuring compliance and cost-effectiveness. Stay informed on relevant energy legislation...