Revenue Cycle Process Specialist- Coding/CPC - Pensacola - Baptist Health Care

    Baptist Health Care
    Baptist Health Care Pensacola

    1 hour ago

    Default job background
    Description
    Job Description

    The Revenue Cycle Process Specialist is the primary resource to support service lines and physician practices for all Revenue Cycle activities. Revenue Cycle Activities include Coding issues, Charge issues, and Billing Compliance issues related to any facility service lines or physician practices. The position coordinates with GRC Compliance Department on coding education and works with Coding, Billing, and Denials teams on all edit issues and resolution. The Revenue Cycle Process Specialist is responsible for providing overview of monthly revenue cycle metrics for professional services billed by Baptist Health Care to include Charges, Cash, Adjustments, Payer Mix, Denials, Charge Lag.

    Responsibilities
    • Coordinates with GRC on developing and providing all coding education provided to the practices or providers. Provides education on all CPT and ICD-10CM coding updates and CMS Final rule updates. Provides any payer specific policy updates
    • Works with coding, billing, and denials team on all edit issues and assists with resolution of those edits.
    • Assists with creation of super bill charges and provides compliance reviews of super bills.
    • Provides guidance on charge reconciliation processes to ensure all services provided have been charged correctly
    • Works with credentialing team on any new physician or APP onboarding needs, e.g., physician information or paperwork needed to complete credentialing application process
    • Reviews new services/procedures/tests requested for compliance and assists with initiation and charge set up for new services
    • Coordinates with IT on any identified EMR issues.
    • Provides an overview to Physician Enterprise Leadership team of monthly revenue cycle metrics for professional services billed by Baptist Health Care. Revenue cycle metrics are provided by Patient Financial Services Data Analysts
    • Assists with any other identified Revenue Cycle issues or opportunities
    Qualifications

    High School Diploma Required

    2 years hospital/medical billing, coding, and/or auditing experience required

    Licenses and Certification Required
    • Certified Professional Coder - CPC_AAPC
    • Certified Outpatient Coder - COC_AAPC
    • Certified Professional Medical Auditor - CPMA_AAPC
    • Certified Coding Specialist-Physician-based - CCSP_AHIMA
    • Certified Coding Specialist - CCS_AHIMA
    About Us

    Baptist Health Care is a not-for-profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama. The organization includes three hospitals, four medical parks, Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non-governmental employers in northwest Florida.

    Baptist Health Care, Inc. is an Equal Opportunity Employer. BHC maintains and enforces a policy that prohibits discrimination against any workforce members or applicants for employment because of sex, race, age, color, disability, marital status, national origin, religion, genetic information, or other category protected by federal, state or local law.
  • Community Health Northwest Florida

    Billing & Coding Specialist

    1 week ago

    Community Health Northwest Florida Pensacola

    Job Description · Job Description · Exciting Opportunity: Billing and Coding Specialist · At Community Health Northwest Florida (CHNWF), we are on a mission to transform community health—one patient, one neighborhood, one community at a time. As a health advocate and leader, we p ...

  • Standard Technology

    Medical Coding Auditor

    3 days ago

    Standard Technology Pensacola

    Job Description · Job Description · POSITION IS100% ONSITE at NAS Pensacola, FL. · SUMMARY: Responsible for the auditing of medical documentation and codes for compliance with federal coding regulations and guidelines. This will include the assignment of ICD, Current Procedure Te ...

  • Standard Technology

    Medical Coder ONSITE

    3 days ago

    Standard Technology Pensacola

    Job Description · Job Description OUTPATIENT MEDICAL CODER · POSITION 100% ONSITE PHYSICAL LOCATION: Naval Hospital Pensacola · SUMMARY: Responsible for assignment of accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthca ...

  • Baptist Health Care

    credentialing specialist

    3 days ago

    Baptist Health Care Pensacola

    Job Title: Credentialing Specialist · Overview: · The Credentialing Specialist provides support to the Medical Staff Services department under the direction of the Medical Staff Manager. · This role performs various confidential administrative and credentialing functions for the ...

  • Baptist Health Care

    Compliance Auditor

    1 hour ago

    Baptist Health Care Pensacola

    Job Description · This Compliance Auditor - Hospital IP/OP is responsible for auditing inpatient claims to federally funded healthcare payors across all Baptist Health Care (BHC) inpatient facilities. The position audits and provides feedback as needed and attends inpatient (IP) ...

  • Baptist Health Care

    RN Specialist

    3 days ago

    Baptist Health Care Pensacola Full time

    Clinical Documentation Specialist- RN Role · The Clinical Documentation Specialist-RN facilitates accurate documentation of patient care in the medical record. This involves extensive review of medical records, interaction with physicians, health information management profession ...

  • University of West Florida

    Maintenance Specialist

    1 day ago

    University of West Florida Pensacola

    Job Title: Maintenance Specialist · The University of West Florida is seeking a skilled Maintenance Specialist to join their team. The successful candidate will be responsible for performing a variety of journeyman-like level tasks, including but not limited to Carpentry, Electri ...

  • Top Secret Clearance Jobs

    Senior Training Manager

    1 day ago

    Top Secret Clearance Jobs Pensacola

    About the job Senior Training Manager · Scientific Research Corporation is a leading information technology and engineering company that provides innovative products and services to government and private industry. · 5+ years of experience as an United States Navy (USN) Cryptolog ...

  • life care center of America

    Activities Specialist

    3 days ago

    life care center of America Pensacola

    Position Summary · The Activities Specialist designs, organizes, and implements quality activities for patients, ensuring their recreational, physical, intellectual, spiritual, and social needs are met in accordance with applicable laws and regulations. Based on the comprehensive ...

  • Alutiiq

    Automation Controls Specialist III

    1 week ago

    Alutiiq Pensacola

    Job Title · Automation Controls Specialist III · The Automation Controls Specialist III applies knowledge of various building trades, such as electrical, mechanical, telecommunications and information systems networks, to computer-based control systems and building automation and ...

  • Baptist Health Care

    Licensed Practical Nurse

    3 days ago

    Baptist Health Care Pensacola Full time

    The Licensed Practical Nurse plays a vital role in patient care under the Screening & Prevention program. · Processes incoming orders, completes chart reviews, and performs patient phone assessments to determine patient eligibility based on current screening guidelines. · Serves ...

  • Tential

    Accounts Receivable

    1 minute ago

    Tential Pensacola Contract

    Accounts Receivable Charge Off Specialist · Pay Rate: $24.46/hour · Job Description · To recover debt on savings and checking accounts that have been charged off. To review and determine reasons for non-payment and counsel and assist members and joint owners to address their fina ...

  • West Florida Medical Center Clinic PA

    MedPro Customer Service Specialist II

    1 week ago

    West Florida Medical Center Clinic PA Pensacola

    Job Type: Full-time · Description: · Job Summary · Under the direction of the Customer Service Supervisor, the Customer Service Specialist II will be responsible for responding to incoming calls from all customers in a prompt and courteous manner. · Essential Duties and Responsib ...

  • Peoples Home Health, LLC

    Intake Specialist

    1 week ago

    Peoples Home Health, LLC Pensacola

    Job Description · Job Description · Description:Position Summary: · Is responsible for distributing admission information according to company policy; prioritizing phone calls; ensuring admission packets are available and appropriate; and interpreting insurance policy benefits to ...

  • Peoples Home Health, LLC

    LPN Intake Specialist

    1 week ago

    Peoples Home Health, LLC Pensacola

    Job Description · Job Description · Description:Position Summary: · Is responsible for distributing admission information according to company policy; prioritizing phone calls; ensuring admission packets are available and appropriate; and interpreting insurance policy benefits to ...

  • HCA Florida West Hospital

    Employed

    1 week ago

    HCA Florida West Hospital Pensacola

    Details · Client Name · HCA Florida West Hospital · Job Type · Permanent · Offering · Physician · Profession · Family Medicine · Specialty · General · Job ID · Job Title · Employed · Shift Details · Shift · Full Time Days · Scheduled Hours · 40 · Job Order Details · Start Date · ...

  • HCA Florida West Hospital

    Employed

    1 week ago

    HCA Florida West Hospital Pensacola

    Details · Client Name · HCA Florida West Hospital · Job Type · Permanent · Offering · Physician · Profession · Infectious Disease · Specialty · General · Job ID · Job Title · Employed · Shift Details · Shift · Full Time Days · Scheduled Hours · 40 · Job Order Details · Start Date ...

  • Boston Scientific

    EP Senior Mapping Specialist

    20 hours ago

    Boston Scientific Pensacola

    Additional Location(s): N/A · Diversity - Innovation - Caring - Global Collaboration - Winning Spirit - High Performance · At Boston Scientific, we'll give you the opportunity to harness all that's within you by working in teams of diverse and high-performing employees, tackling ...

  • Boston Scientific

    EP Senior Mapping Specialist

    20 hours ago

    Boston Scientific Pensacola

    Additional Location(s): N/A · Diversity - Innovation - Caring - Global Collaboration - Winning Spirit - High Performance · At Boston Scientific, we'll give you the opportunity to harness all that's within you by working in teams of diverse and high-performing employees, tackling ...

  • Gulf Distributing Holdings Company LLC

    Non-Alcohol Specialist

    3 days ago

    Gulf Distributing Holdings Company LLC Milton Full time

    Job Description · Job Description · Position Description – Non-Alcohol Specialist · Reports to: Non-Alcohol Manager · JOB SUMMARY · The Non- Alcohol Specialist represents and develops the Non- Alcohol and Alternative Beverage portfolio of Gulf Distributing Holdings, LLC in the as ...

Jobs
>
Pensacola