Coding Specialist for an Office Practice of eight Pediatric General and Thoracic Surgeons and Two Pediatric Plastic and Craniofacial Surgeons. The Coder is responsible for the accuracy and timeliness of billing and coding to assure the revenue cycle is optimized through the account registration, billing, coding of hospital records and data entry of all hospital based charges into the billing system.

• Performs initial charge review to determine appropriate ICD-10 and CPT codes to beused to report physician services to third party payers.

• Interprets progress notes, operative reports, office procedures, and charge documents to determine services provided and accurately assign CPT and ICD-10 coding to these services.

• Enters appropriate data into NextGen Billing System by selecting the appropriate codes, diagnosis, modifiers, and Surgeon information to complete the charge process.

• Meets with physicians regarding procedures and other services billed to ensure proper coding.

• Responsible for reviewing patient logs and other reports of clinical activity to ensure billing is captured for all patients.

• Monitors and follows up to ensure all services that can be billed are captured and coded for billing.

• Responsible for ensuring the batch processes for all coded charges.

• Utilizes batch-logging systems to comply with internal audit standards.

• Reviews all physician documentation to ensure compliance with third party and regulatory guidelines.

• Works in conjunction with the practice, regional and corporate coding department staff to answer all inquiries regarding coding and billing for physicians' services.

• Follow all government and payer coding guidelines and HIPAA guidelines.
• Performs other duties as assigned.

• Certified Professional Coder (CPC) designation, clinical background; minimum of two years related experience and/or training; or equivalent combination of education and experience.
• Surgical Coding experience is needed.
• CPT/ICD-10 coding of physician services preferred.
• Knowledge of current third party billing and collection regulatory guidelines and requirements.
• Ability to gather and interpret data.
• Ability to work independently in a fast paced environment

The Hospital Coder is responsible for the accuracy and timeliness of billing and coding to assure the revenue cycle is optimized through the account registration, billing, coding of hospital records and data entry of all hospital based charges into the billing system.

• Medical, Dental, Vision Insurance
• Progyny Fertility Benefits
• Teladoc Health and Second Opinion Services
• 401(K) Thrift Program & Sharing Plan**
• Employee Stock Purchase Plan (ESPP) - 15% discount*
• Basic Employee; Spouse; Child Life Insurance
• Accidental Death and Dismemberment (AD&D)
• Employee Optional Life and AD&D
• Short & Long Term Disability
• Pre-Tax Health Savings Accounts (HSA)
• Employee and Dependent Flexible Spending Account (FSA)
• Family Medical Leave Act (FMLA)
• Parental Leave Benefit
• Sick Pay Bank
• Employee Assistance Program (EAP)
• Group Aflac Policies
• Identity Theft Protection
• Employee Charitable Fund
• Care.com
• Continuing Education Assistance
• Various Discount Programs

Pediatrix Medical Group is one of the nation's leading providers of highly specialized health care for women, babies and children. Since 1979, Pediatrix has grown from a single neonatology practice to a national, multispecialty medical group. Pediatrix-affiliated clinicians are committed to providing coordinated, compassionate and clinically excellent services to women, babies and children across the continuum of care, both in hospital settings and office-based practices. The group's high-quality, evidence-based care is bolstered by significant investments in research, education, quality-improvement and safety initiatives.

Please Note: Fraudulent job postings/job scams are becoming increasingly common. All genuine Pediatrix job postings can be found through the Pediatrix Careers site: www.pediatrix.com/careers.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.

PI240094326