Coding Compliance Specialist jobs in Clearwater, FL

Description

Full Job Description:

 The Dermatology Coding and Billing Specialist is responsible for accurately coding dermatology procedures and services, submitting insurance claims, and managing the billing process for a dermatology practice or healthcare facility. They ensure compliance with healthcare regulations and maximize revenue by optimizing reimbursement. 

Requirements

Key Responsibilities:

1. Medical Coding:
   • Assign appropriate CPT (Current Procedural Terminology) and ICD-10 (International Classification of Diseases) codes       to dermatology services, procedures, and diagnoses.
   • Stay up-to-date with coding changes and guidelines related to dermatology.
2. Billing:
   • Prepare and submit insurance claims accurately and in a timely manner.
   • Verify patient insurance coverage and eligibility for dermatology services.
   • Follow up on unpaid claims and denials, resubmitting claims if necessary.
   • Review and address coding-related denials and discrepancies.
3. Compliance:
   • Ensure compliance with federal and state healthcare regulations, including HIPAA (Health Insurance Portability and       Accountability Act).
   • Stay informed about changes in billing and coding regulations specific to dermatology.
4. Documentation:
   • Collaborate with healthcare providers to improve documentation accuracy for coding purposes.
   • Maintain organized records of coding and billing transactions.
5. Patient Inquiries:
   • Respond to patient inquiries related to billing, insurance, and claims.
   • Assist patients in understanding their bills and insurance coverage.
6. Revenue Optimization:
   • Identify opportunities to optimize revenue through accurate coding and billing practices.
   • Assist in developing strategies to increase reimbursement rates and reduce claim denials.
7. Training and Education:
   • Keep staff and providers updated on coding and billing changes and best practices.
   • Conduct training sessions as needed to improve coding accuracy.
8. Software and Technology:
   • Utilize medical billing and coding software effectively.
   • Stay current with software updates and enhancements.

Qualifications:

• A high school diploma or equivalent (some employers may require a degree or certification in medical coding or billing).
• Certified Professional Coder (CPC) or Certified Dermatology Coder (CDC) certification is highly desirable.
• Strong knowledge of CPT and ICD-10 coding systems.
• Familiarity with medical billing software and electronic health records (EHR) systems.
• Excellent attention to detail and analytical skills.
• Knowledge of healthcare regulations, especially those related to dermatology.
• Strong communication and interpersonal skills.
• Ability to work independently and as part of a healthcare team.

A Dermatology Coding and Billing Specialist is a critical member of the healthcare revenue cycle management team, ensuring accurate reimbursement and financial stability for dermatology practices while maintaining compliance with healthcare regulations.

This is a full-time position. We offer a full benefits package including healthcare insurance, vacation, and 401K. Salary will be commensurate with experience and extremely competitive. Interested candidates should reply with a resume and cover letter. 

Benefits:

• 401(k)
• Dental insurance
• Employee discount
• Health insurance
• Paid time off
• Retirement plan

Application Process: Please email resume to dsultan@baydermatology.com