• Performs initial charge review to determine appropriate ICD-9 and CPT codes to be used to report physician services to third party payers.
• Interprets progress notes, operative reports, discharge summaries, and charge documents to determine services provided and accurately assign CPT and ICD-9 coding to these services.
• Enters appropriate data into the Billing System by selecting the appropriate codes, diagnosis, modifiers, and times of start and stop of the case, Anesthesiologist, CRNA, and Surgeon information to complete the charge process.
• Contacts physicians through management regarding procedures and other services billed to ensure proper coding.
• Responsible for reviewing patient logs and other report 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 Reimbursement staff to answer all inquiries regarding coding and billing for physiciansâ™ services.
• Works in coordination with other members of the Physiciansâ™ Billing Office as necessary.
• Meets and exceeds short and long term goals as established for the department.
• Performs duties and job functions in accordance with the policies and procedures established for the department.
• Reports to work, meetings and professional obligations on time.
• Participates in administrative staff meetings and attends other meetings and seminars.
• Assists in evaluation of reports, decisions, and results of department in relation to established goals.
• Recommends new approaches, policies, and procedures to influence continuous improvements in departmentâ™s efficiency and services performed.
• Serves as a member of the Clinical Operations Department. Performs duties necessary to ensure the teamâ™s projects/goals are completed.
• Takes ownership of special projects, researches data and follows through with detailed action plans.
• Actively participates in problem identification and resolution and coordinates resolutions between appropriate parties.
• Performs other related duties as required and assigned.
• Adheres to Pediatrix, Department and HR policies and procedures.

Coding Certification by a nationally recognized coding and accreditation program that requires CEU submission for renewal, preferably CPC or CCS, is required for this position, clinical background; or minimum of three years related experience and/or training; or equivalent combination of education and experience.

Take great care of the patient, every day and every way.^TM At Pediatrix & Obstetrix, thatâ™s not only our motto at work each day; itâ™s also how we view our employees and their families. We know that our greatest asset is YOU.

We take pride in offering comprehensive benefits in a vast array of plans that fit your life and lifestyle, supporting your health and overall well-being. Benefits offered include, but are not limited to: Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA and HSAs, as well as a 401k plan and Employee Stock Purchase Program. Some benefits are provided at no cost, while others require a cost share between employees and the company. Employees may also select voluntary plans and pay for these benefits through convenient payroll deductions. Our benefit programs are just one of the many ways Pediatrix & Obstetrix helps our employees take care of themselves and their families.

The expected pay for the position ranges from $23.32 - $38.46 per hour. The actual pay range will be computed based on years of relevant experience.

Pediatrix Medical Group is one of the nationâ™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 groupâ™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.

#PedNC

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.

PI279759664

About Pediatrix Medical Group

Pediatrix® Medical Group, Inc. (NYSE:MD) is a leading provider of physician services. 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. Specialties include obstetrics, maternal-fetal medicine and neonatology. The group’s high-quality, evidence-based care is bolstered by significant investments in research, education, quality-improvement and safety initiatives. The physician-led company was founded in 1979 as a single neonatology practice and today provides its highly specialized and often critical care services through approximately 4,400 affiliated physicians and other clinicians. We partner with hospitals, health systems and health care facilities to achieve better patient outcomes while reducing costs. Together with our partners, we: Develop intuitive, customized solutions that optimize clinical, financial and operational performance; Improve patient care and the total patient experience; Leverage advanced clinical tools, quality initiatives, research, robust data, technology and training to enhance care quality and performance.

Connections working at Pediatrix Medical Group