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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, CMBS, 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 • Robust opportunity for supplemental income, • Schedule flexibility and predictable work hours-conduct reviews based on your schedule availability, • Fully prepped cases, streamlined case flow, transcription services at no cost, and a user-friendly work portal 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 DescriptionSalary: $18.00 - $21.00 per hour Are you interested in billing and coding? Are you pursuing a billing certification? We have an exciting opportunity immediately available for you! We are looking for motivated individuals to ensure accurate and timely billing for our Home Health and Hospice Services. The ideal candidate will demonstrate excellent organizational and analytical skills to meet regulatory and payer requirements. Knowledge in medical coding and billing terminology required. Key Responsibilities: • Submit and manage claims for Medicare, Medicaid, managed care, and commercial payers, • Verify eligibility, review documentation, and ensure billing accuracy and compliance, • Monitor accounts receivable, follow up on unpaid claims, and resolve denials or rejections, • Process hospice and home health billing requirements, including NOE/NOTR and OASIS-linked claims, • Post payments, reconcile remittances, and identify discrepancies, • Maintain compliance with HIPAA and CMS regulations, • Collaborate with clinical, intake, and coding teams to address billing issues Performance Expectations: • Maintain high accuracy (98%+) and low denial rates, • Meet claim submission and follow-up timelines, • Keep accounts receivable within agency targets, • Ensure complete, audit-ready documentation Education/Experience:Bachelor degreepreferred. Medical billing and coding certification may substitute for education, along with professional experience as a biller or coder. Work experience in a related health care setting preferred. Benefits: • 401(k), • Dental insurance, • Health insurance, • Life insurance, • Paid time off, • Vision insurance Schedule: • 8 hour shift, • Monday to Friday Education: • Associate (Required) Experience: • Billing: 1 year (Required) License/Certification: • Billing or Coding Certification (Preferred)

Job Description Orthopedic sports medicine physician practice looking for a highly motivated individual to join our team as a Certified Medical Biller and Coder (Surgical). DUTIES INCLUDE, BUT ARE NOT LIMITED TO: Medical Coder Responsibilities: • Extracts relevant information from patient records and acts as liaison with providers and other parties to clarify information, • Examines documents for missing information; corrects information as needed, • Assigns CPT, HCPCS, ICD-10-CM codes, • Performs patient chart audits and provides coding feedback and education to clinical team as needed, • Answers questions, advises, and trains providers and staff on medical coding, • Ensures compliance with medical coding policies and guidelines; understands the application of each code set, • Maintains current knowledge regarding coding and diagnostic procedures, • Works towards compliance in all aspects of coding, participates in compliance activities as requested, and conducts/participates in provider coding reviews and education, as requested Medical Billing Responsibilities: • Maintains practice management system by entering accurate data, verifying and updating insurance, and claims information, • Key/collect, post and manage patient account payments, • Investigates rejected claims to see why denials were issued and correct claims., • Completes Claims Center daily tasks including charge review and claims inspector; creates and maintains custom claim edits and works the client action worklist, • Reviews and provides RCM weekly and monthly reports including productivity and financial reports as directed and completes action steps as necessary, • Follows HIPAA guidelines when accessing and sharing patient information, • Maintains patient and business confidentiality, • Provides timely and professional customer service, verify discrepancies by and resolve patient billing issues, answer questions from patients, facility staff, and third-party vendors, • Supports additional coding, billing, and practice management projects as needed, • Regular attendance required, • Performs other related duties as assigned or requested. The company reserves the right to add or change duties at any time. EDUCATION: Education: High School diploma or GED required Experience with electronic scheduling system and electronic medical records (EMR) - required. Certified Professional Coder (CPC) - preferred EXPERIENCE: Experience: Minimum of 1+ year experience as a medical biller/coder, surgical, orthopedics. Must be Certified Professional Coder & have ortho experience. ABILITIES: Must demonstrate strong leadership and effective communication skills. Excellent planning, organization and managements skills. Ability to multi-task, works in a fast-paced work environment, and demonstrates team cooperation. Job Type: Full-time - Monday through Friday. Dependable transportation required. Travel between locations may be required. Great benefits: Medical, Dental, Vision, Short Term Disability, Long Term Disability, Life Insurance and 401K. Job Type: Full-time Benefits: • 401(k), • Dental insurance, • Health insurance, • Life insurance, • Paid time off, • Vision insurance Medical Specialty: • Medical-Surgical Schedule: • 8 hour shift, • Day shift, • Monday to Friday, • Weekend availability Work Location: Multiple Locations Job Posted by ApplicantPro

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