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Placing our patients first in every situation and delivering extraordinary quality care.

Billing and Coding Specialist

Pediatric Practice is searching for an experienced billing and coding specialist, pediatric coding experience preferred.

Education/Certification:

  • High School Diploma required
  • Associate degree preferred
  • Completion of Coding and Billing program preferred
  • Coding/Billing Certification preferred (CPC, CPC-A, CCA, CCS, CCS-P, RHIT, RHIA)

Experience:

  • Minimum two years of coding/billing experience in a medical insurance office environment, Health information management, a hospital billing or physician billing setting required
  • Pediatric office experience preferred
  • EClinicalWorks EMR software experience preferred

Essential Functions:

  • Reviews and verifies assigned codes and sequences diagnosis and procedures according to regulations (e.g., ICD10CM, CPT, and HCPCS coding guidelines) and abstracts accurate clinical information to obtain the most specific code possible to ensure an accurate health information database.
  • Detailed knowledge of the CMS guidelines for the assignment of E&M, diagnosis, and procedure codes
  • Contacts physicians and other medical staff for clarification of clinical information as appropriate for account type as necessary
  • Maintains up-to-date knowledge of coding and regulatory requirements to accurately assign codes for appropriate reimbursement of healthcare services.
  • Utilize web-based tools, coding books, and other available resources to facilitate providing insurance companies with the required information.
  • Responds to inquiries from providers and various internal departments in a timely and accurate professional manner.
  • Assigns charges for self-pay patients, bills patients for balances, collect payments from patients via phone
  • Reviews and updates patients insurance and demographic information
  • Identifies past-due bills and sends for statement processing
  • Answers questions via phone and web contact form regarding payments and reimbursements
  • Interacts with private and government payers to facilitate the prompt payment of accounts receivable.

Skills/Abilities:

  • Must be knowledgeable of medical anatomy, medical and insurance terminology
  • Must be knowledgeable of the CMS guidelines for the assignment of E&M, diagnosis, and procedure codes
  • Great customer service skills
  • Ability to interpret EOB and ERA documentation
  • Ability to multi-task
  • Great attention to detail
  • Ability to work independently to effectively and efficiently perform assigned duties
  • Flexible, team player

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Our Locations

We have multiple locations for your convenience.

Semoran Location

1651 N. Semoran Blvd.
Orlando, FL 32807
Link to Map

MON & TUES 8:15am – 6:30pm
WED – FRI 8:15am – 5:00pm
LUNCH 12:30pm – 1:45pm
SAT 8:15am – 12:00 Noon
SUN Closed

Metrowest Location

1601 Park Center Dr., Ste 6B
Orlando, FL 32835
Link to Map

MON & FRI 8:15am – 5:00pm
LUNCH 12:30pm – 1:45pm
SAT 8:15am – 12:00 Noon
SUN Closed
 

Alafaya Location

1561 S. Alafaya Trail, Ste 400
Orlando, FL 32828
Link to Map

MON 8:15am – 6:00pm
TUES – FRI 8:15am – 5:00pm
LUNCH 12:30pm – 1:45pm
SAT 8:15am – 12:00 Noon
SUN Closed

Sanford Location

1403 Medical Plaza Drive, Ste 104
Sanford, FL 32771
Link to Map

MON & FRI 8:15am – 5:00pm
LUNCH 12:30pm – 1:45pm
SAT & SUN Closed
 

LOOP Location

3274 Greenwald Way N.
Kissimmee, FL 34741
Link to Map

MON & FRI 8:15am – 5:00pm
LUNCH 12:30pm – 1:45pm
SAT 8:15am – 12:00 Noon
SUN Closed

Kissimmee-Poinciana Location

1975 South John Young Pkwy, Ste 204
Kissimmee, FL 34741
Link to Map

MON & FRI 8:15am – 5:00pm
LUNCH 12:30pm – 1:45pm
SAT & SUN Closed
 

Oviedo Location

1884 W. CR-419, Ste 1000
Oviedo, FL 32765
Link to Map

MON & FRI 8:15am – 5:00pm
LUNCH 12:30pm – 1:45pm
SAT & SUN Closed

Winter Springs Location

501 W. SR 434
Winter Springs, FL 32708
Link to Map

MON & FRI 8:15am – 5:00pm
LUNCH 12:30pm – 1:45pm
SAT & SUN Closed

Deltona Location

596 Courtland Blvd.
Deltona, FL 32738
Link to Map

MON & FRI 8:15am – 5:00pm
LUNCH 12:30pm – 1:45pm
SAT & SUN Closed

Winter Garden Location

1327 Winter Garden Vineland Rd.
Winter Garden, FL 34787
Link to Map

MON & FRI 8:15am – 5:00pm
LUNCH 12:30pm – 1:45pm
SAT & SUN Closed

Dr. Phillips Location

7051 Dr. Phillips Blvd, Ste 7
Orlando, FL 32819
Link to Map

MON & FRI 8:15am – 5:00pm
LUNCH 12:30pm – 1:45pm
SAT & SUN Closed

Longwood Location

181 Sabal Palm Dr.
Longwood, FL 32779
Link to Map

MON & FRI 8:15am – 5:00pm
LUNCH 12:30pm – 1:45pm
SAT & SUN Closed

Coming Soon!
Lake Nona Location

10105 Clear Vista St., Ste B
Orlando, FL 32832
Link to Map

MON & FRI 8:15am – 5:00pm
LUNCH 12:30pm – 1:45pm
SAT & SUN Closed

NOW OPEN!
Apopka Location

200 N. Park Ave., Ste A
Apopka, FL 32703
Link to Map

MON & FRI 8:15am – 5:00pm
LUNCH 12:30pm – 1:45pm
SAT & SUN Closed

Now Open!
Lee Vista Location

6447 S. Chickasaw Trail
Orlando, FL 32829
Link to Map

MON & FRI 8:15am – 5:00pm
LUNCH 12:30pm – 1:45pm
SAT & SUN Closed

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