ProCare Transportation and Language Services
DME Coding Specialist
ProCare Transportation and Language Services, Tampa, Florida, us, 33646
Seeking a detail-oriented and accurate Certified Medical Coder with experience in Durable Medical Equipment (DME) coding, ideally within the Workers’ Compensation sector. The role involves applying knowledge of state-specific workers’ comp guidelines and payer rules to ensure compliant billing and proper reimbursement through accurate HCPCS coding.
Duties and Responsibilities:
Accurately assign and sequence medical codes in compliance with government and insurance regulations.
Apply state-specific
Workers’ Compensation
rules, including fee schedules and documentation requirements. Review and verify orders, contracts, and provider data for accuracy. Communicate with staff to clarify incomplete or unclear information. Identify and correct coding issues to support clean claim submissions. Handle denials and documentation requests with timely and compliant resubmissions. Ensure all coding practices meet
HIPAA, OIG,
and industry compliance standards. Perform additional duties as assigned by management. Qualifications: Experience:
2–5 years in healthcare coding. **Education:
High school diploma or GED required; Associate’s degree or equivalent training preferred. Certification:
CPC, CCS-P, or CCS preferred. Technical Skills : Proficient in Microsoft Office (Word, Excel) and experienced with EHR/EMR and billing software (e.g., Kareo, Brightree, or similar). Knowledge:
Strong understanding of HCPCS Level II codes and medical billing procedures. Benefits: Paid time off in the first year Paid day off during your birthday month Immediate eligibility for paid holidays Health and welfare benefits (eligible first of the month after 60 days) Company-provided life insurance Employee Assistance Program (available Day 1) Supportive and positive work environment Benefits: 401(k) Dental insurance Employee assistance program Employee discount Health insurance Health savings account Life insurance Paid time off Referral program Vision insurance
Workers’ Compensation
rules, including fee schedules and documentation requirements. Review and verify orders, contracts, and provider data for accuracy. Communicate with staff to clarify incomplete or unclear information. Identify and correct coding issues to support clean claim submissions. Handle denials and documentation requests with timely and compliant resubmissions. Ensure all coding practices meet
HIPAA, OIG,
and industry compliance standards. Perform additional duties as assigned by management. Qualifications: Experience:
2–5 years in healthcare coding. **Education:
High school diploma or GED required; Associate’s degree or equivalent training preferred. Certification:
CPC, CCS-P, or CCS preferred. Technical Skills : Proficient in Microsoft Office (Word, Excel) and experienced with EHR/EMR and billing software (e.g., Kareo, Brightree, or similar). Knowledge:
Strong understanding of HCPCS Level II codes and medical billing procedures. Benefits: Paid time off in the first year Paid day off during your birthday month Immediate eligibility for paid holidays Health and welfare benefits (eligible first of the month after 60 days) Company-provided life insurance Employee Assistance Program (available Day 1) Supportive and positive work environment Benefits: 401(k) Dental insurance Employee assistance program Employee discount Health insurance Health savings account Life insurance Paid time off Referral program Vision insurance