Job Closed
This listing is no longer active.
Pediatrix Medical Group is one of the nation’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. Committed to providing coordinated, compassionate, and clinically excellent services High-quality, evidence-based care supported by significant investments in research, education, quality-improvement, and safety initiatives
Hospital Coding Specialist
Location
United States
Posted
105 days ago
Salary
0
No structured requirement data.
Job Description
Hospital Coding Specialist
Pediatrix
We have an exciting opportunity for a Certified Coding Specialist with experience in Pediatric Speciality Coding to join our team. Pediatrix Medical Group is a physician lead organization, and we are one of the nation’s largest providers of prenatal, neonatal and pediatric services. Talented business professionals from diverse backgrounds choose Pediatrix because we are an exciting and innovative company that focuses on a team approach to improve the lives of patients everywhere. W e are confident that you'll love being a part of the Pediatrix team. The Coding Specialist is responsible for coordinating and participating in the coding of pertinent medical information from a variety of complex records and coding edits to include diagnosis, treatment of illness and procedures performed while ensuring accuracy of work adherence to established coding procedures of ICD-CM (International Classification of Diseases) and CPT-4 (Current Procedural Terminology). Perform concurrent audit of provider-selected coding data during the coding and billing process, interpreting medical records and updating and/or verifying all valid diagnoses, procedure codes, modifiers, providers, and place of service as determined by the coder. Participate in SOX control review (audit) processes. Reviewing all pertinent medical records for diagnosis and procedures performed and documented while maintaining strict adherence to Pediatrix Compliance program guidelines. Analyze source of errors and issues in order to determine next steps (provider error, system or edit issue). Communicate to physicians by Electronic Mail all discrepancies in coding based on the medical record reviewed, per department guidelines and processes. Review and educate physicians, advanced nurse practitioners and other staff as necessary on documentation requirements and coding guidelines. Communicates to Coding management any claims edit updates needed, identified during concurrent audit of billing and coding. Review claim denials submitted to Coding by RCM for changes to coding and updates to system edits to prevent future denials. Troubleshoot denials for cause and determine resolution. Research and review third party payer guidance for establishment of system edits. Participating in company processes for obtaining facility medical records (view with direct access, request via online forms, send provider requests) as well as being the organization representative to provide other departments with records from certain sites for which coder has access. Maintain facility EMR system access as assigned (complete demographic forms, attend facility training, etc). Participates in audit, education, and coding team meetings to discuss solutions to coding and documentation scenarios identified during coder assessment of provider coding and billing selections. Facilitate new provider system access and training in charge capture systems. Timely and appropriate coding of services as required to meet production needs - Meet or exceed required departmental productivity standards on a consistent basis. Performs a variety of other Coding Compliance duties as needed. Maintain strict confidentiality in accordance with HIPAA regulations and Company policy. Presents a positive, professional appearance and conveys a professional demeanor in the performance of assigned duties. Performs other job-related duties within the job scope as requested by Management of Coding. Embodies the principles of the corporate Mission Statement and Philosophy at all times. Complies with departmental and company-wide policies and procedures. Education/Experience: Certified Professional Coder (CPC) or Certified Coding Specialist – Physician (CCS-P) designation required with current active status. Minimum of three years related experience and/or training; or equivalent combination of education and experience preferred in addition to certification. Knowledge/Skills: Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and communicate them to physicians, coders, and other staff in a way that facilitates understanding. Software: Microsoft Office (Excel, Word, Outlook, Teams), Medical Coding reference resources, and various hospital, vendor or proprietary documentation and billing platforms. Take great care of the patient, every day and every way.TM At Pediatrix & Obstetrix, that’s not only our motto at work each day; it’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 . Pediatrix Medical Group is one of the nation’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 group’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 . #LI-Remote 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.
Related Guides
Related Categories
Related Job Pages
More Threat Intelligence Specialist Jobs
This role involves owning loan delivery, purchase timelines, and post-closing issue resolution across investor and whole-loan channels. Accountable for ensuring that funded loans are delivered accurately, purchased efficiently, and resolved effectively when issues arise Primary owner of investor delivery operations and rebuttals Main point of contact for correspondent sellers and institutional investors Hands-on position suited for someone who has independently managed suspense pipelines and negotiated rebuttals Understanding of how post-closing execution directly impacts cash flow, counterparty confidence, and risk management Operates fully post-close, with decision-making authority once loans are funded Critical role in protecting capital and scaling delivery operations Full-time remote role
Social Editor/Producer
Major League BaseballMajor League Baseball (MLB) is the most historic of the major professional sports leagues in the United States and Canada. Employees love working at MLB because of the culture of growth, teamwork, and professionalism. Employees who are most successful at MLB take initiative, know how to identify problems and provide solutions, and always put the Team first MLB empowers our “workforce athletes” to be at their best by engineering experiences that put employees in the best position to succeed MLB is looking for candidates who are passionate about growing America’s pastime to best serve its fans for decades to come
We are looking for a night social producer for MLB Pipeline – MLB.com’s vertical dedicated to coverage of prospects and Minor League Baseball – and MiLB. Social producers are responsible for promoting content from all Pipeline and MiLB social media channels. Cut and post highlights from all levels of the Minor Leagues, focusing on top prospects from Pipeline Keep track of performances and trends, identifying worthwhile storylines and players to promote Rely heavily on the video MLB has access to, requiring video editing skills Work is based on games, which occur at night and on weekends, so flexibility is key This job is part-time and seasonal and can be fully remote.
• Synthesize and formulate guidance from a variety of information levels and sources (technical, business, field, external) and regularly present key takeaways to the field and to senior leadership • Provide a field-actionable, in-depth, and ever-evolving understanding and analysis of competitive dynamics, relative to CrowdStrike solutions and capabilities • Function as the company’s strategic advisor on this market, and become the “de facto” subject matter expert on the market for all business units and functions • Provide tailored deal support (opportunity assessments & guidance), and develop a deep rapport with the field • Work closely with multiple teams within CrowdStrike, including key stakeholders (Office of the CTO, field leadership, sales ops, product, and marketing teams), functioning as a primary liaison for cross-functional corporate initiatives relating to increasing market share including direct development of competitive support material and competitive readiness plans. • Make recommendations on sales tactics and product strategy to enable CrowdStrike to win in the market. • Be a self-starter with an ownership mentality. Work autonomously in the development of project plans, requirements, timelines, content, and ongoing tracking/updates of the competition. • Leverage executive sponsorship to collaborate cross-functionally across the entire company to execute your programs and drive success.
Crum & Forster (C&F) , with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A+"(Superior) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best in the industry. Our most valuable asset is our people: more than 2000 employees in locations throughout the United States. The company is increasingly winning recognition as a great place to work, earning several workplace and wellness awards, including the 2024 Great Place to Work® Award for our employee-first focus and our steadfast commitment to diversity, equity and Inclusion. C&F is part of Fairfax Financial Holdings, a global, billion dollar organization. For more information about Crum & Forster, please visit our website: www.cfins.com. Since 2000, Crum & Forster’s Accident & Health division (A&H) has offered a diverse portfolio of specialty insurance and reinsurance products nationwide. We place a strong focus on product development and creative distribution methods, along with excellent client service and support. In addition to our robust domestic portfolio, which spans both special risk and medical solutions, A&H works on an international basis through various partnerships. Our global capabilities provide our partners with even broader flexibility in underwriting solutions. The qualities and capabilities of Crum & Forster Accident & Health demonstrate our philosophy of building meaningful, long-term partnerships and our dedication to providing alternative strategies in an ever-changing insurance market. The A&H MBU takes a full-spectrum approach to designing and servicing a robust slate of products tailored to needs in Employer Stop Loss, Excess Medical, Life, and Ancillary and Supplemental benefits. Our diversified business model includes program partnerships as well as direct sales in Employer Stop Loss. At year-end 2025, the MBU recorded $1B in gross premium written. Information about the Role, Line of Business and Team: This position is responsible for leading underwriting and achieving profitable growth for the Crum & Forster Stop Loss (CFSL) team. Other responsibilities include product development, portfolio management, strategic development, participating in leadership activities, and coordinating accounts and projects with C&F Stop Loss and other shared services colleagues. The Vice President of Underwriting actively contributes as a technical expert in both underwriting activities and department specific industry knowledge. This individual will lead and mentor a team of underwriters to build organizational value. What you will do: Evaluate portfolio performance based on profitability, retention and growth metrics; define and implement strategic changes, and oversee execution of continuously improving portfolio in alignment with division or team objectives Coordinate with other leadership team members to maximize information sharing and drive initiatives, efficiencies and results Lead and motivate underwriting team(s) to drive consistent underwriting with profitable results and sustained growth Drive training, initiatives and projects with the ability to maximize resources and the capability to deliver business results Demonstrate understanding and proper use of underwriting tools as well as coordinate with actuarial in development, testing and maintenance Develop and maintain underwriting rules, risk management principles and regulations to ensure compliance with all currently applicable corporate requirements and state and federal legislation Identify underwriting best practices, develop underwriting policies and procedures, and discuss with departmental leadership as needed Review and approve system related and pricing tool initiatives along with vendor partnerships that can improve risk selection, pricing and efficiency Maintain awareness of market trends, products, market participants and competitive practices, identify emerging threats to the department, analyze and evaluate new developments and trends in the market to identify business potential Ability to clearly articulate the department's value proposition Develop annual business goals and monitor the metrics to achieve those goals on a monthly basis Provide direction to direct reports in their block renewal strategies using pricing tools, producer analytics, and intel from CFSL sales personnel Review producer assignments periodically and work with direct reports to ensure appropriate workload distribution Make independent decisions within underwriting letter of authority and maintain proper file documentation Ensure direct reports operate under guidelines Conduct underwriting team meetings, individual check-ins, and regular performance discussions with underwriting staff Build a high-performance culture by developing sales oriented, technically strong underwriters and providing leadership, support and guidance to the underwriting team Drive performance excellence through goal-setting, quality feedback, and performance appraisals Create a working environment where productivity can be sustained and accomplished, and where innovation and personal growth is encouraged and realized Key participant in the development of strategic annual planning as well as drive training, initiatives and projects Drive and role model the A&H culture, values and C&F core competencies within their teams Other duties and/or projects as assigned What YOU will bring to C&F: Strong presentation skills and a solutions and service orientation High level of communication and analytical skills to pursue new business and manage a significant renewal book to assigned profitability goals Exceptional relationship-building and interpersonal skills Exceptional verbal and written communication skills Exceptional leadership and management skills to drive and deliver outcomes Excellent organizational and time management skills with ability to multi-task with an emphasis on quality and customer service Strong negotiation and influencing skills Requirements: Bachelor’s Degree from an accredited college or university required and advanced degree a plus 15+ years of experience, 12+ in medical stop loss underwriting and products and 5+ years of multidisciplinary management experience with a proven track record in leading large teams and achieving results Industry designations applicable to area of specialization a plus Advanced knowledge of ESL and ESL Underwriting at the case and portfolio levels Exceptional knowledge of underwriting philosophy, techniques, state and federal filing regulations and guidelines Advanced knowledge of Medical Underwriting practices and principles Strong computer and Microsoft Office skills including Outlook, Word, Excel and PowerPoint Knowledge of Connexure a plus Some travel required to Arizona as well as other locations. At C&F you will BELONG We value inclusivity and diversity. We are committed to equal employment opportunity and welcome everyone regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. If you require special accommodation, please let us know. For California Residents Only: Information collected and processed as part of your career profile and any job applications you choose to submit are subject to our privacy notices and policies, visit https://www.cfins.com/onlineprivacypolicy/ca/noticeatcollection/ for more information. Crum & Forster is committed to ensuring a workplace free from discriminatory pay disparities and complying with applicable pay equity laws. Salary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions. The annualized base pay for the advertised position, located in the specified area, ranges from a minimum of $138,700 to a maximum of $260,800. The actual compensation is determined by various factors, including but not limited to the market pay for the jobs at each level, the responsibilities and skills required for each job, and the employee’s contribution (performance) in that role. To be considered within market range, a salary is at or above the minimum of the range. You may also have the opportunity to participate in discretionary equity (stock) based compensation and/or performance-based variable pay programs. Flexible work arrangements. Competitive compensation package. Generous 401K employer match. Employee Stock Purchase plan with employer matching. Generous Paid Time Off. Excellent benefits that go beyond health, dental & vision. Our Wellness programs focus on your family’s complete wellness, including your physical and mental wellbeing A core C&F principle is that you manage your career. To support your development, we have a wealth of ways for you to keep learning, including tuition reimbursement, industry related certifications and professional training available to you. A dynamic, ambitious, fun and exciting work environment. A spirit of social responsibility, matching donation program, volunteer opportunities, and an employee driven corporate giving. #LI-JA1 #LI-Remote
