Job Description
Job Description
Responsibilities :
- Review provider medical coding of services rendered for medical claim submission
- Review and respond to medical coding inquiries submitted by providers and staff
- Work directly with providers to resolve specific medical coding issues
- Analyze data for errors and report data problems
- Partner with billing staff to correct and resubmit claims based on review of the records, provider input, and payor input
- Work with clinical and non-clinical groups to identify undesirable coding trends
- Ensure claims are medically coded consistently by following CPT, ICD-10 and HCPCS rules and guidelines; escalate issues that may impact this immediately to the Compliance Committee
- Abide by HIPAA and Coding Compliance standards
- Collect data from various sources, maintain electronic records and logs, file paperwork, and operate office equipment
- Accomplish other tasks as assigned
Qualifications :
2+ years coding2+ years medical billing experience (preferred but not required)Experience with insurance and revenue cycle management processesAbility to read and understand insurance EOB’sProficient in reviewing edits between CPT, ICD10, and HCPCS codesExperience in reviewing insurance review denials and payer policiesProfessional coder certification through a recognized organization such as AAPC (preferred) or AHIMALeadership qualities with the ability to effectively educate providers remotelyAcute attention to detail with a strong, self-sufficient work ethicExcellent organization and use of time management skillsAbility to prioritize workload and have a strong sense of urgency when time sensitive situations ariseProficient with computers and navigating within multiple applicationsProficient in MS Office (specifically Teams, Outlook, Excel, and Word)Strong verbal and written communication, as well as customer service skills; must be able to listen and communicate effectively with leadership, providers, and co-workersGoal-oriented and a consistent performerMust be self-motivated, punctual, dependable, and able to work independentlyMust be trustworthy, honest and have a positive and professional attitudeExperience with wound care (preferred but not required)
Experience with insurance and revenue cycle management processes
Benefits :
Compensation : $21.00 - $23.00 hourlyThis position is classified as : Hourly, Non-Exempt; Part-time employment (20-25 hours)