DESERT WILLOW MEDICAL BILLING & PRACTICE MANAGEMENT LLC • Tucson, AZ, US
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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 coding
2+ years medical billing experience (preferred but not required)
Experience with insurance and revenue cycle management processes
Ability to read and understand insurance EOB's
Proficient in reviewing edits between CPT, ICD10, and HCPCS codes
Experience in reviewing insurance review denials and payer policies
Professional coder certification through a recognized organization such as AAPC (preferred) or AHIMA
Leadership qualities with the ability to effectively educate providers remotely
Acute attention to detail with a strong, self-sufficient work ethic
Excellent organization and use of time management skills
Ability to prioritize workload and have a strong sense of urgency when time sensitive situations arise
Proficient with computers and navigating within multiple applications
Proficient 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-workers
Goal-oriented and a consistent performer
Must be self-motivated, punctual, dependable, and able to work independently
Must be trustworthy, honest and have a positive and professional attitude
Experience with wound care (preferred but not required)
Experience with insurance and revenue cycle management processes
Benefits
Compensation : $21.00 - $23.00 hourly
This position is classified as : Hourly, Non-Exempt; Part-time employment (20-25 hours)
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Certified Medical Coder • Tucson, AZ, US
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