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Certified Medical Coder
Certified Medical CoderDESERT WILLOW MEDICAL BILLING & PRACTICE MANAGEMENT LLC • Tucson, AZ, US
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Certified Medical Coder

Certified Medical Coder

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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