Specialist, Medical Coding & Billing - St. Paul, MN - Hybrid

This is where you save and sustain lives

At Baxter, we are deeply connected by our mission. No matter your role at Baxter, your work makes a positive impact on people around the world.

You’ll feel a sense of purpose throughout the organization, as we know our work improves outcomes for millions of patients.

Baxter’s products and therapies are found in almost every hospital worldwide, in clinics and in the home. For over 85 years, we have pioneered significant medical innovations that transform healthcare.

Together, we create a place where we are happy, successful and inspire each other. This is where you can do your best work.

Join us at the intersection of saving and sustaining lives where your purpose accelerates our mission.

Your Role at Baxter

THIS IS WHERE you build trust to achieve results!

The Medical Coding and Billing Specialist will review medical records to ensure claims are properly documented and coded as well as coordinate and execute processes of medical billing for our Respiratory Health products.

The position is responsible for ensuring business practices follow government regulations and abide by carrier specific acceptable HCPCS and ICD-10 coding standards.

This consists of all billing activities including initial, re-authorization, and purchases across all lines of business (Commercial, Medicare, Medicaid, and Managed Care Organizations).

This is a full-time, on-site position where the candidate would conduct a Hybrid model reporting to the St. Paul, MN office.

The working hours consist of Monday-Friday, 8 : 30 AM CST - 5 : 00 PM CST. The candidate would come into the office Tuesday, Wednesday, and Thursday, and work from home Monday and Friday.

What You'll Be Doing :

• Complete review of medical records to ensure the ICD-10 diagnosis used for billing is properly documented.
• Complete quality review of patient records to ensure they are comprehensive, in compliance with each payer’s rules and regulations, and billed accurately
• Adhere to month-end accounting deadlines for revenue and claim processing including selecting orders, generating claim files, submitting EDI files to clearinghouse, printing claims, attaching claim documentation, and mailing.
• Reference coding guidelines and reimbursement policies / procedures to keep current with changes in regulations, insurance specific policies, as well as company policies and procedures.
• Collaborate with and provide feedback to Revenue Cycle Management and Managed Care colleagues to ensure accurate claims processing and documentation within company systems.
• Perform other project and duties as assigned.

What You'll Bring :

• High school diploma or equivalent required
• Medical Coding Certification required; ICD-10 coding experience preferred
• 3+ years of experience in healthcare environment required; associates degree or higher may substitute for 2 years of experience
• Experience working with high-dollar DME preferred
• Billing database software experience required
• Clearinghouse and payer portal experience preferred

Baxter is committed to supporting the needs for flexibility in the workplace. We do so through our flexible workplace policy which includes a minimum of 3 days a week onsite.

This policy provides the benefits of connecting and collaborating in-person in support of our Mission.