medical coding specialist

ExamWorks

<div>
 
 Exam Works is looking for a Medical Coding Specialist to join our team remotely!
 
 
 
 <ul>
 <li>
 Must possess current coding certification in CPC. CPMA certification &amp; Certified Life Care Planner certification preferred.
 
 
 </li>
 </ul>
 The
 
 Medical Coding Specialist
 
 (Internally called a Coding Specialist) is responsible to create and write reports based on medical records and appropriate guideline criteria. This position utilizes the system database to determine usual and customary and/or state fee schedule allowances and this position is responsible for analyzing provider billing for proper coding and billing guidelines across all provider types and ensures reviews are completed with highest quality and integrity and that all work is in full compliance with client contractual agreements, regulatory agency standards and/or federal and state mandates.
 
 
 Schedule for this role is:
 
 Monday - Friday 8am-5pm EST
 
 
 
 
 Essential Job Functions
 
 
 
 <ul>
 <li>
 Receive and input client and examinee data in the system database.
 </li>
 <li>
 Sort and verify each claim.
 </li>
 <li>
 Process and review each claim and address all necessary modifications manually. Contact Client as needed
 </li>
 <li>
 Perform quality assurance on every case prior to completion.
 </li>
 <li>
 Ensure all medical records and reports are properly documented and saved in the appropriate location and available for audit at all times.
 </li>
 <li>
 Process client invoicing in accordance with the client&rsquo;s fee schedule.
 </li>
 <li>
 Handle and responds promptly to incoming calls, emails or faxes from clients requesting report status and/or information.
 </li>
 <li>
 Provide notification to the Supervisor of any provider appeals and follow directions as given to resolve the claim.
 </li>
 <li>
 Provide testimony in court as to the content of prepared reports, as required. Travel as necessary.
 </li>
 <li>
 Ensure all practices are carried out in accordance with HIPAA compliance practices, state and federal safety standards and legal regulations.
 </li>
 <li>
 Perform quality assurance on various coding related reviews.
 </li>
 <li>
 Perform other duties as assigned.
 
 
 </li>
 </ul>
 
 Qualifications
 
 
 
 
 Education and/or Experience
 
 
 
 <ul>
 <li>
 High school diploma or equivalent required.
 </li>
 <li>
 Minimum one year medical billing experience; or equivalent combination of education and experience required.
 
 
 </li>
 </ul>
 
 Certificates, Licenses, Registrations
 
 
 
 
 Must Possess Current Coding Certification In
 
 
 
 <ul>
 <li>
 OASIS, RAC-CT, CCS, CPC, RHIT or RHIA. CPMA certification preferred.
 
 
 </li>
 </ul>
 
 Qualifications
 
 
 
 <ul>
 <li>
 Must have minimum of one year medical billing experience; or equivalent combination of education and experience required.
 </li>
 <li>
 Must have a full understanding of aspects of medical billing.
 </li>
 <li>
 Must demonstrate understanding of the various types of medical billings and ability to identify which system database should be used.
 </li>
 <li>
 Must be able to cross reference different types of billings to ensure consistency in the review process.
 </li>
 <li>
 Must possess knowledge of standard fee schedule review, UC&amp;R review, drug and supply charges, rarity, utilization review, CPT guidelines, ICD 10, bundling/unbundling, duplicate billing and CMS reimbursement guidelines.
 </li>
 <li>
 Must possess complete knowledge of general computer, fax, copier, scanner, and telephone.
 </li>
 <li>
 Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.
 </li>
 <li>
 Must have a full understanding of HIPAA regulations and compliance.
 </li>
 <li>
 Must be a qualified typist with a minimum of 35 W.P.M.
 </li>
 <li>
 Ability to follow instructions and respond to managements&rsquo; directions accurately.
 </li>
 <li>
 Ability to work independently, prioritize work activities and use time efficiently.
 </li>
 <li>
 Must be able to maintain confidentiality.
 </li>
 <li>
 Must be able to demonstrate and promote a positive team -oriented environment.
 </li>
 <li>
 Must be able to stay focused and concentrate under normal or heavy distractions.
 </li>
 <li>
 Must be able to work well under pressure and or stressful conditions.
 </li>
 <li>
 Must possess the ability to manage change, delays, or unexpected events appropriately.
 </li>
 <li>
 Ability to follow all company policies and procedures in effect at time of hire and as they may change or be added from time to time.
 
 
 </li>
 </ul>
 
 ExamWorks
 
 is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers' compensation insurance coverages.
 
 
 
 ExamWorks, LLC
 
 is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.
 
 
 
 Equal Opportunity Employer - Minorities/Females/Disabled/Veterans
 
 
 
 
 
 ExamWorks offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k.
 
 
 
 
 TAGS
 
 
 CPC, CPMA, Medical Billing, Medical Billing Specialist
</div>

Medical Coding Specialist (31620)

Mercyhealth

<div>ESSENTIAL DUTIES AND RESPONSIBILITIES<ul><li>
Reviews, analyzes, and interprets provider documentation with regards to procedure and diagnosis code selection.</li><li>
Performs audits of provider coding and documentation to make recommendations for improvements and enhancements.</li><li>
Maintains a close working relationship with assigned providers and medical office, frequently querying the provider when coding discrepancies arise.</li><li>
Researches any coding inquiries the provider or medical staff may have, and presents findings to them.</li><li>
Reviews hospital, clinical, and surgical documentation and the assigned diagnosis and procedure codes, releasing charges within the Epic system. Identifies discrepancies between the provider code selection and the medical record documentation; makes appropriate corrections, and presents findings and education to the provider.</li><li>
Demonstrates extensive knowledge of official coding guidelines established by the American Medical Association (AMA), the Center for Medicare &amp; Medicaid Services (CMS) and contracted payers.</li><li>
Has a thorough understanding of the differences between professional coding in a clinic setting as compared to professional coding in a hospital setting (outpatient and inpatient), and demonstrates a high skill level in the practical application of that knowledge.</li><li>
Works with billing partners in developing efficient coding processes and researching denials.</li><li>
Responds to customer concerns through coding reviews requested by other departments.</li><li>
Conducts provider coding orientation and education sessions and documents all information presented.</li><li>
Maintains an in-depth knowledge of Epic ambulatory and hospital modules.</li><li>
Works as a team to achieve productivity goals.</li></ul>
EDUCATION AND EXPERIENCE
High School graduate or equivalent 
Two years of experience coding professional services in multiple specialties
CERTIFICATION AND LICENSURE
Certified Professional Coder (CPC) or other equivalent coding certification required 
SKILLS AND ABILITIES 
Problem solving skills 
Excellent written/oral/interpersonal/communication skills 
Analytical skills 
 
SPECIAL PHYSICAL DEMANDS
The Special Physical Demands are considered Essential Job Functions of the position with or without reasonable accommodations. 
While performing the duties of this job, the partner is regularly required to talk and hear. Eyesight to identify numbers, folders, colors, and computer printouts. Speech to communicate one-on-one and over the telephone. Manual dexterity to operate keyboards, mouse and telephones. Prolonged sitting; use hands to finger, handle, or feel and reach with hands and arms. The partner is occasionally required to stand; walk and stoop, kneel, crouch, or crawl. The partner must occasionally lift and/or move up to 25 pounds.
LEVEL OF SUPERVISION
N/A
SUPERVISES
N/A
PAY RANGE:
$24.12 - $36.18
Mercyhealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identify, national origin, disability, or protected veteran status.
Mercyhealth offers competitive pay and a comprehensive benefits package including:
<ul><li>Medical, Dental, Vision</li><li>
Life &amp; Disability Insurance</li><li>
FSA/HSA Options</li><li>
Generous, accruing paid time off</li><li>
Paid Parental and caregiver leave</li><li>
Career advancement and educational opportunities</li><li>
Tuition and certification reimbursement</li><li>
Certification Reimbursement</li><li>
Well-being Programs</li><li>
Employee Discounts</li><li>
On-Demand Pay</li><li>
Financial Education</li><li>
Annual recognition/awards events</li><li>
Partner appreciation days</li><li>
Family entertainment/attractions discount</li><li>
Community service/improvement opportunities</li></ul>
Click here for more details regarding Mercyhealth Careers Benefit Information.
At Mercyhealth, we don&rsquo;t simply hire people, we empower employee-partners who are passionate about making lives better. As an integrated health system, we deliver exceptional, coordinated across seven hospitals, 85 primary and specialty clinics, and a team of over 7,500 professionals serving northern Illinois and southern Wisconsin.
Mercyhealth has been nationally recognized for our commitment to our people and culture, including:
<ul><li>#1 in the nation on AARP's Best Employers for Workers Over 50</li><li>
One of Working Mother magazine's 100 Best Companies for Working Mothers</li><li>
A Top 50 Company and Top 10 Nonprofit for Executive Women</li></ul></div>

Medical Coding Specialist 2

<div>Essential Duties and Responsibilities 
<ul><li>
Reviews, analyzes, and interprets provider documentation with regards to procedure and diagnosis code selection.</li><li>
Performs audits of provider coding and documentation to make recommendations for improvements and enhancements.
</li><li>Maintains a close working relationship with assigned providers and medical office, frequently querying the provider when coding discrepancies arise.</li><li>
Researches any coding inquiries the provider or medical staff may have, and presents findings to them.</li><li>
Reviews hospital, clinical, and surgical documentation and the assigned diagnosis and procedure codes, releasing charges within the Epic system. Identifies discrepancies between the provider code selection and the medical record documentation; makes appropriate corrections, and presents findings and education to the provider.</li><li>
Demonstrates extensive knowledge of official coding guidelines established by the American Medical Association (AMA), the Center for Medicare &amp; Medicaid Services (CMS) and contracted payers.</li><li>
Has a thorough understanding of the differences between professional coding in a clinic setting as compared to professional coding in a hospital setting (outpatient and inpatient), and demonstrates a high skill level in the practical application of that knowledge.</li><li>
Works with billing partners in developing efficient coding processes and researching denials.</li><li>
Responds to customer concerns through coding reviews requested by other departments.</li><li>
Conducts provider coding orientation and education sessions and documents all information presented.</li><li>
Maintains an in-depth knowledge of Epic ambulatory and hospital modules.</li><li>
Works as a team to achieve productivity goals.</li></ul> 

Culture of Excellence Behavior Expectations 
To perform the job successfully, an individual should demonstrate the following behavior expectations:
 
 
Quality - Follows policies and procedures; adapts to and manages changes in the environment; Demonstrates accuracy and thoroughness giving attention to details; Looks for ways to improve and promote quality; Applies feedback to improve performance; Manages time and prioritizes effectively to achieve organizational goals. 
 
Service - Responds promptly to requests for service and assistance; Follows the Mercyhealth Critical Moments of service; Meets commitments; Abides by MH confidentiality and security agreement; Shows respect and sensitivity for cultural differences; and effectively communicates information to partners; Thinks system wide regarding processes and functions. 
 
Partnering - Shows commitment to the Mission of Mercyhealth and Culture of Excellence through all words and actions; Exhibits objectivity and openness to other's views; Demonstrates a high level of participation and engagement in day-to-day work; Gives and welcomes feedback; Generates suggestions for improving work: Embraces teamwork, supports and encourages positive change while giving value to individuals. 
 
Cost - Conserves organization resources; Understands fiscal responsibility; Works within approved budget; Develops and implements cost saving measures; contributes to profits and revenue. 
Education and Experience 
High School graduate or equivalent 
Two years of experience coding professional services in multiple specialties 
Certification and Licensure 
Certified Professional Coder (CPC) or other equivalent coding certification required 
Skills and Abilities 
Problem solving skills 
Excellent written/oral/interpersonal/communication skills
 
Analytical skills
 
 
Special Physical Demands 
The Special Physical Demands are considered Essential Job Functions of the position with or without reasonable accommodations. 
While performing the duties of this job, the partner is regularly required to talk and hear. Eyesight to identify numbers, folders, colors, and computer printouts. Speech to communicate one-on-one and over the telephone. Manual dexterity to operate keyboards, mouse and telephones. Prolonged sitting; use hands to finger, handle, or feel and reach with hands and arms. The partner is occasionally required to stand; walk and stoop, kneel, crouch, or crawl. The partner must occasionally lift and/or move up to 25 pounds. 
 
 
Level of Supervision 
N/A 
Supervises 
N/A
PAY RANGE:
$24.12 - $36.18
Mercyhealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identify, national origin, disability, or protected veteran status.
Mercyhealth offers competitive pay and a comprehensive benefits package including:
<ul><li>Medical, Dental, Vision</li><li>
Life &amp; Disability Insurance</li><li>
FSA/HSA Options</li><li>
Generous, accruing paid time off</li><li>
Paid Parental and caregiver leave</li><li>
Career advancement and educational opportunities</li><li>
Tuition and certification reimbursement</li><li>
Certification Reimbursement</li><li>
Well-being Programs</li><li>
Employee Discounts</li><li>
On-Demand Pay</li><li>
Financial Education</li><li>
Annual recognition/awards events</li><li>
Partner appreciation days</li><li>
Family entertainment/attractions discount</li><li>
Community service/improvement opportunities</li></ul>
Click here for more details regarding Mercyhealth Careers Benefit Information.
At Mercyhealth, we don&rsquo;t simply hire people, we empower employee-partners who are passionate about making lives better. As an integrated health system, we deliver exceptional, coordinated across seven hospitals, 85 primary and specialty clinics, and a team of over 7,500 professionals serving northern Illinois and southern Wisconsin.
Mercyhealth has been nationally recognized for our commitment to our people and culture, including:
<ul><li>#1 in the nation on AARP's Best Employers for Workers Over 50</li><li>
One of Working Mother magazine's 100 Best Companies for Working Mothers</li><li>
A Top 50 Company and Top 10 Nonprofit for Executive Women</li></ul></div>

Medical Coding Specialist

<div>
 
 
 WHO WE ARE:
 
 
 
 
 AC3 was founded by a group of oncologists who built solutions to optimize their own practices. Now, we give specialty health practices the power to make decisions with better data. Our mission is to help them thrive through people, purposeful technology, and collaboration. The work we do empowers healthcare practitioners and their teams to provide the highest quality of care in a sustainable way.&nbsp;That&rsquo;s&nbsp;what motivates&nbsp;us.
 
 
 
 We&rsquo;re looking for passionate, driven innovators to join our mission. If you thrive on challenge, love taking action, and get up every day ready to make a difference, apply now. Learn more at www.ac3health.com.&nbsp;
 
 
 
 
 COMPANY MISSION:&nbsp;
 
 
 
 To help specialty practices thrive.
 
 
 
 &nbsp;
 
 POSITION SUMMARY:&nbsp;
 
 The Certified Medical Coder is responsible for ensuring all diagnoses and procedures are coded appropriately for all claims. This position will need to remain current on coding and billing regulations as well as any CPT, ICD10 or HCPCS updates. This role supports the department to design the capture of associated coding and billing various medical specialties. They will work cooperatively as a team with revenue cycle, client practices and management associates. He/she will provide courteous and professional assistance with coding questions from physicians, clinical team members and other departments. The successful candidate for this role must have exceptional computer, communication, and organizational skills. This position may require onsite training at our office in South Bend, IN, as well as attendance of department and organizational meetings.&nbsp;
 
 
 
 
 ESSENTIAL FUNCTIONS AND JOB RESPONSIBILITIES
 
 
 
 
 Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
 
 
 <ul>
 
 <li>
 Responsible for billing daily charges by designated site and matching insurance carriers to the specific billing requirements for Medicare, Medicaid, Blue Cross Blue Shield and Commercial carriers.
 </li>
 
 <li>
 Capable and knowledgeable on billing charges for chemotherapy and administration codes, E/M office and hospital charges in a timely manner.
 </li>
 
 <li>
 Accessing and reading operative and pathology reports from multiple hospital systems, coding the correct ICD-10, CPT, and modifiers, and billing the charges.
 </li>
 
 <li>
 Retrieves, reads, and applies updated LCD/NCD policies when necessary.
 </li>
 
 <li>
 Identifies and reports any fraud, waste, or abuse concerns.
 </li>
 
 <li>
 Reviews patients&rsquo; charts and applies appropriate medical codes.
 </li>
 
 <li>
 Works with the clients&rsquo; physician team to get any missing information or signatures to bill charges.
 </li>
 
 <li>
 Ensures timely filing of claims per SOP guides.
 </li>
 
 <li>
 Works together as a team with the whole department.
 </li>
 
 <li>
 Maintains the practices and principles set forth by AC3 leadership with a strong commitment to service, excellence and quality.
 </li>
 
 <li>
 Maintains professional behavior, confidentiality, and discretion at all times, along with the ability to work with all levels of staff with a confident and professional demeanor.
 </li>
 
 <li>
 Follows HIPPA rules and regulations.
 </li>
 
 </ul>
 
 
 
 &nbsp;
 
 
 POSITION REQUIREMENTS
 
 
 
 <ul>
 
 <li>
 High school diploma or equivalent (GED). &nbsp;One or more of the following credentials is required: CPC (Certified Professional Coder); CHONC (Certified Hematology Oncology Coder, through AAPC); CCS (Certified Coding Specialist, through AHIMA); or CCS-P (Certified Coding Specialist &ndash; Physician based, through AHIMA).
 </li>
 
 <li>
 Demonstrates knowledge and competence in CPT, ICD-10, POS and modifiers.
 </li>
 
 <li>
 Accurately maintains and adheres to all safety rules and regulations.
 </li>
 
 <li>
 Accurately code/bill charges to the best of your ability without fraudulence.&nbsp;
 </li>
 
 <li>
 Knowledge of anatomy and medical terminology.
 </li>
 
 <li>
 Proficient in Microsoft Office preferred. &nbsp;Working knowledge/experience in electronic medical records and/ or other medical software if applicable.
 </li>
 
 <li>
 Excellent communication and organizational skills with the ability to work in a fast paced environment; prioritize tasks and workloads.
 </li>
 
 <li>
 Performs other duties as assigned.
 </li>
 
 <li>
 This is a remote position with the expectation of travel to meet the needs of the position. Work is completed in a general office environment, sedentary in nature but may require standing and walking for up to 10% of the time. The work environment is favorable with adequate lighting and temperature, and no hazardous or unpleasant conditions caused by noise, dust, etc. &nbsp;Must be able to operate standard office equipment and keyboards.&nbsp;
 </li>
 
 </ul>
 
 
 
 WORK LOCATION:
 
 
 &nbsp;This is a hybrid position; meaning, there will be required onsite training and a combination of a remote and onsite work. The ideal candidate will reside within a 30-mile radius of the office located in South Bend, IN.
 
 
 
 
 Work is completed in a general office environment, sedentary in nature but may require standing and walking for up to 10% of the time. The work environment is favorable with adequate lighting and temperature, and no hazardous or unpleasant conditions caused by noise, dust, etc. &nbsp;Must be able to operate standard office equipment and keyboards.&nbsp;
 
 
 
 
 Why Work at AC3?
 
 
 
 
 When you become an AC3 Team member, you can expect ongoing training, support, and a work culture like no other. We offer our Full-Time Team Members medical, dental and vision health and wellness benefits, along with employer paid life insurance, long and short-term disability policies. &nbsp;Because our team&rsquo;s health and wellness are our priority, we start new hires off with an above average paid time out plan and offer a comprehensive wellness program, including onsite biometrics and ongoing mental and physical wellness support. We also provide all Team Members with access to company sponsored financial wellness counselors, employee assistance services and the opportunity to enroll in our company-matched, 401k plan.
 
 
 
 
 Come join our Winning Team!
 
 
</div>

Medical Coding Specialist - Hybrid

Mountain View Hospital

<div>Mountain View Hospital is looking for an Outpatient Therapy Medical Coding Specialist to join our team!
JOB SUMMARY: Accountable for conversion of diagnoses and treatment procedures into codes using an international classification of diseases. The coder assigns ICD-10 CM and/or HCPCS codes, creating APC or DRG group assignment for reimbursement purposes. Requires skill in the sequencing of diagnosis/ procedures to optimize reimbursement. Must be able to read and interpret operative reports, history and physicals, physician orders, and pathology reports to determine the correct CPT and diagnosis coding. Ensures that records are coded in an accurate and timely manner. Abstracting worksheets to put codes in the computer, spreadsheets and Mountain View Hospital system.
About Mountain View:
Mountain View Hospital and our 29 affiliate clinics are committed to providing compassionate, cutting-edge care to our patients. We serve the entire Snake River Valley &ndash; all the way from Pocatello to Rexburg. Our medical capabilities span everything from wound care to urgent care, oncology to neurology, physical therapy to speech therapy, a Level III NICU, robust robotic surgery department and a continuously expanding rural health practice.
Our work environment is mission driven, people-centric and supportive. It is what sets apart and makes people excited to come to work each day. If you are looking for a career where you can make a difference in your community, we invite you to apply.
BENEFITS:
Taking care of our community starts with taking care of our own team. Mountain View Hospital is proud to offer its employees competitive and comprehensive benefit packages. Benefits include:
<ul><li>Medical, Dental and Vision Insurance
</li><li>Paid Time Off (vacation, holidays and sick days) and Medical Paid Time Off
</li><li>Retirement Plans (401K with up to 6% match)
</li><li>Earned Quarterly Bonus Program
</li><li>Education Reimbursement Program
</li><li>Discount for medically necessary procedures performed at Mountain View Hospital and Idaho Falls Community Hospital
</li></ul>Please note benefits are based on eligibility according to full-time, part-time or PRN status classification.
Education/Certification: High School diploma or general education degree (GED). Knowledge of diagnoses/procedures in accordance with ICD-10 CM coding principles for acute care/chronic care facilities. Must be CPC certified.
Experience: One year or more related experience and/or training; or equivalent combination of education and experience.
Equipment/Technology: Ability to use abstracting and coding software, computer, fax machine.
Language/Communication: Ability to read and interpret documents such as safety rules, operating and maintenance Instructions and procedure manuals. Ability to write routine reports and correspondence. The ability to speak effectively before groups of customers or employees of organization.
Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
Interpersonal: Ability to work well with others.
Mental Capabilities: Ability to apply common sense to carry out instructions and solve problems. Continuously able to concentrate on fine detail with interruptions and able to attend to task/function for an extended period of time. Employee has the ability to learn computer programs and input data as required.
Performance: Maintain skills necessary to complete necessary tasks. Holds the judgment, tact and diplomacy to effectively resolve conflicts. Must maintain positive and professional attitude</div>

CONNECTIONS - OUTPATIENT THERAPY MEDICAL CODING SPECIALIST

Pandya Medical Center

<div>
 Culture and Values:
 
 
 At Pandya Medical Center, we believe in going above and beyond for every patient. Our team members are dedicated professionals who truly care about making a difference. We listen, understand, and treasure each personal story shared by our patients. Our commitment extends beyond our clinic walls, with active involvement in community health fairs and volunteering initiatives. We are a highly reputed medical practice in North Atlanta, offering strong growth opportunities and robust benefits for our employees. Be a part of our dynamic team and take your career to the next level with Pandya Medical Center.
 
 
 
 Job Summary
 
 
 
 The Medical Billing &amp; Coding Specialist assures accurate and complete coding information is collected and reported to private insurance and Medicare to help complete the revenue cycle. The specialist will scrub encounters for accurate coding prior to claim creation, assure correct modifiers and ICD10 diagnosis codes are allocated to each CPT code, ensure timely claim submissions and follow-up on claim denials. The candidate should have knowledge of insurance regulations and medical coding with the goal of maximizing accurate third-party billing and minimizing denials. The position is full time with competitive salary, and strong benefits including PTO, health insurance and 401k match. The ideal candidate will be located in Georgia and able to be present at our administrative office in the Johns Creek area. If you are an experienced and motivated Medical Billing &amp; Coding Specialist who wants to grow with a thriving medical practice, we encourage you to apply today and join our dedicated team at Pandya Medical Center.
 
 
 Duties and Responsibilities
 
 
 Accurate and timely submission of medical claims to insurance companies and other payers
 
 
 Review and analyze medical records to ensure appropriate coding of diagnoses and procedures
 
 
 Document for providers and management any insufficient or unclear information on claims
 
 
 Assign or reassign CPT, HCPCS, and ICD-10-CM codes as needed
 
 
 Follow up on unpaid claims and initiate appeals for denied claims within 30 days of submission.
 
 
 Track the progress of claims through the clearinghouse and promptly address any issues
 
 
 Resolve patient billing issues and questions via phone and email in a timely fashion
 
 
 Stay updated on healthcare regulations, medical terminology, and coding practices
 
 
 Follow HIPAA guidelines when accessing and sharing patient information
 
 
 Additional job related duties or projects as needed
 
 
 
 Qualifications And Skills
 
 
 
 Minimum of 3 years&rsquo; experience with medical billing or revenue cycle in a medical setting
 
 
 Certified Professional Coder thru AAPC or a Certified Coding Specialist thru AHIMA - Required
 
 
 Knowledge of insurance guidelines including HMO/PPO, Medicare and other payers&rsquo; requirements and systems
 
 
 Knowledge of CPT, ICD-10, HCPCS Coding and utilization of modifiers
 
 
 Knowledge of medical billing rules, modifiers, and strong understanding of EOBs and ERAs
 
 
 Competent in computer skills, Microsoft Office or similar software
 
 
 Experience with AthenaHealth EHR is preferred or other similar EHR systems such as Epic, or eClinicalWorks
 
 
 Experience with Family Practice and Primary Care outpatient billing (Preferred)
 
 
 Exceptional Customer Service skills for interacting with patients regarding medical claims and payments
 
 
 Self-motivated with ability to multi-task, prioritize work in a fast-paced, team environment
 
 
 Problem-solving skills to research and resolve discrepancies, denials, appeals, collections
 
 
 Strong understanding of patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
 
 
 Salary range: $20.00 - 24.00/hr
 
 
 Benefit Eligibility
 
 
 Aetna Health insurance
 
 
 Aetna Dental and Vision plans
 
 
 Aflac Supplemental insurance plans
 
 
 401K match plan with up to 4% by Pandya Medical Center
 
 
 Paid Time Off
</div>

Medical Billing & Coding Specialist

CODING SPECIALIST - Medical Group -  Remote

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