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ASC Biller and Coder Job in Scottsdale, Arizona

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Job Title: ASC Biller and Coder

Employer:Graydon Medical Management
Skills:Experienced ASC Coding and Billing
Specialties:Urologic Surgery
Required Certifications:CPC
Preferred Certifications:CASCC
Required Experience:3 to 4 years
Preferred Experience:3 to 4 years
Location:3370 N HAYDEN RD 123 582, Unit 105 Scottsdale 85251, AZ, US
Date Posted:9/25/2018

Serve as a resource for providers in understanding covered indications and the supporting documentation. Supports coding and billing for services in ASCs. Maintains a thorough understanding of NCCI edits and relative value units as appropriate for the role. Understands and supports the Medicare and Commercial Carrier workflows related to daily coding and denial review and appeals management, including the preparation of supporting documents and information to support the appeal process. Monitors and validates facility charge capture. Must be self-motivated with the ability to work independently, multi-task, problem solve and make informed and accurate recommendations to medical professionals based on current information. Participates in meetings and serves as a subject matter expert. Reviews medical documentation from physicians and other healthcare providers; assigns modifiers, diagnostic and procedure codes for symptoms, diseases, injuries, surgeries and treatments according to official classification systems and standards. Uses relevant policies, procedures, and individual judgment to determine whether events or processes comply with laws, regulations, or standards. Providing accurate and timely ICD-10-CM coding of diagnoses, HCPCS and CPT coding, and in accordance with official coding standards, regulatory coding compliance guidelines and company procedures. Review and audit medical record documentation to accurately to reflect healthcare coding and to substantiate appropriate service reimbursement. Conveying coding guidelines to physicians and other healthcare providers to improve the accuracy of medical record documentation. Must have computer skills, the ability to interpret, analyze and abstract data/documentation, have good problem-solving skills, be self-motivated and have good time management and organizational skills. Have a working knowledge of anatomy, physiology and pathophysiology to understand disease processes, treatment or management of conditions either medically or surgically. 


Identifies key medical information coding and billing concepts and features such as Current Procedural Terminology (CPT) and International Classification of Diseases (ICD). Discusses major health information coding guidelines and specifications (e.g. ICD, 10th Edition). Follows organization's coding and billing procedures and standards to conduct medical coding and billing practices. Delivers written and oral communication, responds to questions and concerns, and produce specific outcomes and impact. Identifies issues and communicates with others when a decision needs to be made. Assures accuracy using basic validation and cross-checking techniques. Demonstrates an ability to meet own responsibilities. Establishes and maintains productive working relationships within and outside of own area. Demonstrates experience in participating in productive collaborative processes. Conveys medical record documentation requirements to staff to ensure that coding and billing guidelines are applied for appropriate information recording. 


This position will be coding and billing for Surgical procedures performed in the ASC. This position is working from home. This full-time position will work 8:00am - 5:00pm for the first 6 months (Training). Once official training is completed, they are eligible to choose a set schedule between 5:00am - 11:00pm with 4 hours required to be worked during the 8:00am-5:00pm timeframe. 


CASCC, CPC required. If the associate is not certified at hire, the associate must be become so within one year of the date of hire. Must have specific knowledge of diagnostic and procedural terminology, successful coursework from an accredited institution in ICD diagnosis, CPT, and HCPCS coding schemes, medical terminology or human anatomy/physiology is preferred. 


Kellie Maxwell

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