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Billing/Coding Claims Specialist Job in Louisville, Kentucky

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Job Title: Billing/Coding Claims Specialist

Employer:Volunteers of America Mid-States
Specialties:CPT, ICD-10
Required Certifications:CPC
Location:570 S 4th St Ste 100 Louisville 40202, KY, US
Date Posted:6/22/2021

FUNCTION: The Billing/Coder Claims Specialist is responsible for a variety of duties including properly coding services, procedures, diagnosis, and treatments (levels of care).  This position will be responsible for correcting all rejected claims, tracking and posting of payments.  This position is responsible for adjudication of all claims and problem solving for all insurance/private payer issues that arise throughout the RCM process.  This position is also responsible for completing projects and reporting in billing and collections.  Responsibilities will also include researching and resolving client insurance claims, working with clinical staff members to resolve billing problems that arise. Analyze client medical records and identify documentation deficiencies along with reviewing and verifying that documentation supports diagnoses, procedures and treatment results.  

QUALIFICATIONS: The Billing/Coder Claims Specialist must have High School Diploma, and certification as a Certified Professional Coder (CPC) with knowledge and experience in understanding Medical Terminology, Behavioral Health and Substance Use Terminology, Current Procedural Terminology (CPT), International Classification of Diseases (ICD-10) and Healthcare Common Procedure Coding System (HCPS).  An understanding of other processes include billing, posting, and adjudication of claims.   Specialized experience in Behavioral Health billing services is preferred. Previous billing and coding experience is also preferred.  Excellent organization, time management, customer services and written/verbal communication skills.  Ability to work independently and collaboratively with administrative and program staff.  Outstanding attention to detail and excellent time management skills to master a large amount of detail regarding coding and billing procedures.  Computer skills with billing software, Microsoft programs- Word and Excel. Ability to learn Electronic Health Record system along with revenue cycle management program.  Ability to recognize system problems and to effectively communicate such information. Ability to train others on insurance procedures.    


Please apply online at  https://www.voamid.org/hiring

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