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Medical Coder/Medical Biller Job in Mentor, Ohio

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Job Title: Medical Coder/Medical Biller

Employer:Axelix Health Consulting, Inc.
Specialties:Speciality Practice
Required Certifications:CPC
Preferred Certifications:CPC
Required Experience:1 to 2 years
Preferred Experience:3 to 4 years
Location:8587 East Avenue Mentor 44060, OH, US
Date Posted:8/19/2020

Job Description

  • Enter accurate patient demograghic data into the EMR system
  • Verify patient insurance eligibility; Medicare, Medicaid, commercial insurances, VA, BWC etc
  • Create patient claim from scratch using the EMR system
  • Review physicians consult or progress note; extract the appropriate ICD10 codes using the correct coding sequence, and code patients claim with the appropriate ICD10 codes
  • Apply the correct CPT code to patient claim using the EMR system
  • Communicate effectively with physician or nurse practitioner regarding documentation requirements and/or ICD10 and CPT codes clarification
  • Review claim for coding edits, ensure patients demographic and insurance claim is accurate prior to submitting a clean claim to the clearinghouse
  • Generate C9's for BWC claims as needed, follow BWC procedure for claim submission
  • Veterans Administration claim creation and submission
  • Research claim denials and rejections, resubmit corrected claim to payer
  • Appeal rejected claims as required by the payer
  • Work insurance aging report; follow-up with payers on outstanding, appealed and or corrected claims of which payment is yet to be received
  • Understand insurance products and billing requirement to effectively resolve claim denials and rejections.
  • Ability to communicate with hospital (Utilization Review Department, Medical Records etc), Nursing Homes, Wound Care Centers regarding patient or claim inquiry i.e prior authorizations, medical records etc
  • Ability to navigate various payer online portal to obtain necessary information; verify patient eligibility, claim status, claim correction, appeals etc.
  • Post manual insurance and patients payment as needed
  • Answer patient questions regarding statement received, account inquiry etc. (deductibles, coinsurance, co-payments etc.)
  • Perform and assist with other physician front office responsibility as needed; i.e, answering phones, scheduling patient appointment etc
  • Maintain HIPPA policy at all times

Job and Skillset Requirement

  • ICD10 (A must)
  • CPT Codes (A must)
  • Medical coding and billing experience (minimum of 1-2yrs experience)
  • Electronic Medical Record preferred (I.e Eclinicalworks, Epic, Cerner, Soarian etc)
  • Professionalism
  • Strong work ethic
  • Computer proficiency (A Must)
  • Ability to multitask
  • Ability to work independently
  • Great personality
  • Critical thinker
  • Problem Solving
  • Excellent team player
  • Attention to detail
  • Responsible and Reliable
  • Organized


Email resume along with cover letter to;
Abbey Abdul

Subject: Medical Coding/Billing Position

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