Home > Medical Coding Jobs > California > RCM A/R Specialist/Coder Job in Torrance

RCM A/R Specialist/Coder Job in Torrance, California

It is the responsibility of the job seeker to validate the information posted for each job. AAPC cannot validate or guarantee the accuracy of the information posted below.


Job Title: RCM A/R Specialist/Coder

Employer:Skyline Urology
Type:Full-Time
Skills:coding,billing
Specialties:Urology
Required Certifications:CPC
Preferred Certifications:CPC
Required Experience:1 to 2 years
Preferred Experience:3 to 4 years
Location:Torrance, CA
Date Posted:11/12/2018

POSITION SUMMARY:

The RCM Account Receivable Coder Specialist is responsible for timely and appropriate billing, coding and collection of monies from payors and/or patients.

ESSENTIAL FUNCTIONS:

  • Follows-up on all assigned accounts from within the billing systems in accordance with pre-established goals.
  • Initiates proactive measures that result in account resolution.
  • Researches and analyzes accounts and payments; reverses balances to credit or debit if charges were improperly billed or if payments were incorrect.
  • Ensures that all coding conditions for billing have been satisfied, which incudes, but is not limited to, accurate charges and financial class; benefit confirmation, ICD-10 and CPT-4 Coding
  • Responds timely and accurately to all incoming coding reviews requests and inquiries from management, physicians, A/R, and other appropriate parties.
  • Initiates appropriate recommendations and action plans for resolving coding denials accounts.
  • Initiates physician education, as necessary.
  • Evaluates accounts to determine any write-offs or corrections required, including duplicate charges.
  • Responds to all phone calls from other departments or insurance companies in an efficient and courteous manner
  • Writes appropriate notes in billing system for every account, including any action taken.
  • Handles in a professional and confidential manner all correspondence, documentation, and files.
  • Reviews various reports to identify denials and edits; corrects claims; suggest action plans to eliminate these denials/edits in the future; determines appropriateness for appeal.

Customer Service:

  • Receives and answers coding related inquires or complaints from coworkers and management concerning self-pay accounts, gathers information for timely resolution of issues.

Communication:

  • Works with co-workers in the RCM department and others to obtain required information on a timely basis and to solve outstanding issues, as appropriate.
  • Supports Skyline Urology’s core values, policies, and procedures.
  • Works on special projects and other duties as assigned by supervisor or management

COMPETENCIES AND SKILLS:

  • Effective oral and written communication skills
  • Filing, planning ,organization skills, and time management skills
  • Proficient Microsoft Office skills required (i.e. Microsoft Word, Excel, PowerPoint, etc.)
  • Customer Services Skills            
  • Knowledge of different insurance types; plans, products and their specific coding guidelines
  • Knowledge of billing practices and clinical policies and procedures
  • Ability to understand and interpret payer policies and regulations
  • Ability to examine documents for accuracy and completeness
  • Strong knowledge of CPT and ICD coding (CPT-4 and ICD-10 coding)
  • Understanding of insurance billing and collection requirements
  • Knowledge of procedures and data flow in a healthcare organization
  • Knowledge of HIPPA and PIH
  • Excellent verbal and written communication skills in the English language
  • Able to work in team-oriented environment.
  • Ability to work independently and to be proactive in securing payments and resolving issues

EXPERIENCE AND/OR EDUCATION:

  • High School Diploma or equivalent required
  • CPC certification required
  • Medical Billing Training and/or Certificate is preferred
  • 2 years’ experience in the medical field required, urological experience preferred
  • EMR and Practice Management (Centricity) system experience
  • Experience with charge entry and billing in medical office setting
  • Experience handling complex accounts
  • Experience with physician billing preferred

Applying

To apply for this position, please go to the following URL and create a profile and attach your resume:

https://recruiting.ultipro.com/SKY1002/JobBoard/6a60136a-af11-8fa2-92e2-f9436b02a85f/OpportunityDetail?opportunityId=c7fe7d10-bcec-4d4a-b51b-a11258f2955d

Looking for Exhibiting Opportunities or Group Discounts?

Contact us at 844-825-1679.