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

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Job Title: RCM A/R Specialist/Coder

Employer:Skyline Urology
Required Certifications:CPC
Preferred Certifications:CPC
Required Experience:1 to 2 years
Preferred Experience:3 to 4 years
Location:2927 Lomita Blvd Suite B Torrance 90505, CA, US
Date Posted:11/12/2018


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


  • 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.


  • 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


  • 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


  • 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


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


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