Looking for a Reimbursement Specialist / Certified Medical Coder
to join our team. We provide services to clients for a wide range of
specialties. The successful individual reviews the appropriateness of CPT-4 /
ICD-10 coding and determine if the care provided corresponds to the charges
submitted. Resolves denied claims by making necessary corrections / appeals to
promote better reimbursement, reducing outstanding revenue for inpatient and
outpatient services, diagnostic tests, E&M visits and other medical
services.
Responsibilities and Duties
·
Analyze clinical records and assign correct CPT-4, ICD-10 and/or
HCPCS codes, Modifiers, and quantities to the Medical Claim.
·
Review and correct coding errors, edits, rejections and/or
disputes.
·
Perform an array of coding and billing audits for
multi-specialty clients.
·
Use multiple Clearinghouses to transmit claims data and review
claims EOBs.
·
Communicate with physicians and their office staff regarding
ambiguous or conflicting information.
·
Research claim denials and rejections and effectively resolve or
overcome these rejections/denials with corrected claims and appeals.
·
Keep informed and up to date with CMS and AMA CPT Guidelines and
Policies.
Qualifications and Skills
·
Must have a minimum of 2 years reimbursement/ billing experience
in Pro-Fee Coding
·
Certification - CPC, CCS, RHIT, COC, CMCS OR CPMA required
·
Firm knowledge of all ICD-10-CM and CPT coding principles and
guidelines
·
Thorough knowledge of NCCI Edits
·
A substantial understanding of CMS LCD and NCD Policies
·
Strong written and verbal communication
·
Computer skills (including Microsoft Office and Microsoft 365)
Benefits
Medical
and Dental Benefits
401K
Short
Term Disability
Vacation
Pay
Job Type:
Full-time