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Reimbursement Specialist / Coder Job in Bingham Farms, Michigan

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Job Title: Reimbursement Specialist / Coder

Employer:Strategic Revenue Solutions
Skills:Coding,Denial Management,Auditing
Specialties:Cardiology. Orthopedics, Pain Management, Podiatry, Lab, Diagnostic
Required Certifications:CMCS or RHIT,COC,CCS,CPMA,CPC
Preferred Certifications:CMCS or RHIT,CPMA,CCS,COC,CPC
Location:30800 Telegraph Road, Ste 2950 Bingham Farms 48025, MI, US
Date Posted:1/5/2021


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)



Medical and Dental Benefits


Short Term Disability

Vacation Pay


Job Type:



Allie Galovich, CPC

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