Ideal Attributes :

Certified CPC and/or CPMA (AAPC or AHIMA)
Physician Charge Coding (CPT, HCPC and ICD-10)
Medical Terminology
Experience with General Surgery and G.I. Procedure Coding
Honesty, integrity, proactive problem solver, and a team player

Job Responsibilities:

Maintain strict confidentiality and adhere to all HIPAA guidelines and regulations
Review notes from patient encounters and code them to ensure accurate assignment of

CPT, HCPCS, ICD-10-CM

codes, and modifiers per current coding guidelines and payor regulations

Efficiently review provider communications and documentation to ensure completeness and prompt billing
Submit insurance claims and process payments to and from various insurance companies either electronically or by paper
Verify insurance eligibility and benefits and obtain all necessary prior authorizations
Confirm all prior authorization standards for insurance companies bi-annually
Collaborate with clinical staff to implement and improve workflow for provider documentation and reimbursement efficiency
Scan, file, attach EOBS, chart notes, etc. into EMR
Resolve insurance denials and discrepancies in collaboration with the billing team and providers
Perform various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers
Process and apply refunds to insurance companies and patients
Consult with Self-Pay patients and provide Good Faith Estimates
Provide excellent customer service by answering questions from patients and insurance companies
Assist in resolving patient billing complaints
Other duties as assigned

Skills & Qualifications:

1+ year of outpatient or other medical related experience preferred

Excellent written and verbal communication skills and interpersonal skills
Keen attention to detail and ability to prioritize tasks
Able to work independently and as a team player to complete tasks in a timely manner
Excellent character, patience, kindness, dependability, and loyalty
Contribute to large work volume with high level of accuracy and quality
Demonstrate professional pleasant demeanor and a service oriented mindset
Proactive problem-solving skills
Criminal background check clearance/fingerprint clearance
Must hold valid coding certification (e.

CPC, CCS

)

Familiarity with billing software and electronic health records systems
Outpatient billing experience preferred. What You'll Love About Us
We have an awesome small practice culture and
truly make a difference in our community by providing uncompromising compassionate medical care.
Holiday & Paid time off
401K Plan
Health Insurance
Work environment that is empowering and satisfying

Education :

High School Diploma or equivalent Some college, with emphasis on Medical Coding, Medical Terminology and Basic Human Anatomy preferred. Certified CPC and/or CPMA (AAPC or AHIMA)

Job Type:

Full-time Pay:

From $26.00 per hour

Benefits:

401(k) Health insurance Paid time off Vision insurance

Experience:

ICD-10: 1 year (Preferred)

Work Location:

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Medical Billing and Coding Specialist