Medical Biller and Coder - Orthopedics Michigan Surgery Specialists - 2.5 Warren, MI Job Details Full-time From $28 an hour 1 day ago Benefits Health insurance Dental insurance 401(k) Tuition reimbursement Paid time off Vision insurance 401(k) matching Employee discount Life insurance Qualifications EDI Managed care Medical coding Filing High school diploma or GED Certified Professional Coder Medical administrative support Health insurance knowledge Certified Coding Specialist Desktop applications Medicaid regulations Medicaid Productivity software

Full Job Description Role/Position Definition:

Experienced orthopedics biller and coder with a focus on A/R Follow-up and surgery coding. Understands and abides by billing compliant regulations.

Qualifications/Position Requirements:

• High School Diploma required. Minimum of 2 years coding experience required.
• Knowledge of Medicaid/Managed Care Organization (MCO) billing practices, and other insurance websites.
• Experience with billing in an Electronic Data Interchange/3rd party clearinghouse environment.
• Intermediate to advanced computer skills, including the use of Microsoft Office applications.

-Maintain Licensure/Certification o Must possess one or more of the following certifications:

CCS, CPC, COC, CPCH, RHIA, RHIT

Duties and Responsibilities:

• Responsible for coding, abstracting, and sequencing the classification of medical and surgical procedures, diagnosis, and treatment modalities.

-Analyzes patient medical records and interprets documentation to identify all diagnoses and procedures. Assigns proper ICD-9-CM/ICD-10-CM and

CPT-4, HCPCS

diagnostic and operative procedure codes to charts and related records by reference to designated coding manuals and other reference material. -Monitor and resolve coding edits and denials in a timely manner to ensure optimal reimbursement. -Submits claims to payors in accordance with payor requirements and agency policy.

• Receives notices of claim rejections and denials.
• Properly track and resolve issues to ensure claim payment.
• Maintains complete and accurate accounts receivable records.
• Performs troubleshooting for billing error codes.
• Alerts the Manager regarding late or missing documents required for billing.
• Assists with the collection of receivables by monitoring accounts receivables, resubmitting bills to overdue accounts, and alerting the Manager regarding seriously overdue accounts.
• Produces reports as needed.
• Performs administrative duties such as sorting, scanning, filing, and emailing records.
• Address denials and determine next steps.
• Follow up on unpaid claims prior to filing deadlines.
• Re-bill or submit corrected claims.
• Performs all other duties as assigned.

Job Type:

Full-time Pay:

From $28.00 per hour

Benefits:

401(k) 401(k) matching Dental insurance Employee discount Health insurance Life insurance Paid time off Tuition reimbursement Vision insurance

Experience:

Medical coding: 2 years (Required)

Work Location:

Hybrid remote in Warren, MI 48093