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Experience:

Minimum of 5 years of medical coding required, CPC certification required, CPB a plus, addition of CGIC, CASCC, and/or CEMC specialty certification a plus General skills and knowledge: General experience working with insurance carriers and representatives, patients, and staff on meeting/communicating billing & documentation concerns or requirements for billed services. Standard industry policy and procedure in a medical office setting (i.e. billing, front desk, eligibility verification, PAs, scheduling, referrals, etc.) Working reports and queues such as A/R, aging, collections, failed scrub, invalid, rejected, etc. HIPAA compliance and guidelines

CPT & ICD-10

coding from OV, procedure, hospital consults, etc. Submitting clean claims Denial management Using/Understanding of NCDs, LCDs, CCI Edits, and commercial payer policies. Understanding of checks & balances. Problem solving skills are mandatory as our billing department plays a vital roll in day to day management of the practice. Excellent communication skills are necessary with the ability to discuss claim adjudication processes with patients in a professional manner. Tasking and clear communication with physicians and clinical staff when necessary. Exemplary organizational skills. Ability to follow instructions when given tasks, general instruction, or implementation of new procedures within the billing department.

Computer/Technical Skills:

Proficiency and experience with Microsoft Word, Excel, and Adobe is required as all are used daily. Ability to develop/manage office forms, letter templates, and spreadsheets is preferred. Other general computer skills should be proficient as well.

Job Responsibilities:

Manage rejected, denied, invalid, failed scrubs within the billed and unbilled claim queues daily for your assigned facility. Review & audit chart records for completeness and sending for correction as needed prior to filing claims. Work A/R report monthly refiling/analyzing claims data relative to your assigned facility. Identify and research frequent causes of denials, rejections, and/or failed scrubs so that corrective action plans can be implemented. Researches rejections included in EOBs for resolution and files appropriately. Cross training in other positions throughout the business office such as front desk, appointments, procedure scheduling, etc to fill in when needed.

Job Type:

Full-time Benefits:

401(k) 401(k) matching Health insurance Paid time off Retirement plan Ability to

Commute:

Hammond, LA 70403 (Required) Ability to

Relocate:

Hammond, LA 70403: Relocate before starting work (Required)

Work Location:

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Find & Apply For Medical Biller Jobs in Hammond, Louisiana

Certified Professional Coder (CPC) - Full Time