Job description

DESCRIPTION

Certified Medical Coding Specialist/Biller (also known as Health Information Technician,
Health Information Specialist, and Medical Coders) someone that works on the administrative side of the medical industry, coding the medical services provided to the patient, and creating the appropriate bill for those services, whether it be for the patient, their insurance company, or CMS. A liaison between providers, payers, and patients.

IN THIS ROLE YOU WILL:

· Prepares and submits clean claims to various insurance companies either electronically or by paper.

· Answers questions from patients, clerical staff, and insurance companies.

· Reviews charges and chart notes to ensure claims have captured all services rendered and are submitted to payors with the correct CPT codes, ICD-10 codes, and modifiers.

· Communicates with physicians/providers on issues regarding CPT & ICD-10 coding selections.

· Assists business office staff with correcting claims and submitting appeals.

· Codes in compliance with CMS.

· Stays current on coding guidelines, CPT, ICD-10 and HCPS.

· Identifies and resolves patient billing complaints.

· Prepares, reviews, and sends patient statements.

· Evaluates patient's financial status and establishes budget payment plans. Follows and reports the status of delinquent accounts.

· Reviews account for possible assignment and make recommendations to the billing supervisor, and prepares information for the collection agency.

· Ability to identify coding trends and areas of risk.

· Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third-party payers.

· Post insurance payments and follows up on denials, send in corrected claims and appeals.

· Processes payments from insurance companies and prepares a daily deposit.

· Participates in educational activities and attends monthly staff meetings.

· Protects the security of medical records to ensure confidentiality is maintained; adheres to all HIPAA guidelines/regulations.

· Conducts self in accordance with the employee manual.

· Other duties as assigned.

· Work is performed on-site.

ESSENTIAL SKILLS:

· CPC Certified

· 2+ years of experience in clinical setting

· Knowledge of CPT and ICD-10 codes

· Thorough knowledge of third-party payors, HMOs, PPOs, Medicare, and Medicaid

· Ability to work independently with minimal supervision

· Correct coding for diagnosis and procedures

· Methodical and detail-oriented

· Effective writing and communication skills

· Ability to multi-task

· Strong work ethic

Job Types: Full-time

Job Types: Full-time, Contract

Pay: $40,000.00 - $100,000.00 per year

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Supplemental pay types:

• Bonus pay

Work Location: One location

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