Job Description
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Role Description
- We are seeking a Billing Specialist/Medical Coder for our Central Billing Office. This position is remote and open to candidates based anywhere in the United States.
- Assign codes to diagnoses and procedures, using ICD, HCPCS, and CPT codes
- Make judicious decisions on which codes to assign in each instance and function to a high level of accuracy
- Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations
- Work with the clinic staff to ensure the charges are billed to the responsible party as needed
- Communicate with other clinical staff regarding documentation
- Search for information in cases where the coding is complex or unusual
- Review charts as needed to ensure coding accuracy
- Ensure compliance with medical coding and policies
- Work directly with other team members on appeals and denials from insurance payors
- Understand and bill both professional and facility claims
- Process a high volume of claims accurately
- Work directly with department manager, clinic, and other billing staff
- Prepare reports as requested by management team
- This position is full time covering the coding/billing of a multi-location practice
- The duties and responsibilities described are not a comprehensive list and additional tasks may be assigned to the employee from time to time
- Qualifications
- Associate's Degree in Medical Coding or CPC Certification
- CPC certification is preferred
- Minimum of 2 years in medical billing/coding
- Fertility billing background preferred but not mandatory
- Strong knowledge of anatomy, physiology and medical terminology
- Commitment to a high level of customer service
- Familiarity with ICD-10 codes and procedures
- Solid oral and written communication skills
- Working knowledge of medical jargon and anatomy preferred
- Highly proficient at Excel
- Able to work independently and with a team as needed
- Competent use of computer systems and software, Azalea and Athena preferred
- Ability to talk on phone and communicate verbally
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