Medical Billing & Coding Specialist

• Full-Time

• 38k-52k + Depending on Knowledge, Efficiency, and Reliability

• 16 Paid Holidays

• 2 Work Weeks Paid Time Off

• AAPC Membership Fees

• CEU Allowance

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Qualifications

Highly Organized, Solution Seeker, Collaborator, AAPC Certification/or Eligible

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Key Result

Drive revenue by creating and sending clean claims to insurance companies and patients.

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Key Objectives

• Accurate and timely application of ICD-10 and CPT codes to physician documentation.

• High level knowledge of insurance regulations, health insurance contracts, and revenue cycle management.

• Expertly communicate in both written and verbal forms with team, patients, and physicians. Relative Value Unit (RVU) goals.

Key Responsibilities

• Extracts relevant information from patient records and acts as liaison with physicians and other parties to clarify information

• Examines documents and recognizes lack of or missing information; communicates and corrects information as needed

• Assigns CPT, HCPCS, and ICD-10-CM

• Performs patient chart audits and provides coding feedback and education to physicians

• Answers questions, advises, and trains physicians and their staff on medical coding

• Informs supervisor of issues and complications with billing software, and submits service tickets through AdvancedMD, RXNT, Waystar, ChangeHealth, Practice Fusion, Patient Keeper, Point Click Care

• Ensures compliance with medical coding policies and guidelines; understands the application of each code set
  Maintains high level knowledge regarding coding and diagnostic procedures

• Maintains practice management system by entering accurate data, verifying and updating insurance, and claims information, handles carrier correspondence, manages EOBs, and keys payments received into the system

• Collects, posts and manages patient account payments

• Prepares, reviews, submits, and follows up with clean claims to various companies/individuals

• Investigates rejected claims to see why denials were issued and correct claims.

• Completes Claims Center daily tasks including charge review and claims inspector; creates and maintains custom claim edits and works

• Reviews and provides RCM weekly and monthly reports including productivity and financial reports as directed and completes action steps as necessary

• Follows HIPAA guidelines when accessing and sharing patient information; Maintains patient and business confidentiality

• Provides timely and professional customer service, verify discrepancies by and resolve patient billing issues, answer questions from patients, facility staff, and third-party vendors.

• Supports additional coding, billing, and practice management projects as needed

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Vision: To keep independent physicians independent.

Values: Efficient. Reliable. Knowledgeable.

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Expectations:

• Welcome Change and Implement

• Be Accurate and Aware

• Solve and Communicate

You will love working here if you resonate with our team culture.

• We make decisions that support our mission of keeping independent physicians independent.

• We keep things efficient.

• We don’t waste time, effort, or resources.

• We have solid technical computer skills.

• We are loyal to our team and back each other up.

• We do work accurately the first time, clean claims.

• We embrace rapid change by staying up to date in our industry.

• We rely on great systems and processes.

• We are ahead of the game.

• We meet difficult situations directly with communicative language.

• We research solutions and ask detailed informed questions.

• We care about each other and are invested in each others accomplishments.

• We own and accept.

• We understand and implement industry compliance.

• We love helping our clients in all realms of business.

• We are kind to patients and their families.

• We know the effect of our roles on the roles of others.

• Our environment is driven and friendly.