Medical Billing Team Lead at Dr.Bill managing billing operations in Manitoba and Saskatchewan. Providing exceptional service and maintaining accurate customer account records and claims processing.
EH
Hybrid Senior Medical Coding Education Associate – Hospital / Professional Claims
Posted 6 days ago
About the role
- Medical Coding Education Associate Sr conducting claims data analysis for Elevance Health. Engaging with providers to ensure accurate coding and documentation guidelines with hybrid work requirements.
Responsibilities
- Responsible for the comprehensive analysis of complex claims data
- Generate refined and industry-relevant concepts that govern the prosperity of the company across all business lines and client interactions
- Engage with providers and other internal/external stakeholders to ensure proactive collaboration in reviewing coding and documentation guidelines
- Examine medical records and various documentation to ensure the precision of code assignment
- Research, validate, and stay abreast of medical coding and billing issues, trends and changes in regulations and industry standards
- Develop concept ideas to support the goals of the department and organization
- Launch education concepts
- Furnish providers with comprehensive feedback on current year coding guidelines and industry expertise
- Assist other associates with their documentation and education discussions
- Execute a detailed review of medical records to confirm documentation justifies the level of service provided
- Assist other associates with the completion of medical record reviews and respond to provider inquiries
- Complete appeals requests from providers
Requirements
- Requires an AA/AS degree
- Minimum of 6 years of experience working with ICD-9/10CM, CPT, and HCPCS coding
- Current, valid, active, and unrestrictive RHIA certification as a Registered Health Information Administrator and/or RHIT certification as a Registered Health Information Technician and/or CCS as a Cert Coding Specialist and/or CPC Cert Professional Coder
- Proficiency with MS Outlook, Word and Excel strongly preferred
- Experience in facility and professional health insurance reimbursement, medical coding or coding audits strongly preferred
- Understanding of health data analytics preferred
- Requires strong oral and written communication skills
- Excellent analytical and critical thinking skills
- Strong decision-making skills
- Ability to manage multiple tasks in a demanding work environment
- Appreciation of diversity
- High energy level
- Self-motivation
Benefits
- Health insurance
- 401(k) matching
- Flexible work hours
- Paid time off
- Incentive and recognition programs
- Equity stock purchase
- Comprehensive benefits package
- Wellness programs
- Financial education resources
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