Join Providence as a Senior Coder assigning DRGs, APCs, ICD - 10, and CPT codes. Responsible for inpatient, outpatient, and observation coding according to guidelines.
About the role
- Medical Coding Coordinator handling claim disputes and coding in healthcare. Utilizing technical skills to resolve coding issues and ensuring compliance with regulations.
Responsibilities
- reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery
- extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records
- analyzes, enters and manipulates database
- responds to or clarifies internal requests for medical information
- exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques
Requirements
- Coding Certification required : AAPC CPC (no Apprentice)
- Minimum of 3 years' experience as a Certified Medical Coder
- Demonstrate ability to problem-solve complex coding issues
- Experience with Medicare and Medicaid coding guidelines
- Strong data entry and attention to detail skills with the ability to manage multiple tasks in a fast-paced setting with competing priorities
- Intermediate experience with Microsoft Word and Excel, Outlook, and Teams
- Bachelor's Degree (Preferred)
- 5 or more years of experience as a Certified Medical Coder (Preferred)
- CPMA certification (Preferred)
- MS-DRG auditing or APR auditing experience (Preferred)
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- paid time off
- company and personal holidays
- volunteer time off
- paid parental and caregiver leave
- short-term and long-term disability
- life insurance
- professional development & continued education
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
Medical Billing Specialist for TransPerfect Health handling claims and billing processes with remote work flexibility and occasional meetings in Atlanta.
Clinical and Coding Specialist for South Carolina residents handling healthcare coding and overseeing medical reviews. Requires a BSN or ADN with substantial healthcare and coding experience.
Accounts Receivable Specialist resolving accounts receivables in a physician office setting for opioid treatment organization. Utilizing industry knowledge to ensure timely payments and compliance with regulations.
Senior Coding Educator at Humana improving provider documentation and executing risk adjustment strategies. Engaging with providers through tailored educational sessions and compliance presentations.
Experienced Medical Billing Specialist at Reliant Healthcare Group ensuring timely reimbursement through efficient Revenue Cycle Management processes. Responsible for AR management, payer follow - ups, and claim resolution.
Medical Coding and Billing Instructor teaching core courses at The College of Health Care Professions. Mentoring students and delivering engaging, career - focused education in a supportive environment.
Medical Billing Specialist processing invoices and claims for patient claims in the UK billing team. Responsible for maintaining accuracy and professionalism in communication with clients and entities.
Coder analyzing, coding, and compiling medical records at Kadlec Clinic in Richland, WA. Auditing Provider documentation and providing reproductive feedback for patient care.
Billing Analyst supporting healthcare billing and revenue cycle functions with a focus on DME billing. Analyzing payment trends and driving denial resolution in a hybrid work environment.