Medical Billing Specialist responsible for creating and sending insurance claims and patient statements for Pediatric Home Service. Analyzing payments, contacting patients, and utilizing billing systems for efficient service delivery.
About the role
- Coding Educator improving provider documentation and education plans in healthcare. Responsible for arranging educational sessions and utilizing data analytics tools for coding quality assessment.
Responsibilities
- identify opportunities to improve provider documentation and create education plans tailored to each assigned provider
- arrange educational sessions with assigned providers aimed at quality of care and documentation improvements
- pull MRA reports, identify educational needs based on reports and present information
- utilize data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards
- participate in cross-functional teams to improve documentation, data integrity, and workflow processes
- build ongoing relationships with staff and provider teams
- provide virtual education and/or provider onsite education based on business needs
- collaborate with other market provider facing roles
Requirements
- AHIMA or AAPC CPC (Certified Professional Coder) Certification
- 4 or more years of medical coding experience
- Risk Adjustment knowledge
- Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience in interpreting large data sets
- Bachelor's Degree (preferred)
- CRC -Certified Risk Adjustment Coder (preferred)
- Experience interacting with healthcare providers (preferred)
- Strong technical knowledge of all Microsoft Office applications
- Strong attention to detail and exceptional follow up skills
- Valid Driver's license and reliable transportation
- Experience with public speaking and presentation skills with healthcare providers
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance
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Medical Billing Specialist responsible for creating and managing insurance claims in pediatric home health care. Collaborating with insurance companies and patients for billing resolutions.
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