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
- Physician Coding Specialist II responsible for resolving outstanding insurance accounts for multi-specialty group practices. Role involves analyzing insurance claims and communicating with payors in a professional manner.
Responsibilities
- Analyzes, on a daily basis and in accordance with established time frames, the outstanding insurance accounts
- Initiates appropriate and effective telephone and/or written follow-up on the identified accounts
- Communicates with payors and other internal departments as required to obtain critical information that impacts the resolution of both current and future claims
- Researches and responds to all telephone inquiries from the customer service department, in a prompt, professional manner meeting departmental guidelines
- Reviews and corrects coding edits and denials
- May code ICD-10 from written documentation
- May abstract CPT/HCPCS codes
- May perform computer assisted coding functions
- Consistently meets department productivity standards
- Consistently meets department quality standards
- Provides appropriate information and feedback to various personnel within UHPS
- Supports and utilizes established departmental guidelines
- Recommends additional research to other CBO departments
- Identifies trends with insurance related issues and reports findings to the Team Lead
- Acts as a role model for professionalism through appropriate conduct and demeanor at all times
- Interprets written correspondence and either resolves the problem or forwards it to another department for prompt resolution
- Effectively communicates utilizing the telephone, form letters or internal correspondence to resolve patient inquiries
- Handles multiple tasks simultaneously
- Must have an understanding of insurance products and billing requirements to effectively resolve discrepancies in billing statements
- Performs other related duties as assigned
Requirements
- High School Equivalent / GED (Required)
- 2+ years of medical billing experience (Required)
- Billing experience in a multi-specialty group is a plus (Preferred)
- Excellent interpersonal skills to work in partnership with others to influence and gain cooperation (Required proficiency)
- Ability to recognize, evaluates, and solves problems (Required proficiency)
- Strong verbal and written communication skills (Required proficiency)
- Extensive knowledge of the claims development process, as well as third party insurance program requirements (Required proficiency)
- Must possess basic knowledge of ICD-9 and CPT coding (Required proficiency)
- Ability to handle a variety of tasks with speed, attention to detail, and accuracy (Required proficiency)
- Computer literate, experience with basic software packages
- Certified Professional Coder (CPC) CPC-A, CPC-H, or CPC-P (Required)
- Certified Coding Specialist (CCS) or CCS-P (Required)
- Registered Health Information Technologist (RHIT) (Required)
- Registered Health Information Administration (RHIA) (Required)
- RCC (Preferred)
- ROCC (Preferred)
Benefits
- Maintains patient/physician confidentiality at all times
- Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace
- Complies with all policies and standards
Job title
Job type
Experience level
Salary
Not specified
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.
Medical Coding Coordinator handling claim disputes and coding in healthcare. Utilizing technical skills to resolve coding issues and ensuring compliance with regulations.
Coder analyzing, coding, and compiling medical records at Kadlec Clinic in Richland, WA. Auditing Provider documentation and providing reproductive feedback for patient care.