Coding Specialist
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Job Description
Coding Specialist in Gastro Health managing coding, billing, and claims for various medical services. Collaborating with a remote team for accurate processing and compliance.
Responsibilities:
- Drop claims for office, hospital, nutrition, pathology, biologics, imaging, pediatricians, anesthesia, and endoscopy center for accurate processing by payers
- Review medical documentation from EMR and hospital systems for accurate coding and billing to insurance companies
- Apply current billing and coding guidelines
- Evaluate that charges provided by the physicians support the level being billed based on the documentation
- Prepare claims with necessary fields for processing, such as linking authorizations to charges, code blood work, and assigning appropriate modifiers as needed
- Provide feedback to office managers and physicians regarding clinical documentation to ensure compliance with coding guidelines and reimbursement reporting requirements
- Manage claims for auditing purposes, including placing them on hold and billing once the process is complete
- Email office managers and physicians where updates are needed to operative reports
Requirements:
- High School Diploma or GED equivalent
- Must have CPC or equivalent certification
- Extensive knowledge of patient registration, coding, billing, regulatory requirements, billing compliance, business operations, financial systems and financial reporting.
- Certified coder AAPC or AHIMA
- Excellent communication skills both verbal and written.
- Able to analyze data and quickly identify process-based issues for remediation.
- Maintains confidentiality in all matters that include Patient Health Information and employee data.
- Hands-on participation in process/workflow design including team member involvement across the department.
- Intermediate experience with Microsoft Excel and Office products is required.
- Target Oriented and Coding team resolution mindset
- Prior experience collaborating with a remote team is highly preferred.
Benefits:
- we enjoy paid holidays per year plus paid time off
- Cigna healthcare
- Dental insurance
- Health insurance
- Life insurance
- 401(k) retirement plans
- Profit-Sharing
- Vision insurance
- Disability insurance
- Pet insurance
- short & long-term disability
- HSA
- FSA
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