Revenue Cycle Associate - Coder

DUTIES:

• Strong understanding of medical terminology, and anatomy with the ability to analyze patient charts and other documentation to translate into standardized codes. 


• Required knowledge with the ability to apply correct codes such as ICD10, CPT, HCPCS, modifiers and other relevant coding systems requirements


• Knowledge of insurance claim forms (HCFA, UB) coding and billing requirements. 


• Attention to detail with the ability to verify codes are correctly assigned and supported by medical documentation.


• Clarify ambiguous or vague documentation with appropriate staff members to ensure compliant billing


• Ability to manage assigned work queues to achieve department production standards


• Responsible for updating patient accounting systems with codes, charges, insurance and patient demographics


• Ability to demonstrate proficient knowledge and understanding with the ability to apply key concepts from various payors reimbursement and clinical coverage policies including Commercial, Medicare, Medicare Advantage, Medicaid, Medicaid Managed Care, third-party, contract, etc.


• Ability to demonstrate proficient knowledge and understanding with the ability to apply key concepts from various compliance Federal and State security regulations including HIPAA, The Security Rule, Personal Financial Information, Personal Health Information


• Demonstrate and be proficient with general accepted accounting principles and methods, with the ability to apply understanding and application


• Basic analytical skills with the ability to apply logical decision-making skills to resolve claims or barriers impacting work product


• Ability to demonstrate proficiency with basic office automation technologies including internet, payor web applications or portals, and Microsoft Office applications.


• Ability to demonstrate proficient use with various patient accounting billing software(s), medical records systems, and payment portals


• Ability to generate assigned reports and apply task specific knowledge to resolve claims with limited oversight


• Ensures quality customer service is provided to all patients, including but not limited to: taking inbound patient phone calls, properly verifying insurance coverage, filing insurance claims, insurance follow-up, payment posting, and returning phone calls in timely fashion


• Ensures the accuracy of charges applied, payments posted, denial/follow-up procedures, and documentation


• Meets established quality and productivity standards


• Stays current on ambulance coding and regulatory billing guidelines


• Stays current on healthcare accounts receivable billing and collection procedures. Including any additions and changes to insurance laws


• Maintains confidentiality of information as assigned and abides by all applicable laws, and the corporate compliance program.


• Demonstrates continuous effort to improve operations, streamline work process and work cooperatively and jointly to provide quality and seamless customer service


• Maintains positive working relationships with internal and external customers


• Knowledge of ambulance medical billing and procedures

EDUCATION/EXPERIENCE:

• High School Diploma or equivalent required


• Associate degree preferred


• Experience in healthcare revenue cycle process preferred


• Excellent verbal communication skills


• Demonstrated ability in the use of Microsoft products


• Demonstrated ability to use computer, internet, web applications


• Ability to perceive and distinguish emotions during interactions with people via telephone or in person, and respond professionally, with compassionate care


• Maintain acceptable attendance and adhere to scheduled work hours


• Ability to work within a team-oriented, fast-paced, customer-focused environment


• Ability to apply on demand problem solving skills

CERTIFICATIONS/LICENSES/REGISTRATIONS:

• Certified Ambulance Coder (initial certification only) preferred


• Certified Professional Coder (CPC-AAPC) preferred


• Certified Professional Biller (CPB-AAPC) preferred

SPECIAL WORKING CONDITIONS: Individuals must not be excluded from filing claims to any federal or state government payor.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit for prolonged periods, maintain hand and finger dexterity, view a computer screen for extended periods, listen to and comprehend instructions, sustain concentration for tasks requiring attention to detail, and occasionally reach, stoop, kneel, stand, walk, crouch or crawl. While performing the duties of this job, the employee may be required to lift or carry light objects, up to 25 pounds

Compensation: $23.23/hr ; additional based on relevant experience 

Interested candidates must complete the online application and upload a resume to be considered. Applications will be accepted until the position is filled.

If you have any further questions, please contact MEDIC Recruitment at [email protected]