Responsible for correctly coding healthcare claims in order to obtain reimbursement from insurance companies and government healthcare programs.

Required Skills

Customer Services:

• Answering and referring inquiries within scope of business services.

• Telephone: Answers telephone, processes call, and document appropriately. Returns all messages in a timely manner.

• Maintains communication between medical providers, administrative staff, and/or patient/families.

Business Services:

• Performs account audits of patient billing and medical records of providers

• Assigns ICD-10, CPT, and HCPCS codes based on provider documentation.

• Reviews, works, and corrects both internal errors and denials from insurance companies and re-files the claim.

• Files appeals to carriers according to prescribed guidelines, documents all information related to appeals and follows up.

• Scans and uploads patient clinical documents into medical chart.

• Ensures all provider services are accounted for and billed.

Environmental Services:

• Contributes to the overall cleanliness and appearance of personal work space and department.

• Monitors supply levels and requests when needed.

• Maintains all equipment. Evaluates all equipment for damage or maintenance needs and reports when needed.

Required Experience

Minimum Education: Graduate of a certified coding program

Work Experience: One year or more experience in multispecialty coding position.

Required License/ Certification/Registration: Certified Professional Coder or comparable designation

Skills:

• Communication Excellence

• Knowledge and ability to work in accordance federal and state regulations

• Ability to work tactfully and effectively with patients, family members, other employees and physicians.

• Analytical abilities

• Word Processing / Computer

• Strong customer service

• Multi-tasking

• Time Management

• Organization

• Attention to Detail

• Professionalism / Positive Attitude

• Quality Focus

• Adaptability