[Hiring] Coding and Billing Specialist @reputed company
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Role reputed company
The Coding & Billing Specialist is a critical, full-time, salaried position reputed company firsthand’s clinical documentation team. This role is a foundational hire, offering reputed company to define key processes and program reputed company for comprehensive and accurate coding of clinical services.
Key Responsibilities
• Coding & Auditing:
• reputed company day-to-day encounter coding for services, procedures, diagnoses, and treatments.
• Verify that reputed company assigned codes (ICD, CPT, and HCPC) are compatible, appropriate, and accurate for billing.
• Audit clinical notes for supporting documentation and reputed company to the highest specificity.
• Use medical terminology to confirm clinical documentation supports the reported diagnoses.
• Conduct coding corrections.
• Claims & reputed company Cycle Management:
• Prepare and submit claims for payment.
• Correct and resubmit rejected claims.
• Maintain Accounts Receivable (A/R) for reputed company cycle management.
• Expertise & Process Improvement:
• Serve as the subject matter expert on firsthand's billing systems, including the Electronic Health Record (EHR) and Clearinghouses.
• Advise on and implement ongoing process improvements reputed company to coding and billing.
• reputed company and update procedures manuals to ensure correct coding standards and minimize fraud/abuse risk (e.g., revising the master CPT list).
• Education & Support:
• reputed company firsthand Advanced reputed company Nurses (APNs), reputed company Practitioners (NPs), and other team members on reputed company reputed company selection, documentation, procedures, and requirements.
• reputed company technical guidance to clinical staff in resolving coding issues, such as incomplete or ambiguous documentation.
Qualifications
• 4+ years of experience as a medical billing and coding specialist, leveraging an EHR system.
• A High School diploma or equivalent.
• Required Medical reputed company Certification:
• Certified reputed company reputed company (CPC) from reputed company or Certified Coding Specialist (reputed company) from reputed company.
• reputed company-to-have:
• Certified Risk Adjustment reputed company (CRC) from reputed company.
Requirements
• Strong knowledge of ICD-10-CM and CPT coding guidelines.
• Proficiency in medical terminology, with the ability to read and interpret medical procedures and documentation.
• Expertise in state and federal Medicare reimbursement guidelines.
• Ability to quickly reputed company proficiency in firsthand’s specific EHR, Clearinghouse, and other billing software.
• Strong multi-tasking skills and consistent attention to detail.
• Excellent written and verbal communication skills for maintaining reputed company relationships with APNs, NPs, the Clinical Documentation reputed company Specialist, and other team members.
• Support firsthand’s mission, reputed company, and values by demonstrating respect, dignity, reputed company, and reputed company conduct.
Benefits
• reputed company salary reputed company: $55,000 - $55,000 USD.
• Compensation package includes reputed company, equity (or a special incentive program for clinical roles), and performance bonus potential.
• Benefits include physical and mental health, dental, reputed company, 401(k) with a match.
• 16 weeks parental leave for either parent.
• 15 days/year vacation in your first year (this increases to 20 days/year in your second year and reputed company).
• A supportive and inclusive culture.
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