Job Summary:
- Responsible for coding and posting surgical procedures.
- Accurately assign CPT and ICD-10 codes to achieve timely billing.
- Ensure timely and accurate collection, preparation, and verification of billing information submitted in billing system. Review billing collection and denial reports and recommend changes on how to improve issues.
- Serve as a liaison to coding vendor for questions, data requests, and other inquiries. Review charge encounter forms for complete CPT code, ICD-10 code, and other required billing information on a daily basis.
- Compare coding to notes/documentation and communicate with providers to clarify errors, correct coding and prepare appeals and reconsideration requests. Appeal complex denials through review of payer policies, coding, contracts, and medical records. Utilize subject matter experts as needed.
- Analyze/audit notes and ensure the appropriate codes are charged in order to maintain billing compliance and prevent denials.
- Ability to maintain strict confidentiality.
Skills:
- 3-5 years of experience with coding and/or billing in health care revenue cycle. This should include physician practice.
- An understanding of healthcare billing practices and compliant claims preparation for both governmental and commercial payers.
- Continuing Education Requirements: Medical coders shall maintain the required continuing education hours in order to maintain current and proper national certification(s) requirements for this position.
- Ability to function independently and as a team leader in a fast-paced environment required.
- Must be able to maintain the company accuracy rating of 95%.
- Practical knowledge and understanding of industry nomenclature; medical and procedural terminology; anatomy disease processes.
- Make well-informed, effective, and timely decisions, even when data are limited or solutions produce unpleasant consequences; perceives the impact and implications of decisions.
- Utilize medical computer software programs to abstract, analyze, and/or evaluate clinical documentation and enter/edit diagnosis, procedure codes and modifiers.
- Clearly express information (for example, ideas or facts) to individuals or groups effectively, considering the audience and nature of the information.
- Display courtesy, empathy, and tact, developing and maintaining effective relationships with others. Able to relate well to people from varied backgrounds and in different situations.
We offer competitive compensation packages and benefits for our employees. Join our team of dedicated professionals and contribute to providing quality healthcare services.
Job Type: Full-time
Pay: $25.44 - $27.13 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Work setting:
Ability to Relocate:
- Las Vegas, NV 89148: Relocate before starting work (Required)
Work Location: In person