At Sheakley Group of Companies, Inc. our coding team is essential in facilitating correct coding and billing of our client's injured worker claims. As a valued member of our team you will receive:

• Competitive Pay
• The ability to work remotely or in our corporate
• Advancement & promotion opportunities internally
• Health, dental, vision, and life insurance
• Contributions to your HSA. $900 for Individual, $1800 for family
• Additional insurance options: Critical Illness, Long Term, Short Term Disability, Accidental Death and Dismemberment, Employee Assistance Program, Legal Shield
• 401(k) savings plan with match after 1 year
• Continuous professional training and development
• 8 Paid Holidays
• Paid Vacation and PTO available
• Employee focused culture with appreciation events all year
• Employee referral bonus

**This position does require you to be a certified coder, we will ask for proof of certification upon hire**

QUALIFICATIONS

• Knowledge and skills at a level normally acquired through the completion of a High School education or comparable work experience
• Working knowledge of Bureau of Workers Compensation policies and Procedures as they relate to bill payment
• Working knowledge of ICD and CPT codes as they relate to Workers Compensation Injuries
• Certified Coding Credentials from one of the following: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Associate (CCA), Certified Coding Specialist Physician-based (CCS-P), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Professional Coder-Payer (CPC-P), Certified Inpatient Coder (CIC), or Certified Outpatient Coder (COC).
• Working knowledge of Miller criteria (State, ex rel. Miller v. Industrial Commission, 1994, 71 Ohio St. 3d 229
• Excellent written and communication skills
• Excellent customer service skills
• Experience with various computer programs and data entry

ROLE AND RESPONSIBILITIES

• Reports directly to the Billing Team Leader
• Process incoming bills/invoices that are received by fax, mail or electronically within the timeframes as set by the Bureau of Workers Compensation
• Assist team members with coding questions
• Assist RN Clinical Liaisons with reviews as to payment determination for non- allowed, related conditions
• Monitors, reviews and analyzes bill coding to assist in the appropriate processing of bills
• Maintain communication between the billing department and other areas of the Managed Care Organization to resolve billing issues
• Provide excellent customer service for bill related calls from Providers, Attorneys, Injured Workers and Ohio Bureau of Workers'
• Assist with other departments as needed to facilitate the Managed Care Organization's work flow
• Demonstrates Sheakley Core Values
• All other duties as assigned