7 Coding Reimbursement Specialist I Jobs in Charlotte, NC
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Coding Reimbursement Specialist I
$47k-59k (estimate)
Full Time
3 Months Ago
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Tryon Medical Partners is Hiring a Coding Reimbursement Specialist I Near Charlotte, NC
Coding Reimbursement Specialist I
Job Summary:
The Coding Reimbursement Specialist I perform various duties to accurately interpret, mitigate, and bill professional charges for physician services. Primary Job Responsibilities/Tasks may include, but not limited to:
- Enters appropriate data into the TMP billing system by selecting the appropriate CPT, diagnosis, and modifiers to complete the charge process for assigned specialties.
- Responsible for the accurate and timely resolution of professional coding related claim and clearinghouse edits, as well as payer rejections.
- Performs root cause analysis and identifies edit trends timely to minimize lag days and maximize opportunities to improve the process and update the Electronic Health Record (EHR) logic as needed.
- Demonstrates good judgement in escalating identified root causes and edit trends to leadership to ensure timely resolution and communication to stakeholders.
- Responsible for reviewing patient logs and other reports of clinical activity to ensure billing is captured for all patients.
- Communicate effectively with all RCM teams to handle the accurate and timely resolution of coding-related claim edits and appeals.
- Maintain working day-to-day knowledge of the electronic health record (EHR).
- Actively participates in problem identification and resolution and coordinates resolutions between appropriate parties.
- Communicate with Team Lead and/or RCM Leadership on areas that may be improved, and appeals minimized.
- Meets and exceeds short- and long-term goals as established for the department.
- Performs duties and job functions in accordance with the policies and procedures established for the department.
- Performs other related duties as required and assigned.
Requirements:
Education and Certifications:
- High school diploma or GED completion is required.
- A minimum of two (2) years’ experience with CPT, ICD-10, and medical billing requirements of physician services required. Three years' experience highly preferred.
- Coding Certification required within 12 months of employment with TMP. Must maintain active certification and required CEUs during employment tenure.
- Good working knowledge of medical terminology, anatomy required, and general coding guidelines as defined by the AMA.
- Thorough knowledge of the entire claims billing process
Experience:
- Family Practice or Internal Medicine preferred.
- Knowledge of current third-party billing and collection regulatory guidelines and requirements.
- Ability to gather and interpret clinical data.
- Ability to work independently in a fast-paced environment.
- Professional verbal and written communication. Ability to write routine reports and correspondence. Ability to communicate effectively with payers, providers, and the clinical operations teams.
- Must respect the confidential nature of medical information.
- Capable of following established departmental procedures.
- Capable of using experience and judgement to plan and accomplish goals.
- Proficient use of computers and a working knowledge of Microsoft Office.
- Ability to be flexible with assignments and multi-task as needed.
- Ability to demonstrate problem solving skills in dealing with billing and collections related issues.
Physical Requirements:
- Work consistently requires walking, standing, sitting, lifting, reaching, stooping, bending, pushing, and pulling.
- Must be able to lift and support weight of 35 pounds.
- Ability to concentrate on details.
- Use of computer for long periods of time.
Job Summary
JOB TYPE
Full Time
SALARY
$47k-59k (estimate)
POST DATE
02/22/2024
EXPIRATION DATE
04/24/2024
WEBSITE
tryonmed.com
HEADQUARTERS
Charlotte, NC
SIZE
<25
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