As an Accounts Receivable Representative / Medical Coder, you will be responsible for a variety of advanced revenue related billing and coding activities requiring data research and analysis, time management, self-motivation, and teamwork.

The Coding team works closely with internal Payment Posting and AR Teams : Commercial Payors, Managed Medicare & Medicaid Payors, Government Payors, Occupational Health, Specialty Payors, or Eligibility and Edits AR.

An ideal Coder in this role maintains a positive attitude, is self-motivated and detail-oriented, and has excellent problem-solving skills which allow the delivery of on-time results to ensure the success of individuals and the organization.

PLEASE APPLY TODAY and a Recruiter will reach out to you regarding the next step towards joining our team.

Responsibilities and Duties :

A qualified and dedicated AR Representative - Medical Coder will :

• Review charge and claim edits by identifying correct assignment of Place of Service (POS) codes and ICD-10 / CPT codes and modifiers while applying coding and billing guidelines per industry standards and / or specific client requests.
• Utilize payor policies to create internal edit and adjustment policies.
• Work claim denials and make any and all appropriate coding corrections.
• Work closely with the AR Coding Manager and AR Managers / Supervisors to maximize cash and minimize denials.
• Track claims and billing trends / issues and communicate them to management.
• Participate in group discussions including coding changes and education and client coding issues.
• Maintain knowledge of all coding changes, rules, and regulations.
• Comply with HIPAA regulations and state and federal standards and guidelines.
• Provide timely, accurate, and professional responses to internal, patient, and third party inquiries.
• Research and resolve complex issues and escalate issues to management.
• Report needed system updates to manager.
• Independently work special payor projects as assigned.
• Assist in training new team members.

Qualifications and Skills :

Successful candidates will possess the following qualifications and skills :

• Bachelor’s degree preferred, HS diploma / GED required.
• Certified Professional Coder (CPC) required.
• Minimum of 3 years’ coding experience required, professional medical billing experience preferred.
• Advanced ability to troubleshoot and problem solve in a healthcare setting.
• Advanced knowledge of CPT and ICD-10 coding.
• Advanced understanding of HIPAA compliance practices.
• Extensive knowledge of billing systems and electronic medical records (EPIC preferred).
• Proficient knowledge and a working understanding of Microsoft Excel and Word.

Schedule :

Full Time, Monday - Friday 9AM - 5PM.

Salary :

$22 - $24 per hour, based on education and experience.

Benefits :

• Bi-Annual Bonus - Based on performance, paid out twice per year up to 10% of salary.
• Flexible Schedules - Three available shifts, summer hours, and early dismissal on Fridays.
• Medical, Dental, Vision, and Life plans.
• 401K with employer match and additional incentives offered.

Last updated : 2024-05-06