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Billing & Certified Coding Specialist I
Beth Israel Lahey HealthBilling & Certified Coding Specialist reviewing and interpreting coding denials for all professional services. Works directly with the Billing Supervisor to resolve complex issues and denials.
About the role
Key responsibilities & impact- Identifies, reviews, and interprets third party payments, adjustments and coding denials for all professional services
- Reviews provider documentation to determine appropriate coding and initiate corrected claims and appeals
- Provides review and/or coding of any coding related denied professional services for appropriate use of CPT, ICD-9, ICD-10, HCPCS
- Monitors days in A/R and ensures they are maintained at expected levels
- Responds to incoming insurance/office calls professionally and helps resolve callers’ issues
Requirements
What you’ll need- High School diploma or equivalent, plus additional specialized training associated attainment of a recognized Coding Certificate
- CP (Certified Professional Coder through AAPC), CPC-A (Certified Professional Coder - Apprentice through AAPC), or CCS-P (Certified Coding Specialist Physician Based through AHIMA)
- 1-2 years of experience in billing, coding, denial management environment related field
Benefits
Comp & perks- Health insurance
- Professional development opportunities
- Paid time off
- Flexible work arrangements
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
CPTICD-9ICD-10HCPCScodingclaims processingdenial managementbilling
Soft Skills
communicationproblem-solvingprofessionalism
Certifications
Certified Professional Coder (CP)Certified Professional Coder - Apprentice (CPC-A)Certified Coding Specialist Physician Based (CCS-P)