Coding Specialist
Gastro Health
full-time
Posted on:
Location Type: Remote
Location: Remote • Florida • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Drop claims for office, hospital, nutrition, pathology, biologics, imaging, pediatricians, anesthesia, and endoscopy center for accurate processing by payers
- Review medical documentation from EMR and hospital systems for accurate coding and billing to insurance companies
- Apply current billing and coding guidelines
- Evaluate that charges provided by the physicians support the level being billed based on the documentation
- Prepare claims with necessary fields for processing, such as linking authorizations to charges, code blood work, and assigning appropriate modifiers as needed
- Provide feedback to office managers and physicians regarding clinical documentation to ensure compliance with coding guidelines and reimbursement reporting requirements
- Manage claims for auditing purposes, including placing them on hold and billing once the process is complete
- Email office managers and physicians where updates are needed to operative reports
Requirements
- High School Diploma or GED equivalent
- Must have CPC or equivalent certification
- Extensive knowledge of patient registration, coding, billing, regulatory requirements, billing compliance, business operations, financial systems and financial reporting.
- Certified coder AAPC or AHIMA
- Excellent communication skills both verbal and written.
- Able to analyze data and quickly identify process-based issues for remediation.
- Maintains confidentiality in all matters that include Patient Health Information and employee data.
- Hands-on participation in process/workflow design including team member involvement across the department.
- Intermediate experience with Microsoft Excel and Office products is required.
- Target Oriented and Coding team resolution mindset
- Prior experience collaborating with a remote team is highly preferred.
Benefits
- 401(k) retirement plans
- Profit-Sharing
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
- Disability insurance
- Pet insurance
- Cigna healthcare, dental, vision, life insurance, 401k, profit-sharing, short & long-term disability, HSA, FSA, and PTO plus 7 paid holidays.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
codingbillingmedical documentation reviewclaims processingauditingdata analysispatient registrationfinancial reportingcoding guidelinesbilling compliance
Soft skills
communicationconfidentialityprocess improvementteam collaborationtarget orientationproblem-solvingfeedback provisionworkflow designanalytical thinkingremediation
Certifications
CPCAAPC certificationAHIMA certificationHigh School DiplomaGED equivalent