Responsibilities
• Review provider medical coding of services rendered for medical claim submission
• Review and respond to medical coding inquiries submitted by providers and staff
• Work directly with providers to resolve specific medical coding issues
• Analyze data for errors and report data problems
• Partner with billing staff to correct and resubmit claims based on review of the records, provider input, and payor input
• Work with clinical and non-clinical groups to identify undesirable coding trends
• Ensure claims are medically coded consistently by following CPT, ICD-10 and HCPCS rules and guidelines; escalate issues that may impact this immediately to the Compliance Committee
• Abide by HIPAA and Coding Compliance standards
• Collect data from various sources, maintain electronic records and logs, file paperwork, and operate office equipment
• Accomplish other tasks as assigned
Qualifications
• 2+ years coding
• 2+ years medical billing experience (preferred but not required)
• Experience with insurance and revenue cycle management processes
• Ability to read and understand insurance EOB’s
• Proficient in reviewing edits between CPT, ICD10, and HCPCS codes
• Experience in reviewing insurance review denials and payer policies
• Professional coder certification through a recognized organization such as AAPC (preferred) or AHIMA
• Leadership qualities with the ability to effectively educate providers remotely
• Acute attention to detail with a strong, self-sufficient work ethic
• Excellent organization and use of time management skills
• Ability to prioritize workload and have a strong sense of urgency when time sensitive situations arise
• Proficient with computers and navigating within multiple applications
• Proficient in MS Office (specifically Teams, Outlook, Excel, and Word)
• Strong verbal and written communication, as well as customer service skills; must be able to listen and communicate effectively with leadership, providers, and co-workers
• Goal-oriented and a consistent performer
• Must be self-motivated, punctual, dependable, and able to work independently
• Must be trustworthy, honest and have a positive and professional attitude
Experience with wound care (preferred but not required)
Experience with insurance and revenue cycle management processes
Benefits & Schedule
• Compensation: $21.00 - $23.00 hourly
• Classification: Hourly, Non - Exempt
• Schedule: Part-time, 20–25 hours per week (onsite)
Location & Work Setting
• Onsite in Tucson, Arizona
• This role requires physical presence and active collaboration with providers, billing, and clinical staff.
• Not remote. Local applicants only.
...Nursing Assistant license in the state you would work Valid drivers license and car insurance At least one year experience in Hospice or Home Health agency required. Full Time Employee Benefits ~ Competitive Pay ~ Medical, Dental & Vision insurance ~ Paid...
You will be responsible for accounts receivable for three of our dealerships, as well as other accounting work.
American International Group, Inc. (AIG) is a leading global insurance organization. AIG provides insurance solutions that help businesses and individuals in more than 200 countries and jurisdictions protect their assets and manage risks through AIG operations, licenses...
...Retirement Savings Plan & Company Match Paid Parental Leave & Adoption Assistance Program Free & Discounted Hotel Rooms at Hyatt Hotels around the World! Tuition & Wellness Reimbursement This application window is anticipated to be open at a maximum of 30...
View More Jobs MTC Training Desk Assistant (Part-time) Provo, UT, United States To meet the needs of the Church, we seek to build... ...staff at various levels in all departments across the MTC Attends meetings in absence of Supv, Training Operations Coordinator...