Job Description

Immediate need for a Medical Billing and Coding specialist in the Franklin, Tennessee area. This is a permanent opportunity with excellent benefits.

Job Description:
  • Responsible for reviewing and correcting clinical billing with proper CPT/ICD-10/HCPCS codes
  • Knowledge of commercial, government & managed care payer reimbursement
  • Responsible for removing/working each edit and making changes to billing to ensure the claims are released to the intermediary
  • Must ensure front office has entered the insurance accurately and confirm verification was completed.
  • Responsible for verifying and pre-surgical collections on cases prior to surgery
  • Must bill provider’s surgery cases timely and accurately
  • Must coordinate with patient and provider staff if a patient should need to make arrangements for pre-surgical payments
  • Read and understand the provider operative report to ensure accurate billing/coding and make recommendation when discrepancies are identified
  • Responsible for working claims dashboard on a daily basis in order to reduce denials and unnecessary front end scrubs
  • Must work through the provider commercial and patient accounts receivable each month
  • Must work through provider collections work list in order to identify and place appropriate accounts with third party collections
  • Responsible for filing successful appeals within timely filing limits per insurance carrier(s)
  • Responsible for answering patient phone calls and face-to-face patient interaction
  • Make reasonable payment arrangements with patients who have displayed a hardship based on statistical values
  • Coding certification is a plus

Desired experience:

  • Familiar with EOBs, Coding, and experience in EHR systems: 2 years
  • High school or equivalent

Required license or certification:

  • Certified in Coding


Franklin TN
Date Posted