Medical Coder - Columbus, Oh

We are seeking an experienced professional medical billing and coding specialist to for a Top client in the Nashville area. This is a permanent position with excellent benefits.

Responsibilities

Responsible for: maintaining accurate medical billing record, providing medical coding for procedures and diagnoses, provide monthly reports, follow up on A/R, collections, claims follow-up and account reconciliation.

Duties:

• Sending claims to insurance companies daily
• Posting charges to appropriate account when needed.
• Send out patient statements for balances on patient accounts
• Identifies any coding issues and communicates with the staff for correction.
• Follow up on unpaid and denied insurance claims
• Investigate any payment issues as a result of the payer not paying per contractual agreement
• Maintain knowledge of insurance companies and fee schedules
• Respond to patient inquiries concerning billing.
• Handles and processes patient refunds as well as insurance refunds.
• Perform other duties as assigned.

ESSENTIAL FUNCTIONS

• Compiles, abstracts and maintains patient medical records to document condition and treatment for surgeries.
• Identifies, compiles, and codes patient data, using ICD 10 and CPT classification coding systems.
• Performs regularly scheduled targeted audits to assess revenue optimization and quality of documentation.
• Researches and resolves problems with patient accounts in work queues.
• Assists physicians and providers on coding questions or concerns.
• Using reports, audits tickets in work queue for missed charges, completeness, accurate coding, etc.
• Performs charge entry functions.
• Facilitates conversation and works as a liaison between CBO, Compliance, and physician to resolve documentation and billing concerns.
• Supports compliance policies with government and private payer regulations.
• Active participant in development and maintenance of all work queue edits.
• Researches and resolves problems with patient accounts

Qualifications and Skills

Required:

High school diploma

1+ year of medical billing/coding experience (with ICD-10 and CPT coding)

Experience using a PC in a Windows environment.

Knowledge, Skills and Abilities

• Excellent verbal and written documentation and communication skills.
• Knowledge of medical terminology,
• Familiarity with procedural and diagnostic coding.
• Familiarity with ICD and CPT coding methodology.
• Knowledge of medical insurance

Certificate

• Certification as a Certified Professional Coder

Click here to apply online

Details