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Responsible for correctly coding healthcare claims in order to obtain reimbursement from insurance companies and government healthcare programs.

Required Skills

Customer Services:

+ Answering and referring inquiries within scope of business services.

+ Telephone: Answers telephone, processes call, and document appropriately. Returns all messages in a timely manner.

+ Maintains communication between medical providers, administrative staff, and/or patient/families.

Business Services:

+ Performs account audits of patient billing and medical records of providers

+ Assigns ICD-10, CPT, and HCPCS codes based on provider documentation.

+ Reviews, works, and corrects both internal errors and denials from insurance companies and re-files the claim.

+ Files appeals to carriers according to prescribed guidelines, documents all information related to appeals and follows up.

+ Scans and uploads patient clinical documents into medical chart.

+ Ensures all provider services are accounted for and billed.

Environmental Services:

+ Contributes to the overall cleanliness and appearance of personal work space and department.

+ Monitors supply levels and requests when needed.

+ Maintains all equipment. Evaluates all equipment for damage or maintenance needs and reports when needed.

Required Experience

Minimum Education: Graduate of a certified coding program

Work Experience: One year or more experience in multispecialty coding position.

Required License/ Certification/Registration: Certified Professional Coder or comparable designation

Skills:

+ Communication Excellence

+ Knowledge and ability to work in accordance federal and state regulations

+ Ability to work tactfully and effectively with patients, family members, other employees and physicians.

+ Analytical abilities

+ Word Processing / Computer

+ Strong customer service

+ Multi-tasking

+ Time Management

+ Organization

+ Attention to Detail

+ Professionalism / Positive Attitude

+ Quality Focus

+ Adaptability