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.
...Job Summary **Recruiter Will Load Job Summary** Hiring Manager responsible for content of Job Summary, with limit of 4,000 total... ...and high interest savings both through the EVEN app Associate Shopping Program Health and Wellness Program Discount Marketplace...
...Position: Health Care Project Policy Analyst Reports to: Managing Director, California Policy Advocacy Team Status: Full-time Exempt (limited to 36 months) Start Date: Immediate Location: Primarily Remote. THE ORGANIZATION...
...every other weekend Minimum of 18 months recent Dialysis experience. Must have 18 months perm Dialysis PRIOR to travel. MUST HAVE PERM OHIO LICENSE OR COMPACT STATE IN... ...not provide CRRT therapy- that is managed by ICU nurses. For the actual machines for IHD we primarily...
Job Summary: Compute, classify, and record numerical data to keep financial records complete. Perform any combination of routine calculating, posting, and verifying duties to obtain primary financial data for use in maintaining accounting records. Primary Job Duties...
...An outsourced sales and marketing company is seeking a Lead Samsung Experience Consultant in Nashua, NH. This full-time role involves driving sales of Samsung products at Best Buy, providing excellent customer service, and building relationships with both customers and...