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Medical Billing and Coding Specialist

Medical Billing and Coding Specialist

Emerald Therapy Center LLCPaducah, KY, United States
3 days ago
Job type
  • Full-time
Job description

Education, Experience, and Licensing Requirements :

  • High school diploma, GED, or equivalent
  • University / college degree, or experience medical records, claims or billing areas is an asset.
  • CCA (AHIMA) CCS (AAPC) or greater

Expectations of Role :

  • Manages the Insurance billing and collections processes.
  • Excellent organizational skills and attention to detail. .
  • Processes, tracks claims, and ensures accuracy and timeliness in the billing process.
  • Provides excellent customer service to our clients.
  • Inputs patient information into the practice's billing software.
  • Submits claims to insurance companies and follows up on unpaid claims.
  • Posts ERA payments, Resolves any issues that arise with claims or payments.
  • Maintains accurate records of billing and collection activities
  • Generates monthly reports to track billing and collection performance.
  • Accounts for coding and abstracting of patient encounters, including procedural information, significant reportable elements, and complications.
  • Researches and analyzes data needs for reimbursement.
  • Analyzes medical records and identifies documentation deficiencies.
  • Serves as resource and subject matter expert to other coding staff.
  • Reviews and verifies documentation supporting diagnoses, procedures, and treatment results.
  • Identifies diagnostic and procedural information.
  • Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.
  • Assigns codes for reimbursements, research, and compliance with regulatory requirements utilizing guidelines.
  • Follows coding conventions. Serves as a coding consultant to care providers.
  • Identifies discrepancies, potential quality of care, and billing issues.
  • Researches, analyzes, recommends, and facilitates a plan of action to correct discrepancies and prevent future coding errors.
  • Identifies reportable elements, complications, and other procedures.
  • Serves as resource and subject matter expert to other coding staff.
  • Assists lead or supervisor in orienting training, and mentoring staff.
  • Provides ongoing training to staff as needed.
  • Handles special projects as requested.
  • Proficient in Excel sorting, pivots, and VLOOKUP
  • This is not a Remote Postion.
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    Medical Coding Specialist • Paducah, KY, United States