AAPC · 6 hours ago
Coder/Biller
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Responsibilities
Accurately review medical records to ensure accuracy of ICD-10, CPT, and HCPCS codes, ensuring compliance with applicable guidelines
Manage billing for multiple medical specialties
Review, edit, and process claims to ensure accuracy and compliance with payer requirements.
Resolve claim denials and rejections in a timely manner
Support clients in managing their revenue cycle, from coding and billing to AR follow-up and reimbursement
Conduct audits and manage payer payback projects, ensuring compliance and proper documentation
Meet production and quality benchmarks
Prepare coding reports and audit summaries, providing recommendations based on findings
Prepare oral and/or written reports of work activity to Supervisor
Maintain confidentiality, integrity, and availability of protected health information, adhering to HIPAA security policies. Report any suspected or actual violations
Perform other duties as assigned
Qualification
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Required
5+ years of experience in medical coding and billing for professional services, with a focus on revenue cycle management
Strong written and verbal communication skills
Ability to manage and 'own' entire projects
Meticulous attention to detail and a strong sense of deadlines
Critical thinking and problem-solving skills
Proficiency with Excel, Word, and internet tools
Strong multitasking abilities with a sense of urgency
Excellent customer service skills
Strong time management, organizational skills, and a solid work ethic
Comprehensive knowledge of revenue cycle management within the healthcare industry
Experience in coding, auditing, compliance, and reimbursement for physician practices, including CPT, HCPCS, and ICD-10
Coding experience across multiple specialties
Knowledge of AMA, OIG, CMS and other national coding and compliance guidelines
Proven ability to manage multiple projects simultaneously
Meticulous attention to detail and strong adherence to deadlines
Ability to think critically and identify optimal solutions for tasks
Capacity to multitask with a strong sense of urgency
Strong organizational skills and work ethic
Proficient in Windows, Excel, Word, and PowerPoint
Able to sit and use a keyboard and mouse for extended periods
Consistently meet and maintain department production and quality standards
CPC
CPB
Company
AAPC
AAPC - Certification for the business side of healthcare. Medical Coding - Medical Billing - Medical Auditing – Compliance Management
Funding
Current Stage
Growth StageLeadership Team
Recent News
2024-04-25
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