Phoenix Recruitment · 20 hours ago

Junior Coder

Los Angeles, CA

Full-time

Remote

Entry Level

$58K/yr - $68K/yr

1+ years exp

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Responsibilities

Codes and reports diagnoses by established guidelines; codes requisitions from physician narratives and pathology reports; investigates and resolves diagnosis coding issues; reviews and updates diagnosis codes received from physician offices on patient’s records and submits to insurance companies.

Acts as a liaison between guidelines and codes; participates in educational activities concerning coding scheme; researches and prepares bills for reimbursement, outpatient, physician offices, and chargebacks; establishes associated accounts, outpatient, physician offices, and RRL chargeback.

Maintains account records and researches inquiries; resolves inaccuracies; follows up on outstanding and open bills; contacts insurance companies and/or payers periodically for the current status of the account.

Maintains follow-up files on outstanding accounts; maintains a dialog with accounts payable to ensure laboratory services are reimbursed in a timely fashion; reports to the leadership with information concerning the lack of payments.

Responds to questions from patients, insurance companies, payers, etc.; resubmit remaining balances from primary payer to secondary payer; respond to daily mail regarding patient/insurance information either verbally or in writing.

Assists with the preparation of accounts payables for signature and submission and maintains records of all vendors and vendor accounts; establishes account payables for the Laboratories by vendor; reviews and ensures payable bills are correct and prepares check requisitions for accounts payables.

Obtains necessary signatures for accounts payables from the leadership; maintains records of services rendered Laboratories; follows through with check requests to ensure prompt payment.

Participates and provides support for daily department operations; updates patient insurance files; initiates “write-offs” or actions regarding delinquent accounts and submits for approval.

Runs status of collections reports on account receivables monthly; calls critical values or notification values to the necessary parties; assists in the dispatching of Route Service Representatives, as necessary.

Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

Qualification

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Diagnosis codingBilling dutiesAccount maintenanceInsurance communication