Exam Works is seeking a Medical Coding Specialist to join the team remotely. The role involves creating and writing reports based on medical records and applicable guideline criteria, analyzing provider billing for correct coding and billing compliance across provider types, and ensuring all work meets contractual, regulatory, and federal/state standards.
Schedule: Monday - Friday, 8am-5pm EST
Key Responsibilities:
- Receive and input client and examinee data into the system database.
- Verify, process, and review claims, addressing necessary modifications.
- Conduct quality assurance on every case before completion.
- Ensure proper documentation and saving of medical records and reports for audit.
- Process client invoicing according to fee schedules.
- Respond promptly to client communications regarding report status.
- Notify supervisors of provider appeals and follow directions to resolve claims.
- Provide testimony in court regarding report contents as required.
- Ensure compliance with HIPAA, safety standards, and legal regulations.
- Perform various coding-related quality assurance reviews.
- Perform other assigned duties.
Qualifications:
- High school diploma or equivalent.
- Minimum one year of medical billing experience or equivalent education/experience combination.
- Current coding certification required: OASIS, RAC-CT, CCS, CPC, RHIT, or RHIA; CPMA preferred.
- Strong understanding of medical billing, including knowledge of billing systems, fee schedules, CPT guidelines, ICD-10 coding, duplication, bundling/unbundling, and CMS reimbursement.
- Proficient with general office equipment and software (Microsoft Word, Outlook, Excel, Internet).
- Knowledgeable of HIPAA regulations and compliance.
- Typing speed of at least 35 WPM.
- Able to work independently, prioritize tasks, maintain confidentiality, and work under pressure.
ExamWorks is a provider of healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, document management, and more, serving insurance carriers, law firms, and government agencies.
Equal Opportunity Employer offering a fast-paced team atmosphere with competitive benefits including medical, vision, dental, paid time off, and 401k.
- Current coding certification in CPC, OASIS, RAC-CT, CCS, RHIT, or RHIA; CPMA certification preferred.
- Minimum one year medical billing experience or equivalent combination of education and experience.
- Full understanding of medical billing systems and guidelines.
- Knowledge of standard fee schedule review, CPT, ICD-10, CMS guidelines.
- Proficient with office equipment and Microsoft Office suite.
- HIPAA compliance knowledge.
- Typing minimum 35 WPM.
- Strong independent work skills, confidentiality, and stress management.
Competitive benefits including medical, vision, dental coverage, paid time off, and 401k.
Location
New Jersey, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
2 months ago