Responsible for entering charges for professional and ASC claims, including electronic and paper submissions. Reviews claims for coding accuracy and provides feedback and education as needed.
Verifies insurance information and enters charges for patient visits and procedures, applying modifiers as appropriate.
Ensures accuracy of coding from physician notes, reports missing documentation, and complies with billing regulations.
Manages daily electronic claim submissions and resolves claim errors, working insurance aging reports focusing on facility claims.
Provides billing call center coverage, assisting patients with billing questions and payment arrangements.
Requires working knowledge of payer medical policies, Medicare LCDs/NCDs, and proficiency in ICD-10 and CPT coding.
Education: High school graduate with Certified Professional Coder credentials from AAPC or RHIT through AHIMA; college degree preferred.
Experience: Minimum two years healthcare experience in billing, coding, insurance claims processing, and resolution; surgical and pain management billing a plus.
Skills include effective communication, detail orientation, computer proficiency, and ability to handle multiple tasks proactively.
Work environment includes busy office with desk work and public contact, requiring sitting for extended periods and manual dexterity.
- Certified Professional Coder credentials (CPC or RHIT)
- Minimum two years healthcare billing and coding experience
- Proficient in ICD-10 and CPT coding
- Knowledge of insurance procedures and government reimbursement programs
- Understanding of medical terminology, anatomy, and physiology
- Basic computer skills and practice management software knowledge
- Strong communication, organizational, and multitasking abilities
Location
Idaho, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 week ago