In-depth knowledge of Procedural Coding, specializing in identifying appropriate ICD10 coding based on CMS/HCC categories. Responsibilities include analyzing medical records, identifying documentation deficiencies, and proficiency with CPT, HCPCS coding, CMS 1500 Form, Super Bill, electronic claims submission, clearinghouse operations, EOB, and payments.
Must account for coding and abstracting patient encounters, researching and analyzing coding data to maximize reimbursement, processing claims daily (80 to 100 claims) ensuring correct diagnosis and CPT codes, reviewing claims for authorization or referral needs, maintaining billing process within 15 days, reviewing progress notes and operative reports before submitting claims, identifying claim denial causes, submitting weekly billing reports to manager, and maintaining accurate chart notes in the system.
Able to work independently with minimal supervision, uphold patient confidentiality, and follow policies and procedures.
High School Diploma or higher education required. Minimum 2 years of experience in medical billing and procedural coding. CPC certification preferred. Bi-lingual English/Spanish preferred. Basic computer knowledge including MS Word, MS Excel, internet, electronic health records, authorization systems, electronic faxes, and email.
Skills include excellent communication, customer service, telephone skills, strong organizational skills, multi-tasking, dependability, professionalism, and computer proficiency with required programs and applications.
Location
Florida, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
2 weeks ago