The Certified Medical Coder or Charge Entry Specialist is responsible for reviewing a patient's medical records after a visit and translating them into codes that insurers use to process claims. This includes confirming treatment with providers and medical staff, identifying missing information, and submitting claims to insurers for reimbursement.
Work Schedule & Location:
- Fully onsite at Austin HQ (5929 Balcones Drive, Austin, TX 78731)
- Monday-Thursday: 8am-5pm
- Friday: 8am-12pm
- 40 hour work week
Key Responsibilities:
- Review and analyze medical records to ensure accurate coding and billing guidelines are followed.
- Assign appropriate ICD-10 and other relevant codes to medical procedures based on correct coding edits.
- Review charges submitted with errors for accurate claims submission by correcting errors from Claims Editing software.
- Provide manual charge entry as needed.
- Upload claims to practice management system and/or clearinghouse.
- Maintain confidentiality of patient information and adhere to HIPAA regulations.
- Collaborate with healthcare providers and staff to ensure accurate documentation and coding guidelines have been met.
- Discuss coding guidelines with providers and provide training as needed.
- Report emerging trends to management for escalation.
- Follow policies and procedures to improve business efficiency.
- Assist with other departmental functions as assigned.
Required Skills and Qualifications:
- Strong analytical and problem-solving skills with attention to detail.
- Excellent mathematical, computer, and Microsoft Office skills (including Excel).
- Excellent written, verbal, and interpersonal communication skills.
- Self-starter with initiative.
- Ability to prioritize tasks and delegate when appropriate.
- Excellent time management skills and ability to meet deadlines.
- Ability to establish and maintain effective working relationships with insurance carriers, patients, and employees.
- High degree of professionalism in a high-pressure environment with multiple departments.
- Minimum typing speed of 40 words per minute.
Education & Experience:
- High School Diploma or higher
- Certified Professional Coder License
- Minimum 1+ year in Medical Billing and Coding (2+ years preferred)
- Knowledge of ICD-10 and HCPCS Codes
- Commitment to continual education on codes and payer guidelines
Benefits:
- Medical, dental, and vision insurance
- Generous paid time off and paid holidays
- 401(k) with generous employer match
- Free allergy testing and discounted treatments
- Gym membership discounts
- Life insurance
- Employee reward program
- And more
About Aspire Allergy & Sinus: Aspire Allergy & Sinus is dedicated to curing patients suffering from allergy and sinus problems, with over 50 clinics across Texas, Florida, and Colorado, and plans for expansion. The company emphasizes a patient-centered care model, employee growth, and a collaborative culture.
- Certified Professional Coder License
- Minimum 1+ year experience in Medical Billing and Coding (2+ years preferred)
- Knowledge of ICD-10 and HCPCS codes
- High School Diploma or higher
- Strong analytical and problem-solving skills
- Excellent communication and computer skills
- Ability to handle multiple tasks and work collaboratively
- Minimum 40 WPM typing speed
- Medical, dental, and vision insurance
- Paid time off and paid holidays
- 401(k) with employer match
- Free allergy testing and discounts
- Gym membership discounts
- Life insurance
- Employee rewards program
Location
Austin, Texas, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago