Responsible for full end to end process of Family Medicine providers assigned.
- Claim Coding and Submission
- Managing Rejected and Denied Claims
- Collaborate with providers and staff to ensure timely billing processes
- Work within the EMR system to ensure charge capture and sequencing
- Review and interpret documentation
- Perform Billing and Coding according to payer and facility guidelines
- Follow up on needed coding edits
- Work denied claims ensuring appeal deadlines are met
- Provide coding support to the Billing Team
- Handle workload with daily productivity
- Perform other related duties as assigned
Requirements & Qualifications
- 2 to 5 years experience in family practice facility (preferred)
- Medical Coding Certification such as CPC, AHIMA (preferred)
- Knowledge of CPT, HCPCS, and ICD-10-CM
- Knowledge of E/M coding guidelines including outpatient, CCM, Annual Wellness
- Familiarity with LCD, NCD, and NCCI edits
- Extensive knowledge of payer guidelines (Medicare, HMO, PPO, Medicare Advantage Plans)
- EMR experience (eClinical preferred)
- Understanding of medical practice revenue processes
- Denial management and coding edit processes
- Ability to analyze documentation and assign codes accurately
- Ability to work independently with attention to detail
- Strong analytical skills
- High school diploma or GED
Benefits & Perks
- 401(k)
- Dental insurance
- Health insurance
- Vision insurance
- Life insurance
- Paid time off
Location
Lubbock, Texas, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
$52,000 - $62,400
Remote work allowed
No
Posted
2 weeks ago
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