Obtain accurate reimbursement for healthcare claims.
Essential Functions
- Reviews and resolves all assigned charges thoroughly based on coding guidelines, chart documentation, and related charges in the billing system.
- Audits task manager work files with charges reviewed by the Claims Manager that were found to have coding errors or omissions.
- Communicates approved coding changes and questions to physicians and their office staff when appropriate, and alerts providers of missing or late charges.
- Alerts management to coding trends discovered while working daily charges and edits.
- Stays informed and up to date on coding issues by attending seminars and maintaining knowledge of carrier-specific State of Florida billing guidelines.
- Consistently stays within the department production goal set for the area.
Requirements & Qualifications
Required Education and Experience
- High school graduate or equivalent.
- Certified coder through AAPC or an equivalent organization.
- ICD-10 proficiency certificate required.
Preferred Education and Experience
- 2-3 years of experience in the medical coding field.
- Strong knowledge of medical terminology, anatomy, diagnosis codes, and procedure codes.
- Ability to plan and prioritize workflow and produce an acceptable volume of accurate work.
- Strong analytical and research capabilities to review physician and nurse documentation.
- Good problem-solving skills.
- Ability to communicate clearly in writing and verbally with providers and support staff.
Location
Florida, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 month ago
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