RCM Coder

Summary

Atlantic Medical Management is hiring a Medical Coding Specialist who is goal oriented, revenue driven, highly accurate, and motivated. The role involves collecting reimbursements by gathering, coding, and transmitting patient care information; resolving discrepancies; adjusting patient bills; working accounts receivable; and preparing reports.

This is a remote position, but candidates must be located in North Carolina.

Essential Functions

• Post medical charges into NextGen software in a timely manner to meet daily and monthly goals.
• Review and verify documentation supports diagnoses, procedures, and treatment results.
• Identify diagnostic and procedural information and assign codes for reimbursements.
• Navigate CPT, ICD-10, and HCPCS code sets.
• Work with providers to correct diagnosis or procedure codes so claims can be processed.
• Identify coding or billing problems from EOBs and correct errors in a timely manner.
• Maintain in-depth knowledge of all payers.
• Coordinate with clinics to ensure all outstanding superbills are collected prior to month-end close.
• Update patient demographic and insurance information.
• Transfer open balances to the correct insurance.
• Work with patients and guarantors to secure payment.
• Resolve disputed claims by gathering, verifying, and providing additional information.
• Identify problem accounts and escalate as appropriate.
• Write appeals and include supporting documentation.
• Run appropriate reports and contact insurance companies to resolve unpaid claims.
• Meet department metrics and thresholds set by management.
• Assist with special projects and other job-related duties as needed.