Under the direction and supervision of the Manager, YM Coding and Billing, this role provides work queue resolution for medical billing charges by reviewing clinical documentation to validate diagnostic (ICD-9/ICD-10) and procedural (CPT/HCPCS) codes for Yale Medicine.
The position helps ensure compliance with coding guidelines, third-party reimbursement policies, regulations, and accreditation standards. It also supports accurate, timely billing activity and optimal reimbursement.
This opportunity is currently remote (work from home) within Connecticut.
Principal responsibilities include:
- Receiving, classifying, coding, posting, and reconciling account information
- Reviewing account records for accuracy and completeness
- Preparing and distributing billing statements
- Obtaining and providing account, procedure, and regulation information
- Correcting errors and reconciling cash transactions
- Referring delinquent accounts to a supervisor or collection agencies
- Researching individual accounts and summarizing findings when needed
- Completing forms and handling clerical functions related to account activity
Requirements & Qualifications
Required
- Four years of related work experience, including two years in the same job family at the next lower level, and a high school education; or two years of related work experience and an associate degree; or an equivalent combination of education and experience
- Knowledge of ICD and CPT coding, medical terminology, and EMR systems
- Ability to use databases and Microsoft Office Suite, especially Word and Excel
- Ability to adapt to new software
- Strong initiative, independent judgment, and critical thinking
- Strong verbal and written communication skills
- Excellent attention to detail
- Ability to manage a high volume of accounts and work under pressure
- Ability to multitask in a high-volume environment and adapt to changing priorities and workflows
- Strong customer service skills and the ability to communicate professionally and tactfully
- Excellent attendance, punctuality, and time management
Preferred
- Current CPC certification, or the ability to obtain it within six months of employment
- In-depth knowledge of Epic
Location
Connecticut, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
1 week ago