Protect and recover clinic patient reimbursement by serving as a coding and billing resource for all MWU clinics. The role supports provider education, monitors accounts receivable, collects delinquent accounts, and reports to the Assistant Manager of Patient Accounts.
Key responsibilities include:
- Reviewing coding for Multispecialty Clinics and the Eye Institute to ensure compliance with legal requirements, official coding rules, and coding guidelines
- Reviewing electronic health records to determine appropriate coding information
- Educating providers on documentation, coding and billing issues, charge capture, and reconciliation in relation to E/M coding guidelines
- Training finance staff on billing and coding
- Participating in internal and external coding assessments and audits
- Helping develop coding policies and procedures
- Identifying issues and taking action to maximize revenue on individual accounts
- Ensuring required documentation such as ABNs, letters of medical necessity, and Medicare Wellness forms is on file and complete
- Researching coding and billing guidelines for new specialties
- Working with patient accounts leadership to meet financial and accounts receivable goals
- Assisting with regulatory changes and maintaining professional knowledge through continuing education
Requirements & Qualifications
Qualifications
- High school diploma or GED required; associate degree preferred
- 3 to 5 years of coding experience in a medical office setting
- Current Certified Professional Coder (CPC) certification required
- Expert knowledge of ICD-10, CPT, HCPCS, modifiers, and medical terminology
- Experience with Medicare, Medicaid, and third-party payers
- Expert understanding of LCD and NCD coverage criteria
- Knowledge of revenue cycle, charge master, and manual/computer coding
- Strong interpersonal, communication, customer service, analytical, and problem-solving skills
- Ability to work independently and manage multiple projects
- Proficiency with MS Office (Word, Excel, Outlook)
- Experience using medical practice management software
- Ability to work in a constant state of alertness and maintain regular, predictable, in-person attendance
Benefits & Perks
Benefits and Perks
- Medical, dental, and vision insurance
- Life insurance
- Short-term and long-term disability insurance
- Pet insurance
- Flexible spending accounts for healthcare and dependent care
- Competitive paid time off, including holidays, sick/flex days, personal days, and vacation days
- 403(b) retirement plan
- Tuition reimbursement
- Child care subsidy reimbursement program
- Identity theft protection
- Employee assistance program
- On-site wellness facility with fully equipped fitness center
Location
Glendale, Arizona, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
2 weeks ago
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