Medical Coder

NorthPoint Search Group Inc.
Published
September 10, 2019
Location
Columbus, OH
Category
Job Type

Description

Job Classification: Full-Time Regular

Medical Coder - Columbus, Oh

We are seeking an experienced professional medical billing and coding specialist to for a Top client in the Nashville area. This is a permanent position with excellent benefits.

Responsibilities

Responsible for: maintaining accurate medical billing record, providing medical coding for procedures and diagnoses, provide monthly reports, follow up on A/R, collections, claims follow-up and account reconciliation.

Duties:

  • Sending claims to insurance companies daily
  • Posting charges to appropriate account when needed.
  • Send out patient statements for balances on patient accounts
  • Identifies any coding issues and communicates with the staff for correction.
  • Follow up on unpaid and denied insurance claims
  • Investigate any payment issues as a result of the payer not paying per contractual agreement
  • Maintain knowledge of insurance companies and fee schedules
  • Respond to patient inquiries concerning billing.
  • Handles and processes patient refunds as well as insurance refunds.
  • Perform other duties as assigned.

ESSENTIAL FUNCTIONS

  • Compiles, abstracts and maintains patient medical records to document condition and treatment for surgeries.
  • Identifies, compiles, and codes patient data, using ICD 10 and CPT classification coding systems.
  • Performs regularly scheduled targeted audits to assess revenue optimization and quality of documentation.
  • Researches and resolves problems with patient accounts in work queues.
  • Assists physicians and providers on coding questions or concerns.
  • Using reports, audits tickets in work queue for missed charges, completeness, accurate coding, etc.
  • Performs charge entry functions.
  • Facilitates conversation and works as a liaison between CBO, Compliance, and physician to resolve documentation and billing concerns.
  • Supports compliance policies with government and private payer regulations.
  • Active participant in development and maintenance of all work queue edits.
  • Researches and resolves problems with patient accounts

Qualifications and Skills

Required:

High school diploma

1+ year of medical billing/coding experience (with ICD-10 and CPT coding)

Experience using a PC in a Windows environment.

Knowledge, Skills and Abilities

  • Excellent verbal and written documentation and communication skills.
  • Knowledge of medical terminology,
  • Familiarity with procedural and diagnostic coding.
  • Familiarity with ICD and CPT coding methodology.
  • Knowledge of medical insurance

Certificate

  • Certification as a Certified Professional Coder

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