- Staff and maintain required brick and mortar location during the posted business hours, including answering of phone calls to site.
- Coordinate and update state licensure information and other appropriate documentation to ensure it is in available upon audit of site.
- Lead external audits from CHAP, Medicare, Medicaid, and licensing agencies.
- Enter orders, provide confirmation notices, and follow-up with Healthcare Teams to obtain valid order requirements, as needed.
- Ensure timely and accurate posting of payments, denials, and related documentation on durable medical equipment claims.
- Complete review of medical records to ensure the ICD-10 diagnosis used for billing is properly documented.
- Complete quality review of patient records to ensure they are comprehensive, in compliance with each payer's rules and regulations, and billed accurately.
- Enforce to month-end accounting deadlines, including extended hours, for revenue and claim processing including selecting orders, generating claim files, submitting EDI files to clearinghouse, printing claims, attaching claim documentation, and mailing.
- Reference coding guidelines and reimbursement policies/procedures to keep current with changes in regulations, insurance specific policies, as well as company policies and procedures.
- Collaborate with and provide feedback to Revenue Cycle Management and Managed Care colleagues to ensure accurate claims processing and documentation within company systems.
- Link and route scanned documents to appropriate team members to connect payer correspondence to patient or payer accounts.
- CPC credential required.
- High school diploma or equivalent required.
- 3+ years of experience in a medical related business environment required; associates degree or higher may substitute for 2 years of experience.
- Experience working with high-dollar DME preferred.
- Billing database software experience required.
- Clearinghouse, payer portal, and explanation of benefits experience preferred.
- ICD-10-CM coding proficient.
- Excellent data entry skills required.
- Knowledge of insurance industry and third-party payer processes preferred.
-
Medical Coding Specialist
2 days ago
Minnesota Urology P.A. Minneapolis, United StatesJob Description · Job DescriptionMinnesota Urology is looking for a dedicated Coding Specialist to join our team · Monday- Friday · No Weekends, Holidays, or Evenings · Eligible for Hybrid Work Options · PRIMARY OBJECTIVE: · To accurately link ICD-10, CPT and HCPCS codes to dail ...
-
Medical Coding Specialist
1 week ago
Bluestone Physician Services Stillwater, United StatesJob Description · Job DescriptionBluestone Physician Services' unique, robust model of care goes beyond primary care services. Our model is tailored to patients living with multiple chronic conditions and disabilities. Bluestone recognizes that patients need a customized approach ...
-
Medical Coding Specialist
2 days ago
Bluestone Physician Services Stillwater, United StatesJob Description · Job DescriptionBluestone Physician Services' unique, robust model of care goes beyond primary care services. Our model is tailored to patients living with multiple chronic conditions and disabilities. Bluestone recognizes that patients need a customized approach ...
-
Assistant/associate Engineer
19 hours ago
City Of San Pablo San Pablo, United States**Filing Deadline: Monday, May 13, 2024 at 11:59 p.m.** · **THE POSITION**: · - The vacancy may be filled by one of the following job classifications: Associate Engineer or Assistant Engineer. Duties assigned will be dependent upon skill level.**Examples of Duties / Knowledge & S ...
-
Vale Healthcare Center San Pablo, United States Full time**SUMMARY**: · In conjunction with the DON, plans, coordinates and manages the clinical services for a specified nursing unit. Responsible for the coordination and of nursing care and services provided to Residents in the various units and is responsible for facilitating the inte ...
-
Vice President, Internal Audit
1 week ago
Montrose Environmental Group, Inc. Irvine Park, United StatesABOUT YOU · Are you passionate about internal audit and ready to join an inclusive work environment, committed to leading new ideas and pathways, and to delivering value? If the answer is, "Yes" then we have an exciting career opportunity for you as as a VP, Internal Audit based ...
-
Before And/or Afterschool Site Supervisor
1 week ago
Metropolitan YMCA of the Oranges Maplewood, United StatesSign on bonus may apply · Are you ready to lead both children and staff? We're seeking leaders to help guide the future of our SACC program and our youth · Do you have talents to share, and want to make an impact on the lives of children? We're inviting people with passion and en ...
-
Afterschool Group Assistant
1 week ago
Metropolitan YMCA of the Oranges Maplewood, United StatesSign on bonus may apply · Are you a high school Junior or Senior? · Do you have talents to share, and want to make an impact on the lives of children? We're inviting people with passion and enthusiasm to join our School Age Child Care team, where you'll have the opportunity to mo ...
-
Metropolitan YMCA of the Oranges Maplewood, United StatesSign on bonus may apply · Are you ready to lead both children and staff? We're seeking leaders to help guide the future of our SACC program and our youth · Do you have talents to share, and want to make an impact on the lives of children? We're inviting people with passion and en ...
-
Packaging Technical Operator
2 days ago
SCONZA CANDY CO Oakdale, United StatesSconza Candy Company in Oakdale, California, has been manufacturing premium chocolate and confectionery products since 1939. Our Company is one of the largest manufacturers of panned products in North America; producing primarily private label products for some of the world's lar ...
-
Registered Nurse
6 days ago
jillbayshore@gmail Nokomis, United States**About us** · Our work environment includes: · - Modern office setting · - Food provided · Job Overview: We are seeking a highly skilled and compassionate Registered Nurse to join our team. As a Registered Nurse, you will be responsible for providing exceptional patient care and ...
-
Admissions Nurse
1 week ago
Home Health Care, Inc. Minneapolis, United StatesJob Title: Home Health Admission & OASIS Registered Nurse (RN) · Company: Home Health Care, Inc. · Schedule: Full-Time or Per-Diem Availability · Compensation: $150 to $200 per visit + mileage reimbursement · Are you looking for your next home care career as a Registered Nurse? H ...
-
Biller/scheduler- Cbmc Or
1 week ago
Carle Health Bloomington, United StatesDepartment: Operating Room - BMC · - Entity: Bloomington-Normal Service Area · - Job Category: Clerical/Admin · - Employment Type: Full - Time · - Job ID: 41577 · - Experience Required: 1 - 3 Years · - Education Required: Not Indicated · - Shift: Day · - Location: Bloomington-Nor ...
-
Scribe - Cwp Ortho/sports Med
1 week ago
Carle Health Bloomington, United StatesDepartment: Orthopedics/Sports Med - CWP · - Entity: Bloomington-Normal Service Area · - Job Category: · - Employment Type: Part - Time · - Job ID: 40278 · - Experience Required: None · - Education Required: Not Indicated · - Shift: Day · - Location: Bloomington-Normal, IL · - Us ...
-
Medical Billing/accounts Receivable
2 weeks ago
Ireland Grove Center for Surgery Bloomington, United StatesResponsibilities include, but are not limited to: · - Claim submission and remittance reconciliation for Medicare, Medicaid, liability, commercial health insurance, and workman's comp. · - Review of payer correspondence (EOB'S) to determine next actions for resolution of claims. ...
-
Rev Cycle Regional Rep 2
1 week ago
Carle Health Bloomington, United StatesDepartment: Revenue Cycle - CFH_10_19 · - Entity: Bloomington-Normal Service Area · - Job Category: Clerical/Admin · - Employment Type: Full - Time · - Job ID: 37008 · - Experience Required: 1 - 3 Years · - Education Required: HS Diploma/GED · - Shift: Day · - Location: Bloomingt ...
-
Rev Cycle Regional Rep 2
6 days ago
Carle Health Bloomington, United StatesDepartment: Revenue Cycle - CFH_10_19 · - Entity: Bloomington-Normal Service Area · - Job Category: Clerical/Admin · - Employment Type: Full - Time · - Job ID: 37009 · - Experience Required: 1 - 3 Years · - Education Required: HS Diploma/GED · - Shift: Day · - Location: Bloomingt ...
-
Installer Ii
2 weeks ago
Freedom Forever Bloomington, United States**Description** · **Join an established and innovative company in the fast-growing solar industry and enjoy strong pay rate + install bonuses + benefits + advancement opportunities** · Do you have proven skills and experience completing solar installations and work with others to ...
-
Security Officer
6 days ago
Allied Universal® Bloomington, United StatesSecurity Officer · **Overview**: · Allied Universal, North America's leading security and facility services company, provides rewarding careers that give you a sense of purpose. While working in a dynamic, diverse and inclusive workplace, you will be part of a team that fuels a c ...
-
Apprentice Lineman
1 week ago
Corn Belt Energy Corporation Bloomington, United States**PURPOSE OF POSITION** · This four step training program, lasting 3.5 years, is designed to give the employee the opportunity to learn the skills necessary to become a lineman as per Corn Belt Energy policy. · **ESSENTIAL DUTIES AND RESPONSIBILITIES** · - The Apprentice Lineman ...
Specialist, Medical Coding - St. Paul, United States - Hillrom
Description
This is where you save and sustain lives
At Baxter, we are deeply connected by our mission. No matter your role at Baxter, your work makes a positive impact on people around the world. You'll feel a sense of purpose throughout the organization, as we know our work improves outcomes for millions of patients.
Baxter's products and therapies are found in almost every hospital worldwide, in clinics and in the home. For over 85 years, we have pioneered significant medical innovations that transform healthcare.
Together, we create a place where we are happy, successful and inspire each other. This is where you can do your best work.
Join us at the intersection of saving and sustaining lives- where your purpose accelerates our mission.
Your Role at Baxter
THIS IS WHERE you build trust to achieve results
The Respiratory Health Specialist is responsible for a variety of administrative and reimbursement related task in addition to ensuring the state office is open during the posted business hours to comply with federal and state brick and mortar laws. The position will manage all external site audits in addition to cross-training to assist with other order entry and revenue cycle duties.
The Medical Coding and Billing Specialist will review medical records to ensure claims are properly documented and coded as well as coordinate and execute processes of medical billing for our Respiratory Health products. The position is responsible for ensuring business practices follow government regulations and abide by carrier specific acceptable HCPCS and ICD-10 coding standards. This consists of all billing activities including initial, re-authorization, and purchases across all lines of business (Commercial, Medicare, Medicaid, and Managed Care Organizations).
This is a full-time position where the working hours consist of Monday-Friday, 8:30 AM CST - 5:00 PM CST, where the candidate would report to the St. Paul, MN office.
What You'll Be Doing:Ensure compliance with Federal Medicare, State Medicaid, and Third-Party requirements for in-state brick and mortar regulations, including but not limited to:
Cross-train to assist with various Revenue Cycle Management - Medical Coding and Billing duties, including but not limited to:
We understand compensation is an important factor as you consider the next step in your career. At Baxter, we are committed to equitable pay for all employees, and we strive to be more transparent with our pay practices. The estimated base salary for this position is $41,600 to $57,200 annually. The estimated range is meant to reflect an anticipated salary range for the position. We may pay more or less than of the anticipated range based upon market data and other factors, all of which are subject to change. Individual pay is based on upon location, skills and expertise, experience, and other relevant factors. For questions about this, our pay philosophy, and available benefits, please speak to the recruiter if you decide to apply and are selected for an interview.
The successful candidate for this job may be required to verify that he or she has been vaccinated against COVID-19, subject to reasonable accommodations for individuals with medical conditions or religious beliefs that prevent vaccination, and in accordance with applicable law.
Equal Employment Opportunity
Baxter is an equal opportunity employer. Baxter evaluates qualified applicants without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity or expression, protected veteran status, disability/handicap status or any other legally protected characteristic.
EEO is the Law
EEO is the law - Poster Supplement
Pay Transparency Policy
Reasonable Accommodations
Baxter is committed to working with and providing reasonable accommodations to individuals with disabilities globally. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application or interview process, please click on the here and let us know the nature of your request along with your contact information.
Recruitment Fraud Notice
Baxter has discovered incidents of employment scams, where fraudulent parties pose as Baxter employees, recruiters, or other agents, and engage with online job seekers in an attempt to steal personal and/or financial information. To learn how you can protect yourself, review our .
Hillrom is an equal employment employer F/M/Disability/Vet/Sexual Orientation/Gender Identity. Please click To view the EEO is the Law poster.