- Review charge and claim edits by identifying correct assignment of Place of Service (POS) codes and ICD-10/CPT codes and modifiers while applying coding and billing guidelines per industry standards and/or specific client requests.
- Utilize payor policies to create internal edit and adjustment policies.
- Work claim denials and make any and all appropriate coding corrections.
- Work closely with the AR Coding Manager and AR Managers/Supervisors to maximize cash and minimize denials.
- Track claims and billing trends/issues and communicate them to management.
- Participate in group discussions including coding changes and education and client coding issues.
- Maintain knowledge of all coding changes, rules, and regulations.
- Comply with HIPAA regulations and state and federal standards and guidelines.
- Provide timely, accurate, and professional responses to internal, patient, and third party inquiries.
- Research and resolve complex issues and escalate issues to management.
- Report needed system updates to manager.
- Independently work special payor projects as assigned.
- Assist in training new team members.
- Bachelor's degree preferred, HS diploma/GED required.
- Certified Professional Coder (CPC) required.
- Minimum of 3 years' coding experience required, professional medical billing experience preferred.
- Advanced ability to troubleshoot and problem solve in a healthcare setting.
- Advanced knowledge of CPT and ICD-10 coding.
- Advanced understanding of HIPAA compliance practices.
- Extensive knowledge of billing systems and electronic medical records (EPIC preferred).
- Proficient knowledge and a working understanding of Microsoft Excel and Word.
- Full Time, Monday - Friday 9AM - 5PM.
- $22 - $24 per hour, based on education and experience.
- Bi-Annual Bonus - Based on performance, paid out twice per year up to 10% of salary.
- Flexible Schedules - Three available shifts, summer hours, and early dismissal on Fridays.
- Paid Holidays and Paid Time Off - 14 days per year; accrues per pay cycle and increases based on years of service.
- Medical, Dental, Vision, and Life plans.
- 401K with employer match and additional incentives offered.
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Accounts Receivable Representative - Mt. Laurel, United States - NEMR Total HR
Description
As an Accounts Receivable Representative/Medical Coder, you will be responsible for a variety of advanced revenue related billing and coding activities requiring data research and analysis, time management, self-motivation, and teamwork. The Coding team works closely with internal Payment Posting and AR Teams: Commercial Payors, Managed Medicare & Medicaid Payors, Government Payors, Occupational Health, Specialty Payors, or Eligibility and Edits AR.An ideal Coder in this role maintains a positive attitude, is self-motivated and detail-oriented, and has excellent problem-solving skills which allow the delivery of on-time results to ensure the success of individuals and the organization. PLEASE APPLY TODAY and a Recruiter will reach out to you regarding the next step towards joining our team.
Responsibilities and Duties:
A qualified and dedicated AR Representative - Medical Coder will:
Qualifications and Skills:
Successful candidates will possess the following qualifications and skills:
Schedule:
Salary:
Benefits: