Coding Reimbursement Specialist II - Revenue Cycle

Overview

Currently accepting applications from candidates residing in the states below:

AL, CO, FL, GA, ID, KS, KY, ME, MI, NC, SC, VA, VT

Salary:  $22.74-$34.11/hour

Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training​

Premium pay such as shift, on call, and more based on a teammate's job​

Incentive pay for select positions​

Opportunity for annual increases based on performance​

Paid Time Off programs​

Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability​

Flexible Spending Accounts for eligible health care and dependent care expenses​

Family benefits such as adoption assistance and paid parental leave​

Defined contribution retirement plans with employer match and other financial wellness programs​

Educational Assistance Program

Job Summary

Performs duties of mid to intermediate complexity. Applies CPT and ICD codes to ensure appropriate revenue generation and compliance with billing guidelines.

Essential Functions
 

• Performs ICD and CPT coding of provider (professional) services and verifies that all requisite charge information is entered.
• Appends all modifiers.
• Ranks CPT codes when multiple codes apply.
• Assigns Evaluation and Management (E/M) codes.
• Performs reconciliation process to ensure all charges are captured.
• Processes automated or manually enters charges into applicable billing system.
• Researches, answers, and processes all edits associated with claim and coding submission.
• Adheres to department guidelines for timeliness of processing charges and communicates with team members and practice management on an ongoing basis to ensure these guidelines are met.
• Communicates with providers related to coding issues that are of mid to intermediate complexity. Including face to face interaction and education with providers.
• Applies modifiers and appropriate ranking to encounters with multiple codes.

Physical Requirements
 

Works in a fast-paced office/hospital environment. Work consistently requires sitting and some walking, standing, stretching, and bending.

Education, Experience and Certifications
 

High School Diploma or GED required. Minimum of 1 year of coding experience required. CPC or equivalent coding credential required. Maintain coding certification (CPC, CCS, RHIT, RHIA). Working knowledge of coding, medical terminology, anatomy, and physiology. Knowledge of and the ability to apply payer specific rules regarding coding, bundling, and adding appropriate modifiers Understanding of and familiarity with regulatory guidelines including NCDs and LCDs.