Billing Specialist/Medical Coder
About the position We are seeking a Billing Specialist/Medical Coder for our Central Billing Office. We are based in Rocky Hill, CT, however this will be a Remote position and we are open to hiring a candidate based anywhere in the United States. Qualified candidates will have at least 2 years' experience in healthcare billing and experience working in a Fertility Practice. We are looking for motivated, detail-oriented team players who also happen to have excellent people skills. If this sounds like you, apply now. Core Responsibilities: Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) HCPCS (Healthcare Common Procedure Coding System) and CPT (Current Procedural Terminology) codes Make judicious decisions on which codes to assign in each instance and function to a high level of accuracy Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations Work with the clinic staff to ensure the charges are billed to the responsible party as needed Communicate with other clinical staff regarding documentation Search for information in cases where the coding is complex or unusual Review charts as needed to ensure coding accuracy Ensuring compliance with medical coding and policies Responsible for working directly with other team members on appeals and denials from insurance payors Understand and bill both professional and facility claims Ability to process a high volume of claims accurately Will work directly with department manager, clinic and other billing staff Preparing reports as requested by management team This position is full time covering the coding/billing of a multi-location practice. This is a remote position. The duties and responsibilities described are not a comprehensive list and additional tasks may be assigned to the employee from time to time.
Responsibilities
- Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) HCPCS (Healthcare Common Procedure Coding System) and CPT (Current Procedural Terminology) codes
- Make judicious decisions on which codes to assign in each instance and function to a high level of accuracy
- Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations
- Work with the clinic staff to ensure the charges are billed to the responsible party as needed
- Communicate with other clinical staff regarding documentation
- Search for information in cases where the coding is complex or unusual
- Review charts as needed to ensure coding accuracy
- Ensuring compliance with medical coding and policies
- Responsible for working directly with other team members on appeals and denials from insurance payors
- Understand and bill both professional and facility claims
- Ability to process a high volume of claims accurately
- Will work directly with department manager, clinic and other billing staff
- Preparing reports as requested by management team
- This position is full time covering the coding/billing of a multi-location practice.
Requirements
- Associate's Degree in Medical Coding or CPC Certification
- Minimum of 2 years in medical billing/coding
- Strong knowledge of anatomy, physiology and medical terminology
- Commitment to a high level of customer service
- Familiarity with ICD-10 codes and procedures
- Solid oral and written communication skills
- Working knowledge of medical jargon and anatomy preferred
- Highly proficient at Excel
- Able to work independently and with a team as needed
- Competent use of computer systems and software, Azalea and Athena preferred
- Ability to talk on phone and communicate verbally
Nice-to-haves
- CPC certification is preferred
- Fertility billing background preferred but not mandatory
- Competent use of computer systems and software, Azalea and Athena preferred
- Working knowledge of medical jargon and anatomy preferred
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