Accounts Receivable Specialist/Medical Coder

Nephrology Associates, P.C.; Nashville (TN); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

401(k)

Dental insurance

Health insurance

Life insurance

Paid time off

Vision insurance

Job summary

Nephrology Associates, P.C. seeks a Medical Coder/AR Specialist to assign ICD-10, CPT, and HCPCS codes and manage AR functions for timely insurer and patient payments.

The candidate should have coding expertise, HIPAA compliance knowledge, experience with EMR and billing software, and strong communication for denial management and follow-up.

Qualifications

• Certification in Medical Coding (AAPC, CPC, CCS, or equivalent) is required.
• 2+ years of experience in medical coding and/or AR within a healthcare setting.

Responsibilities

• Code patient diagnoses, procedures, and services using ICD-10, CPT, and HCPCS.
• Monitor accounts receivable to ensure timely billing and follow-up on unpaid claims.
• Review and resolve denied or rejected claims and appeal denials when needed.
• Post payments and reconcile balances; maintain records of communications with insurers and patients.
• Ensure compliance with HIPAA and healthcare regulations; stay updated on coding changes.

Skills

ICD-10

CPT

HCPCS

HIPAA

EMR

Billing software

Communication

Time management

Detail orientation

Audit/denial handling

Education

Medical Coding Certification (AAPC CPC/CCS or equivalent)

Tools

EMR systems

Billing software

Job description

Medical Coder/Accounts Receivable Specialist/Billing Job Description

Job Description:

The Medical Coder and Accounts Receivable (AR) Specialist is responsible for accurately assigning medical codes to diagnoses, procedures, and services provided by healthcare providers. In addition to coding duties, this role will handle accounts receivable functions, ensuring timely collection of payments from insurance companies and patients. The ideal candidate will possess strong knowledge of medical coding systems and healthcare revenue cycle processes, with a focus on maintaining compliance with regulations and optimizing revenue collection.

Daily Tasks:

• 1. Accurately assign appropriate ICD-10, CPT, and HCPCS codes to patient diagnoses, treatments, and procedures based on physician documentation.
• Ensure coding practices adhere to all relevant regulations, payer guidelines, and healthcare industry standards.
• Review and interpret clinical documentation to ensure proper coding of complex cases. Identify and correct coding errors and discrepancies to prevent claims denials and rejections.
• Collaborate with healthcare providers to clarify ambiguous or unclear documentation for accurate coding.
• Stay up to date with industry changes, including coding updates, billing regulations, and insurance requirements.

Accounts Receivable

• Monitor the AR process, ensuring timely and accurate billing and follow-up on unpaid claims.
• Review and resolve denied or rejected claims, working with insurance companies to appeal denials and secure payment.
• Post payments to patient accounts, ensuring accuracy and reconciling any discrepancies. Conduct regular follow-up on outstanding balances, contacting patients and insurance companies as needed to secure payment.
• Maintain detailed records of communication with insurance providers and patients for audit and reporting purposes.

Requirements

• Certification in Medical Coding (AAPC, CPC, CCS, or equivalent) required.
• 2+ years of experience in medical coding and/or AR within a healthcare setting. Knowledge of ICD-10, CPT, and HCPCS coding systems.
• Familiarity with healthcare billing processes and insurance claim submission requirements.
• Strong understanding of HIPAA and other relevant healthcare compliance regulations.
• Proficient in healthcare billing software and electronic medical records (EMR) systems.
• Excellent attention to detail and accuracy in coding and financial tasks.
• Strong organizational and time management skills, with the ability to prioritize tasks and meet deadlines.
• Effective communication skills, both written and verbal, for interacting with healthcare providers, patients, and insurance representatives.

Join our team as an Accounts Receivable Specialist where you will play a vital role in ensuring our financial operations run smoothly while contributing to the overall success of our organization.

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Experience:

• ICD-10: 1 year (Preferred)

Work Location:

In person