CPC Coder

Healthcare Support Staffing; Town of Florida (NY); On-site; USD 28,413 - 40,467; Full time

Benefits offered by this job

Competitive salary

Excellent medical benefits

401k and PTO

Job summary

A leading healthcare staffing firm in New York is seeking a Coding Specialist to ensure accuracy in coding claims and maximize reimbursements. The ideal candidate will have a CPC certification and a solid understanding of claims processing. This position offers competitive pay at $25 per hour, along with excellent medical benefits including dental, vision, and a 401k plan. The role provides flexible working hours across different shifts from 7 AM to 5 PM.

Qualifications

• 2 years Coding experience preferred, but candidates with 1 year will be considered.
• CPC certification is required and must be submitted with the application.
• Strong understanding of claims processing and coding guidelines.

Responsibilities

• Ensure claims are coded correctly and meet internal guidelines.
• Review denied claims to correct errors or appeal them.
• Submit accurate information to expedite insurance payments.
• Follow up on claims to ensure timely payments.
• Utilize coding resources to maximize reimbursement.
• Correct misbilled accounts based on insurance.

Skills

Coding experience

Claim understanding

Attention to detail

Communication

Education

CPC certification

Job description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

• Responsible for ensuring all claims are coded correctly and pass all internal edits in a timely fashion. All denied claims with coding errors are reviewed, corrected, or appealed to ensure maximum reimbursement. Coding Specialists review collector requests for claim changes and ensure all coding rules are applied correctly.
• Ensuring appropriate information is submitted to insurance companies in order to expedite payment.
• Take appropriate follow up actions on accounts to ensure claims are paid on the first follow-up call or appeal.
• Works in their assigned queues daily both pre-submission and after denial, and accomplishing the set goal totals for the individual queues weekly.
• Request appropriate adjustments based on contract, modifiers or appeal denials.
• Works to understand the procedures billed in OP notes to maximize appeals written or bundling issues.
• Utilizes the coding resources (CPT, ICD-9, CDR, AAOS books) to understand procedures that are denied.
• Corrects accounts that are billed to incorrect insurance companies.
• All other duties as assigned.

Qualifications

• 2 years Coding experience preferred (they KNOW coders are in high demand; if you have someone sharp with roughly a year of experience please still sub)
• CPC certification required; attach to submit
• Understanding of claims

Additional Information

Hours for this Position:

Any hour shift (flex) between 7AM-5PM.

Advantages of this Opportunity:

Competitive salary $25.00 per hr.

Excellent Medical benefits Offered, Medical, Dental, Vision, 401k, and PTO