Overview
In Person Medical Coding and Billing Specialist (CPC or CPB required)
Responsibilities
- Address A/R aging report under the direction of the Director of the department
- Consistently follow up on outstanding claims to deduce timely payment from payer
- Handle patient billing and accounts receivable from payers
- Review new patient insurance to ensure accuracy
- Diligent review of AR reports, address rejections, medical records requests to support medical necessity, denials pursuant to AVS billing policy
- Review all denials for correction, execute corrections
- Coordinating insurance reimbursement of care providers
- Translating medical procedures into codes that can be translated by payers, other medical coders, and other medical facilities
- Ensure coding practices are within American Medical Association CPT/HCPCS guidelines
- Review VA authorization to ensure planned care coincides with authorization
- Serve as a point of contact for all billing questions stemming from providers, patients and office staff
Qualifications & Experience
- Possession of a current Professional Coder Certificate (CPC) from APPC required
- Familiarity with vascular anatomy/coding/procedures preferred
- Minimum 1-2 years’ experience navigating and managing AR required
- Superior communication & organizational skills required
- High school Diploma; associate's degree from accredited university preferred
Employment type
Seniority level
Job function
Industries