Medical Coder - ICD-10/CPT & Claims Specialist

ADP, Inc.; Maumee (OH); On-site; USD 42,000 - 60,000; Full time

Job summary

The Toledo Clinic seeks a skilled medical coder to apply ICD-10 and CPT codes to procedures, manage denials in the eCW system, and maintain accurate patient billing records. You will enter charges, monitor claims, and develop workflows to ensure accuracy and accountability within the billing process.

Expect collaboration with providers and insurance companies to resolve billing questions and ensure all visits are properly documented and billed according to regulations.

Qualifications

• Knowledge of ICD-10 and CPT codes and manuals required.
• Ability to seek tasks when primary tasks are completed and assist co-workers as needed.
• Demonstrates adaptability to expanded roles.

Responsibilities

• Responsible for applying CPT and ICD-10 codes to all procedures performed for a given date of service.
• Track patients seen and work all eCW claims for denials and errors.
• Enter charges into claim entry in eCW and monitor claim activity.
• Create workflow processes to ensure accuracy and accountability.
• Assist patients and/or insurance companies with billing and authorization questions.
• Coordinate with providers to ensure all visits are accounted for using schedules.

Skills

ICD-10 coding

CPT coding

Task prioritization

Education

CPC or CCS-P certification

Tools

eCW (eClinicalWorks)

Job description

The Toledo Clinic seeks a skilled medical coder to apply ICD-10 and CPT codes to procedures, manage denials in the eCW system, and maintain accurate patient billing records. You will enter charges, monitor claims, and develop workflows to ensure accuracy and accountability within the billing process.

Expect collaboration with providers and insurance companies to resolve billing questions and ensure all visits are properly documented and billed according to regulations.