Medical Coding Specialist - Hybrid

AC3; South Bend (IN); Hybrid; USD 45,000 - 60,000; Full time

Benefits offered by this job

Medical, dental, and vision benefits

Employer-paid life insurance

401k plan with company match

Paid time off

Wellness program

Job summary

AC3 in South Bend, IN is looking for a Certified Medical Coder responsible for accurate coding of diagnoses and procedures. This hybrid position requires both onsite training and remote work. Ideal candidates will have relevant coding certifications and strong knowledge of medical terminology.

The role includes collaborating with healthcare providers and ensuring compliance with relevant regulations. Comprehensive benefits include health insurance, paid time off, and a 401k plan.

Qualifications

• High school diploma or equivalent required.
• One or more coding certifications required.
• Demonstrated knowledge of CPT, ICD-10, and modifiers.
• Exceptional communication and organizational skills needed.

Responsibilities

• Code all diagnoses and procedures for claims.
• Match billing requirements for various insurance payers.
• Review and apply medical codes from patient charts.
• Maintain compliance with HIPAA regulations.

Skills

Communication skills

Organizational skills

Knowledge of medical coding

Knowledge of anatomy

Proficiency in Microsoft Office

Education

High school diploma or equivalent (GED)

CPC, CHONC, CCS, or CCS-P certification

Tools

Electronic medical records software

Job description

COMPANY MISSION

AC3 was founded by a group of oncologists who built solutions to optimize their own practices. Now, we give specialty health practices the power to make decisions with better data. Our mission is to help them thrive through people, purposeful technology, and collaboration. The work we do empowers healthcare practitioners and their teams to provide the highest quality of care in a sustainable way. That’s what motivates us.

POSITION SUMMARY

The Certified Medical Coder is responsible for ensuring all diagnoses and procedures are coded appropriately for all claims. This position will need to remain current on coding and billing regulations as well as any CPT, ICD10 or HCPCS updates. This role supports the department to design the capture of associated coding and billing various medical specialties. They will work cooperatively as a team with revenue cycle, client practices and management associates. He/she will provide courteous and professional assistance with coding questions from physicians, clinical team members and other departments. The successful candidate for this role must have exceptional computer, communication, and organizational skills. This position may require onsite training at our office in South Bend, IN, as well as attendance of department and organizational meetings.

ESSENTIAL FUNCTIONS AND JOB RESPONSIBILITIES

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Responsible for billing daily charges by designated site and matching insurance carriers to the specific billing requirements for Medicare, Medicaid, Blue Cross Blue Shield and Commercial carriers.
• Capable and knowledgeable on billing charges for chemotherapy and administration codes, E/M office and hospital charges in a timely manner.
• Accessing and reading operative and pathology reports from multiple hospital systems, coding the correct ICD-10, CPT, and modifiers, and billing the charges.
• Retrieves, reads, and applies updated LCD/NCD policies when necessary.
• Identifies and reports any fraud, waste, or abuse concerns.
• Reviews patients’ charts and applies appropriate medical codes.
• Works with the clients’ physician team to get any missing information or signatures to bill charges.
• Ensures timely filing of claims per SOP guides.
• Works together as a team with the whole department.
• Maintains the practices and principles set forth by AC3 leadership with a strong commitment to service, excellence and quality.
• Maintains professional behavior, confidentiality, and discretion at all times, along with the ability to work with all levels of staff with a confident and professional demeanor.
• Follows HIPAA rules and regulations.

POSITION REQUIREMENTS

• High school diploma or equivalent (GED). One or more of the following credentials is required: CPC (Certified Professional Coder); CHONC (Certified Hematology Oncology Coder, through AAPC); CCS (Certified Coding Specialist, through AHIMA); or CCS-P (Certified Coding Specialist – Physician based, through AHIMA).
• Demonstrates knowledge and competence in CPT, ICD-10, POS and modifiers.
• Accurately maintains and adheres to all safety rules and regulations.
• Accurately code/bill charges to the best of your ability without fraudulence.
• Knowledge of anatomy and medical terminology.
• Proficient in Microsoft Office preferred. Working knowledge/experience in electronic medical records and/ or other medical software if applicable.
• Excellent communication and organizational skills with the ability to work in a fast paced environment; prioritize tasks and workloads.
• Performs other duties as assigned.
• This is a remote position with the expectation of travel to meet the needs of the position. Work is completed in a general office environment, sedentary in nature but may require standing and walking for up to 10% of the time. The work environment is favorable with adequate lighting and temperature, and no hazardous or unpleasant conditions caused by noise, dust, etc. Must be able to operate standard office equipment and keyboards.

WORK LOCATION

This is a hybrid position; meaning, there will be required onsite training and a combination of a remote and onsite work. The ideal candidate will reside within a 30-mile radius of the office located in South Bend, IN.

WHY WORK AT AC3?

When you become an AC3 Team member, you can expect ongoing training, support, and a work culture like no other. We offer our Full-Time Team Members medical, dental and vision health and wellness benefits, along with employer paid life insurance, long and short-term disability policies. Because our team’s health and wellness are our priority, we start new hires off with an above average paid time out plan and offer a comprehensive wellness program, including onsite biometrics and ongoing mental and physical wellness support. We also provide all Team Members with access to company sponsored financial wellness counselors, employee assistance services and the opportunity to enroll in our company-matched, 401k plan.