Onsite Medical Claims Coder — Competitive Pay & Benefits

Next Step; Tucson (AZ); On-site; USD 80,000 - 110,000; Full time

Benefits offered by this job

Medical insurance

Retirement plan

Paid time off

Job summary

Next Step is seeking a Medical Claims Coder in Tucson, AZ, to process and adjudicate medical and inpatient claims from various provider types. Onsite role, responsible for reviewing denials, monitoring reimbursements, and ensuring accurate billing in compliance with HIPAA and payer rules.

Responsibilities include submitting claims, resolving rejected/denied claims, and generating reports while collaborating with Claims Examiners and customers to improve revenue cycle processes.

Qualifications

• Experience with ICD-10, CPT, HCPCS and inpatient coding/billing and HIPAA regulations.
• Experience with Medicare/Medicaid Billing and Claims.

Responsibilities

• Submit claims and encounters in a timely manner.
• Review and resolve rejected, pended, and/or denied claims within expected timeframes.
• Coordinate claim adjustments with the customer.
• Identify revenue cycle issues and implement solutions to improve systems and processes.
• Respond to calls on claims issues and provide information and resolution in a timely manner.
• Provide education and technical support to Claims Examiners and customers regarding claims related issues.
• Produce scheduled reports for in-house and customers.
• Prepare written inter-departmental and external correspondence.
• Develop and publish formal written guidance for customers to process claims.
• Analyze encounter-processing data using statistical methodologies.
• Update and maintain electronic billing manual and distribute updates as directed.
• Compare business operations and coordinate technical analysis support for upcoming collection of accounts.

Skills

ICD-10

CPT

HCPCS

A/R

Account Reconciliation

Prior Authorizations

Medicare/Medicaid Billing

Medicare/Medicaid Claims

Rejections

HIPAA regulations

Microsoft Excel

10-key by touch

Education

High School diploma or GED

Tools

Electronic Health Records

Microsoft Excel

10-key by touch

Job description

Next Step is seeking a Medical Claims Coder in Tucson, AZ, to process and adjudicate medical and inpatient claims from various provider types. Onsite role, responsible for reviewing denials, monitoring reimbursements, and ensuring accurate billing in compliance with HIPAA and payer rules.

Responsibilities include submitting claims, resolving rejected/denied claims, and generating reports while collaborating with Claims Examiners and customers to improve revenue cycle processes.