Onsite Medical Claims Coder — ICD-10 & Inpatient Billing

Next Step Systems LTD; Tucson (AZ); In loco; USD 72.000 - 88.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical insurance

Retirement plan

PTO

Descrizione del lavoro

DaMar Staffing in Tucson, AZ is seeking a Medical Claims Coder with expertise in ICD-10, CPT, HCPCS, and inpatient billing to process claims for multiple provider types. The role focuses on adjudicating medical and inpatient claims, resolving rejections, monitoring payer activity, and maintaining HIPAA compliance.

Under general supervision, you will review denials, generate reports, and support education for Claims Examiners.

Competenze

• High School diploma or GED plus 5 years of full-time data entry experience in claims processing, accounting, analysis and adjudication of Medical and/or Behavioral environment.
• Experience with ICD-10, CPT, HCPCS, and Inpatient coding and billing and knowledge of HIPAA regulations.
• Knowledge of Microsoft Excel and 10-key by touch is also required.
• Knowledge of and experience working with Electronic Health Records system(s).

Mansioni

• 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 through on-line training and in person training.
• 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.

Conoscenze

ICD-10

CPT

HCPCS

In-Patient Billing

Rejections

A/R

Account Reconciliation

Prior Authorizations

HIPAA Regulations

Communication Skills

Formazione

High School diploma or GED

Strumenti

Microsoft Excel

10-key by touch

Electronic Health Records (EHR) systems

Descrizione del lavoro

DaMar Staffing in Tucson, AZ is seeking a Medical Claims Coder with expertise in ICD-10, CPT, HCPCS, and inpatient billing to process claims for multiple provider types. The role focuses on adjudicating medical and inpatient claims, resolving rejections, monitoring payer activity, and maintaining HIPAA compliance.

Under general supervision, you will review denials, generate reports, and support education for Claims Examiners.