RCM Coder

Atlantic Medical Management, LLC; Jacksonville (NC); Remote; USD 45,000 - 65,000; Full time

Benefits offered by this job

401(k)

Health, Dental and Vision insurance

Employee assistance program

AFLAC

Paid time off

Job summary

Atlantic Medical Management, LLC is seeking a Medical Coding Specialist to work remotely from North Carolina. This role involves managing reimbursements by coding and transmitting patient information accurately while resolving billing issues and ensuring compliance with payer requirements.

Candidates must have at least 2 years of coding experience, familiarity with Medicare and Medicaid, and strong interpersonal skills. Benefits include 401(k), health insurance, and paid time off.

Qualifications

• 2 years of professional coding/billing experience.
• Experience with Medicare, Medicaid and other commercial and private payers.
• Maintains patient confidentiality.

Responsibilities

• Post medical charges into NextGen software.
• Resolve disputed claims by gathering and verifying information.
• Coordinate with clinics to ensure outstanding superbills are collected.

Skills

Proficient computer skills

Interpersonal skills

Customer service

Organized and efficient

Self-motivated

Education

High School Diploma

AAPC certification preferred

Tools

NextGen software

Job description

Job Details

Atlantic Medical Management is currently hiring a professional Medical Coding Specialist who is goal oriented, revenue driven, highly accurate and motivated. This position includes collecting reimbursements by gathering, coding, and transmitting patient care information; resolving discrepancies; adjusting patient bills; working AR and preparing reports. Must have ProFee coding and billing experience. This is a remote position and candidates must be located in North Carolina.

Essential Functions

• Post medical charges into NextGen software in a timely manner to meet daily and monthly goals.
• Reviews and verifies documentation supports diagnoses, procedures, and treatment results.
• Identifies diagnostic and procedural information and assigns codes for reimbursements.
• Ability to navigate around CPT, ICD-10, and HCPCS.
• Work with providers to correct the diagnosis or procedure codes so that the claim can be processed.
• Identify coding or billing problems from EOBs and work to correct the errors in a timely manner.
• Maintain in depth knowledge of all payers.
• Coordinate with clinics to ensure all outstanding superbills are collected prior to month end close.
• Update patient demographic and insurance.
• Transfer open balances to correct insurance.
• Work with patients and guarantors to secure payment.
• Resolves disputed claims by gathering, verifying, and providing additional information.
• Identify problem accounts and elevate the appropriate staff member as needed.
• Write appeals and include supporting documentation.
• Run appropriate reports and contact insurance companies to resolve unpaid claims.
• Meet set department metrics and thresholds set forth by manager.
• Assist with special projects and other job-related duties as needed.

Minimum Qualifications

• High School Diploma.
• 2 years of professional coding/billing experience.
• AAPC certification preferred.
• Experience with Medicare, Medicaid and other commercial and private payers.
• Demonstrated well‑developed interpersonal skills to interact in sensitive and/or complex situations with a variety of people.
• Excellent customer service and professionalism.
• Maintains patient confidentiality.
• Proficient computer skills.
• Organized and efficient.
• Self‑motivated to meet objectives.

Benefits

• 401(k)
• Health, Dental and Vision insurance
• Employee assistance program
• AFLAC
• Paid time off