RCM Coder

Jacksonville Children's Multispecialty Clinic; Jacksonville (NC); Sur place; USD 42 000 - 62 000; Plein temps

Avantages offerts par ce poste

401(k)

Health, Dental and Vision insurance

Employee assistance program

AFLAC

Paid time off

Résumé du poste

Atlantic Medical Management is currently seeking a professional Medical Coding Specialist. This remote role requires residency in North Carolina and focuses on collecting reimbursements, coding, and transmitting patient information while resolving discrepancies and preparing reports.

The ideal candidate has 2 years of coding/billing experience, CPT/ICD-10/HCPCS knowledge, and AAPC certification is preferred. Competitive benefits and remote work options available.

Qualifications

• High School Diploma or GED required.
• Minimum 2 years of professional coding/billing experience.
• AAPC certification preferred.
• Experience with Medicare, Medicaid and other payers.
• Strong interpersonal and customer service skills.
• Organized and efficient in handling tasks.

Responsabilités

• Post medical charges into NextGen software promptly to meet day-to-day goals.
• Review documentation to verify diagnoses, procedures, and treatment results.
• Assign codes for reimbursements and coordinate with providers on corrections.
• Work with payers and resolve EOB issues in a timely manner.
• Generate reports and maintain knowledge of all payers.
• Assist with special projects as needed.

Connaissances

Professional coding

Billing experience

Interpersonal skills

Customer service

Self-motivated

Organized

Formation

High School Diploma or GED

Outils

CPT

ICD-10

HCPCS

NextGen

Description du poste

Jacksonville, NC
Jacksonville, NC 28546, USA

Description

Summary:

Atlantic Medical Management is currently hiring for 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 intoNextGensoftware in a timely manner to meet daily and monthly goals.
• Reviews and verifies documentation supports diagnoses,procedures,and treatment results.
• Identifies diagnostic and procedural informationand assigns codes forreimbursements
• 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 timelymanner
• Maintain in depth knowledge ofall 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 correctinsurance
• Work with patients and guarantors to secure payment
• Resolves disputed claims by gathering, verifying, and providing additionalinformation
• Identify problem accounts and elevate as appropriate.
• Write appeals and include supportingdocumentation
• Run appropriate reports and contact insurance companies to resolveunpaidclaims
• Meet set department metrics and threshold 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 Medicare, Medicaid and other commercial and private payers.
• Demonstrated well-developed interpersonal skills to interact in sensitive and/or complex situation with a variety of people.
• Excellentcustomer serviceand professionalism.
• Organized and efficient.
• Self-motivated to meet objectives
• 401(k)
• Health, Dental and Vision insurance
• Employee assistance program
• AFLAC
• Paid time off

Qualifications

Education

Required

High School or GED or better.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.