Orthopedic Coder/Appeal Specialist/Billing Manager
Quick Apply Full-time 1 day ago Full Job Description Job Description Busy Orthopedic Spine Practice is looking for an Orthopedic Spine Surgery Coder for OON/In network-Commercial Surgeries / WC/NF, who must also know how to draft customized first level and second level appeal letters and identify & resolve underpaid claims and denials from payers.
Minimum
Qualifications:
Certified Professional Coder (CPC-P OR CPC-H) OR Certified Coding Specialist (CCS) OR Certified Coding Specialist Physician (CCS-P) Excellent communication skills(both written and oral), detail orientated, and the ability to multitask Strong computer skills including working with various billing programs as well as word processing and spreadsheets.
Knowledge of proper application of ICD-10-CM and/or CPT and HCPCS coding guidelines, rules and regulations with knowledge of basic anatomy and physiology.
ORTHOPEDIC background is a plus.
Schedule:
8 hour shift
Experience:
ICD-10:
3 years (Required) Medical Billing:
3 years (Required) License/Certification:
Certified Professional Coder (Required) License:
AAPC (Required) Job responsibilities include, but are not limited to:
coding, charge entry, postings, follow-up including working denials and writing appeal, credentialing A minimum of two years of coding and collection experience in a billing company or surgical medical office environment.
Ensure adjustments are posted timely and correctly for claims that were paid satisfactorily and/or exhausted after appeal process.
All adjustments for denied claims need management approval.
Track and follow up on appealed claims.
Track and follow up on requests for refunds or recoupments in accordance with payer requirements.
Medical claim follow-up with insurance carriers for claim payment (commercial and WC/NF).
Auditing of claim payments and denials.
Analysis of appeal opportunities.
Review of operative reports and knowledge of CPT, AMA, and other federal and private carrier guidelines.
Must be fluent in Microsoft office word and excel.
Salary comes with experience.
To perform this job successfully, the individual must be able to perform each essential duty satisfactorily.
The requirements listed below are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Clear understanding and working knowledge of payer denials and appeals process.
Clear understanding of Healthcare claims processing.
Ability to work independently as well as in a cross-functional team environment by collaborating with others and sharing tools, skills, and knowledge.
Solid problem-solving and analytical skills that demonstrate resourcefulness and attention to detail.
Job Type:
Full-time Pay:
$52,000.
00 - $98,000.
00 per year
Benefits:
401(k) Health insurance Paid time off Schedule:
Monday to Friday
Experience:
ICD-10:
5 years (Required) Medical Billers & Coders:
5 years (Required) Medical billing:
5 years (Required) License/Certification:
Certified Professional Coder (Preferred) Work Location:
One location Minimum
Qualifications:
Quick Apply.
Estimated Salary: $20 to $28 per hour based on qualifications.
Minimum
Qualifications:
Certified Professional Coder (CPC-P OR CPC-H) OR Certified Coding Specialist (CCS) OR Certified Coding Specialist Physician (CCS-P) Excellent communication skills(both written and oral), detail orientated, and the ability to multitask Strong computer skills including working with various billing programs as well as word processing and spreadsheets.
Knowledge of proper application of ICD-10-CM and/or CPT and HCPCS coding guidelines, rules and regulations with knowledge of basic anatomy and physiology.
ORTHOPEDIC background is a plus.
Schedule:
8 hour shift
Experience:
ICD-10:
3 years (Required) Medical Billing:
3 years (Required) License/Certification:
Certified Professional Coder (Required) License:
AAPC (Required) Job responsibilities include, but are not limited to:
coding, charge entry, postings, follow-up including working denials and writing appeal, credentialing A minimum of two years of coding and collection experience in a billing company or surgical medical office environment.
Ensure adjustments are posted timely and correctly for claims that were paid satisfactorily and/or exhausted after appeal process.
All adjustments for denied claims need management approval.
Track and follow up on appealed claims.
Track and follow up on requests for refunds or recoupments in accordance with payer requirements.
Medical claim follow-up with insurance carriers for claim payment (commercial and WC/NF).
Auditing of claim payments and denials.
Analysis of appeal opportunities.
Review of operative reports and knowledge of CPT, AMA, and other federal and private carrier guidelines.
Must be fluent in Microsoft office word and excel.
Salary comes with experience.
To perform this job successfully, the individual must be able to perform each essential duty satisfactorily.
The requirements listed below are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Clear understanding and working knowledge of payer denials and appeals process.
Clear understanding of Healthcare claims processing.
Ability to work independently as well as in a cross-functional team environment by collaborating with others and sharing tools, skills, and knowledge.
Solid problem-solving and analytical skills that demonstrate resourcefulness and attention to detail.
Job Type:
Full-time Pay:
$52,000.
00 - $98,000.
00 per year
Benefits:
401(k) Health insurance Paid time off Schedule:
Monday to Friday
Experience:
ICD-10:
5 years (Required) Medical Billers & Coders:
5 years (Required) Medical billing:
5 years (Required) License/Certification:
Certified Professional Coder (Preferred) Work Location:
One location Minimum
Qualifications:
Quick Apply.
Estimated Salary: $20 to $28 per hour based on qualifications.
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