Salary

$18 - $28 Per Hour

Job Type

full-time

Posted

24 days ago

Location

AUSTELL, GA

Description

Essential Functions:
Medical Coder Responsibilities:
• Extracts relevant information from patient records and acts as liaison with providers and
other parties to clarify information
• Examines documents for missing information; corrects information as needed
• Assigns CPT, HCPCS, ICD-10-CM, and DRG codes
Job Description
Medical Billing and Coding Specialist
• Performs patient chart audits and provides coding feedback and education to clinical
team as needed
• Answers questions, advises, and trains providers and staff on medical coding
• Informs supervisor of issues with equipment and billing software, and serves as point
person for billing software issues, complications and submits service tickets through
AMD
• Ensures compliance with medical coding policies and guidelines; understands the
application of each code set
• Maintains current knowledge regarding coding and diagnostic procedures
• Works towards compliance in all aspects of coding, participates in compliance activities
as requested, and conducts/participates in provider coding reviews and education, as
requested
Medical Billing Specialist Responsibilities:
• Maintains practice management system by entering accurate data, verifying and
updating insurance, and claims information, handles carrier correspondence, manages
EOBs, and keys payments received into the system
• Prepare, review, submit, and follow up with clean claims to various
companies/individuals
• Collect, post and manage patient account payments
• Investigates rejected claims to see why denials were issued and correct claims.
• Facilitate swift payment of invoices due to the organization by sending patient invoices,
billing reminders, and making collection calls on outstanding balances as directed by
supervisor
• Completes Claims Center daily tasks including charge review and claims inspector;
creates and maintains custom claim edits and works the client action worklist
• Reviews and provides RCM weekly and monthly reports including productivity and
financial reports as directed and completes action steps as necessary
• Follows HIPAA guidelines when accessing and sharing patient information
• Maintains patient and business confidentiality
• Provides timely and professional customer service, verify discrepancies by and resolve
patient billing issues, answer questions from patients, facility staff, and third-party
vendors.
• Supports additional coding, billing, and practice management projects as needed
• All other duties as assigned
Physical/Mental Demands and Work Environment:
• Requires sitting and standing associated with a normal office environment.
• Performs highly complex and varied tasks requiring independent knowledge and its
application to a variety of situations, as well as exercising independent judgement

Education/Qualifications:
• High School Diploma, GED, or suitable equivalent
• Coding Certification from APPC or AHIMA
• Minimum of five (5) years work experience as a Medical Coder
Strongly Preferred:
• Minimum five (5) years medical coding work experience working in healthcare; two (2)
years medical coding work experience with primary care, and OT populations
• Knowledge of general accounting principles, revenue cycle processes, medical
insurance, and associated regulations
• High degree of accuracy and attention to detail
• Ability to manage multiple tasks/projects, and deadlines simultaneously and to identify
and resolve exceptions and to interpret data; proficient in data entry
• Customer service orientation and negotiation skills, including the ability to interface
with third party payers
• Excellent communication skills, both verbal and written
• Proficient computer skills, including Microsoft Office applications