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    Location
    Nettleton

    Type
    Full time

    Education & Experience

    Required

    • High school diploma/GED

    • Current Certified Coding Specialist (CCS), Certified Procedural Coder (CPC), Certified Coding Specialist-Physician Based (CCS-P), Registered Health Information Technician (RHIT)

    Preferred

    • Six months of CPT & ICD-10 coding systems experience

    • Chart review experience

    • Experience educating providers regarding coding, charting, and other relevant processes

    Duties

    • Ensure timely and accurate processing of claims in a manner that is consistent with healthcare industry best practices

    • Stay current with Medicare, Medicaid and other third-party rules and regulations including CPT updates, and ICD coding

    • Ensure billing and coding compliance with industry standards, regulations, and company policy & procedures

    • Assist billing department with research of claims not paid and other duties assigned

    • Review medical chart notes and encounters for accuracy in CPT, HCPCS, ICD10 coding

    • Work on special temporary billing projects and claim filing as needed

    • Document all communications and activities in billing and financial notes to assist with clear, concise, and accurate communication to all who work with patients billing ledgers and processes

    • Identify error trends or missed coding opportunities and use as an educational tool for the providers

    Knowledge, Skills, & Abilities

    • Excellent verbal and written communication skills, including superior composition, typing, and proofreading

    • Knowledge about and experience with Federally Qualified Health Center (FQHC) practices and programs

    • Knowledge and understanding of electronic practice management systems and OIG billing and coding guidelines

    • Knowledge and understanding of third-party payer contracts, Medicare, and Medicaid reimbursement, provider enrollment, HIPAA privacy, security rules, and compliance 

    • Ability to successfully multitask

    • Excellent planning and organizational skills

    • Ability to work as part of a team as well as independently

    • Ability to work with highly confidential information in a professional and ethical manner