Accounts Receivable Representative - Medical Coder

November 7, 2024

Industry: Private

Employment Type:- Full Time

Work Hours:- 8 Hours

Locations:- USA

Full Job Description:-

As an Accounts Receivable Representative – Medical Coder, you will be responsible for a variety of advanced revenue related billing and coding activities requiring data research and analysis, time management, self-motivation, and teamwork. The Coding team works closely with internal Payment Posting and AR Teams: Commercial Payors, Managed Medicare & Medicaid Payors, Government Payors, Occupational Health, Specialty Payors, or Eligibility and Edits AR.

An ideal Coder in this role maintains a positive attitude, is self-motivated and detail-oriented, and has excellent problem-solving skills which allow the delivery of on-time results to ensure the success of individuals and the organization. Interested and qualified candidates are encouraged to apply to move forward with an expedited interview process!

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Responsibilities and Duties:

A qualified and dedicated AR Representative – Medical Coder will:

Review charge and claim edits by identifying correct assignment of Place of Service (POS) codes and ICD-10/CPT codes and modifiers while applying coding and billing guidelines per industry standards and/or specific client requests
Utilize payor policies to create internal edit and adjustment policies
Work claim denials and make any and all appropriate coding corrections
Work closely with the AR Coding Manager and AR Managers/Supervisors to maximize cash and minimize denials
Track claims and billing trends/issues and communicate them to management
Participate in group discussions including coding changes and education and client coding issues
Maintain knowledge of all coding changes, rules, and regulations
Comply with HIPAA regulations and state and federal standards and guidelines
Provide timely, accurate, and professional responses to internal, patient, and third party inquiries
Research and resolve complex issues and escalate issues to management
Report needed system updates to manager
Independently work special payor projects as assigned
Assist in training new team members

Qualifications and Skills:

Successful candidates will possess the following qualifications and skills:

Bachelor’s degree preferred, HS diploma/GED required
Certified Professional Coder (CPC) required
Minimum of 3 years’ coding experience required, professional medical billing experience preferred
Advanced ability to troubleshoot and problem solve in a healthcare setting
Advanced knowledge of CPT and ICD-10 coding
Advanced understanding of HIPAA compliance practices
Extensive knowledge of billing systems and electronic medical records (EPIC preferred)
Proficient knowledge and a working understanding of Microsoft Excel and Word

Schedule:

Full Time, Monday – Friday 9AM – 5PM

Salary:

$22 - $24 per hour, based on education and experience

Benefits:

Bi-Annual Bonus – Based on performance, paid out twice per year up to 10% of salary
Flexible Schedules – Three available shifts, summer hours, and early dismissal on Fridays
Remote Work – Semi-remote work available after successful completion of the 90 day introductory period
Paid Holidays and Paid Time Off – 14 days per year; accrues per pay cycle and increases based on years of service
Medical, Dental, Vision, and Life plans
401K with employer match and additional incentives offered