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Role Description

We are seeking a Billing Specialist/Medical Coder for our Central Billing Office. This position is remote and open to candidates based anywhere in the United States.

• Assign codes to diagnoses and procedures, using ICD, HCPCS, and CPT codes
• Make judicious decisions on which codes to assign in each instance and function to a high level of accuracy
• Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations
• Work with the clinic staff to ensure the charges are billed to the responsible party as needed
• Communicate with other clinical staff regarding documentation
• Search for information in cases where the coding is complex or unusual
• Review charts as needed to ensure coding accuracy
• Ensure compliance with medical coding and policies
• Work directly with other team members on appeals and denials from insurance payors
• Understand and bill both professional and facility claims
• Process a high volume of claims accurately
• Work directly with department manager, clinic, and other billing staff
• Prepare reports as requested by management team
• This position is full time covering the coding/billing of a multi-location practice
• The duties and responsibilities described are not a comprehensive list and additional tasks may be assigned to the employee from time to time

Qualifications

• Associate's Degree in Medical Coding or CPC Certification
• CPC certification is preferred
• Minimum of 2 years in medical billing/coding
• Fertility billing background preferred but not mandatory
• Strong knowledge of anatomy, physiology and medical terminology
• Commitment to a high level of customer service
• Familiarity with ICD-10 codes and procedures
• Solid oral and written communication skills
• Working knowledge of medical jargon and anatomy preferred
• Highly proficient at Excel
• Able to work independently and with a team as needed
• Competent use of computer systems and software, Azalea and Athena preferred
• Ability to talk on phone and communicate verbally

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