$1000 Retention Bonus NO NIGHTS. NO WEEKENDS. NO HOLIDAYS.
Summary: Responsible for the assignment of accurate Evaluation and Management codes (E&M), ICD-10 diagnosis code, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation for outpatient encounters. Trains and educates staff on coding issues and plays a significant role in coding compliance activities.
Essential Duties and Responsibilities:
1. Manage the review and coding of all encounters for all clinic departments.
a. Review all chart documentation to verify and/or assign appropriate ICD-10 codes.
b. Review all chart documentation to verify and/or assign appropriate CPT codes and modifiers.
c. Review all chart documentation to verify and/or assign appropriate HCPCS codes and modifiers.
d. Query providers to clarify documentation when needed to ensure accurate claim submission.
e. Post daily lab charges.
f. Monitor encounters for timely completion and provider signature for submission purposes.
g. Run and submit claim batches daily.
i. Primary Insurance
ii. Secondary Insurance
iii. Liability Insurance
iv. Run, assemble, and send out paper claims.
2. Manage the monthly billing of all charges to patient insurance payers.
3. Manage the reconciliation of monthly clinic related invoices.
a. Reconciliation of Quest Diagnostics invoice for all locations.
b. Reconciliation of DiagnosTechs invoice for all locations.
c. Reconciliation of The Bridge invoice
d. Reconciliation of AllerAlt invoice
4. Manage the reconciliation and billing of the Breg DME items monthly by pulling a dispense report from the Breg website and verifying the items were charged to insurance on the individual patient’s accounts. If not previously billed, then creating a claim to do so.
5. Manage all Release of Information requests verifying that the ROI form is completed properly with all necessary information for processing and disclosure.
a. Process all Attorney requests and assess the necessary charges.
b. Process all Insurance Audit requests in a timely manner meeting their requested deadlines.
c. Process all direct Patient Requests to individuals or other parties as indicated.
6. Manage the processing and sending of all clinics “Thank You” letters for previous incoming referrals.
a. Monitor assigned “jellybean” tasks for items that require a “Thank You” letter.
b. When applicable visit note is signed generate the “Thank You” letter along with the note.
c. Mail or fax these documents to the referring clinic.
7. Shared maintenance of system and patient information
a. Merging of duplicate patient accounts.
b. Adding of pharmacies at the clinic staff request
c. Adding and updating of Insurance profiles within the system
8. Research new services for updated coding guidelines and requirements. Participate in educating providers of these changes and what they mean for our practice.
Required education, knowledge, skills, and other abilities:
Education:
· Two to four years related experience and/or training and college education or equivalent combination of education and experience.
Minimum Requirements:
· +2 years of coding experience.
· Successful completion of Medical Coding education.
· Certified Professional Coder (CPC)® certification.
· Registered Health Information Technician (RHIT®).
Strongly Preferred Requirements:
· +5 years of coding experience.
· Certified Coding Specialist (CCS®).
· Registered Health Information Administrator (RHIA®).
Trainings / Certifications:
· Required coding credential(s) as listed in above requirements – current or within six months of hire date.
Other Requirements:
· Ability to professionally communicate verbally, and in writing, clearly and effectively across all levels of the organization (including with clinical providers and executive leadership).
· Data entry with great attention to detail.
· Prior experience with computer systems, EMR systems, and advanced MS Office skills.
Dress Code / Uniform:
· Business casual attire required in accordance with Rejuv Medical Dress Code Policy.
Additional Requirements:
· Ability to read and interpret documents in English. Ability to write routine reports and correspondence. Ability to speak effectively before customers or employees of organization.
· Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent.
· Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
· Effective time management skills with ability to work independently to prioritize tasks, meet deadlines and complete projects.
· Skilled in exercising judgement, showing initiative and deductive reasoning to achieve company and departmental objectives.
· Advanced active listening, critical thinking, and interpersonal skills.
· Ability to maintain an open and growth mindset approach, adapt positively to change with buy-in and professionalism.
Benefits and Incentive Options:
Medical (currently 3 election options available), Dental, Vision, 401k with specific Company matching, Short & Long Term Disability, Company paid $50,000 Life Insurance (additional voluntary Life Insurance available for you, your spouse, and your children), Hospital Indemnity, Accident Indemnity, Cancer Care, generous Personal Time Off (PTO), Daycare Flex Account, Health Savings Account (HSA), 8 Paid Holidays, No nights or overnights, No weekends, Free all access usage for on-site gym facility for you and a +1 (includes all boot camps and studio classes), Discount on a personal trainer, Educational reimbursement allowance, "Employee and Family" service and procedure discounts (includes 6 FREE clinic visits for the family combined), Significant discount and health and wellness supplements, and so much more.
Job Type: Full-time
Pay: $22.00 - $27.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- Day shift
- Monday to Friday
Experience:
- Professional Phone Etiquette: 1 year (Required)
- Collaborative Team Work: 1 year (Required)
- EMR systems: 1 year (Required)
- Medical Coding: 1 year (Required)
License/Certification:
- Certified Coding Specialist (Required)
- RHIA (Required)
Shift availability:
Work Location: In person