Responsible for office, out-patient, physician coding, billing and claims. Provides education regarding documentation requirements to improve coding quality and ensure accurate and complete capture of revenue.
Responsibilities
Establish Pediatric office seeking Senior billing and claim specialist to oversee daily operations, manage the billing team, data collection, analysis and reporting to meet the department’s goals.
Ongoing maintenance of the billing and claim team, ensure timely filing and submission.
Collaborates with Supervisor of Physician Coding Liaison & Physician Coding Liaisons to effectively respond to provider inquiries and improve coding workflows.
Establishes strategies for the development of billing standards and policies in order to ensure consistency across departments.
Troubleshoots coding and documentation issues.
Develops and delivers training curricula to improve staff understanding and application of physician coding and billing practices.
Monitors quality control initiatives to ensure that coding efforts are accurate and compliant.
Participates in the development, testing and implementation of resources to support Providers in coding practices.
Comprehensive understanding of insurance companies billing rules, regulations and methodology.
Helps to identify trends, rising issues, root causes of issues/challenges, and recommending solutions or process improvements
Provides assistance in creating, documenting, and maintaining medical billing and claims issues.
Assist junior staff to develop competence in coding and billing knowledge and skills by training, managing, and mentoring them
Directly supervise the work/activities of staff of the medical coding department
Other duties as assigned.
Qualifications
- Associates Degree or HS Diploma/GED plus two years of related medical coding/billing experience
- Four years of experience in medical practice or outpatient coding
- Medical practice business office or patient accounts experience preferred.
- Certification: CPC from accredited institution preferred
- Familiar with Pediatrics billing, coding and documentation preferred
- Experience in physician credentialing preferred
Benefits
Competitive pay
A friendly and fast-paced environment working with passionate people
PTO and Paid Holidays
401k Plan with Match
Compensation Statement
Happiness Pediatrics provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range is depend on a variety of factors, including experience, education, and dedication. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
Employer Description
Who We Are
Happiness Pediatrics is a fast growing medical practice focusing in improving health care quality for undeserved pediatric populations. We bring together a group of passionate pediatricians and nurse practitioners to deliver the best care possible.
Job Type: Full-time
Pay: $26.00 - $32.00 per hour
Expected hours: 30 – 40 per week
Benefits:
- 401(k)
- 401(k) matching
- Flexible schedule
- Paid time off
Schedule:
- 8 hour shift
- Monday to Friday
- Weekends as needed
Experience:
- ICD-10: 2 years (Required)
Ability to Relocate:
- Brooklyn, NY 11220: Relocate before starting work (Required)
Work Location: In person