Accounts Receivable Representative - Medical Coder

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!

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