Certified Medical Biller and Coder

Overview:
Gennev, in partnership with Unified Women’s Healthcare, is a national, virtual health provider that offers menopause, nutrition/lifestyle, weight management, and sexual health care for women across their reproductive lifetime. Gennev, together with Unified Women’s Healthcare has the unique opportunity to serve a woman’s healthcare needs – both virtually and in-person – throughout her life journey. If you’re driven by pioneering new approaches in health and wellness using technology and a unique integrated care model, then Gennev’s start-up culture may be for you.
What We’re Building
Gennev is building the digital health platform for women in the second half of life, starting with menopause. We offer telehealth consultations with OB/GYNs and Registered Dietitians, health & wellness products and on-demand education. Gennev has the nation’s largest network of menopause specialists and is part of the Unified Women’s Healthcare network of providers.
The Job
As a Certified Clinical Medical Biller and Coder (CMBC) you will be responsible for organizing patientmedical costs and sending invoices and claims to collect payment from patients and their insurers through Gennev’s EMR Provider, Athena. The CMBC will be responsible for reworking and resubmitting denied claims, answering billing questions from patients, and tracking and collecting AR balances. A large portion of Medical Billing and Coding involves acting as a critical liaison between physicians’ offices, patients, and insurance companies.
Responsibilities:
1. Responsible for abstracting provider services into billable codes (CPT, HCPCS, & ICD-10) from the medical documentation in accordance with the coding ethics of AAPC, AHIMA, and NAMAS and payer coverage guidelines in an accurate and timely manner.
2. Post and reconcile practice charges daily.
3. Verify documentation of medical necessity of services such as lack of supporting diagnoses; incomplete or missing documentation along with any inappropriate coding and documentation trends before a claim is billed.
4. Reference coding and payer resources to accurately code and bill the provider documented services.
5. Feel confident in drafting appeal letters regarding coding denials along with any supporting documentation.
6. Manage and track AR, and continuously work with the Director of Clinical Operations for make these processes more efficient as we grow
7. Participate in process improvement meetings and team meetings to help achieve efficient workflows.
8. Contribute to the achievement of established department goals and objectives and adhere to department policies, procedures, quality standards and safety standards. Complies with governmental and accreditation regulations.
9. Possess knowledge of enrolling our practice with various payers, both in network and out of network
10. Perform other duties as assigned.
Qualifications:
1) Education/Training
a) High school diploma required, 2+ years of college preferred
2) License/Certification/Registration
a) Certification from the APC or AAPC highly preferred
3) Experience
a) Have experience properly coding (CPT, HCPCS, & ICD-10) services from the medical documentation in accordance with the coding ethics of AAPC, AHIMA, and NAMAS.
b) EHR experience required, preferably AthenaOne/Athenahealth
c) Proficient computer skills, specifically with Microsoft software including Teams, Outlook, and SharePoint.