Claim Specialist /Certified Professional Coder - Eagle Business Services

Key Responsibilities:
Create claims for sites within specified time period Review claims for correct assignment of ICD-9, CPT, HCPCS codes and modifiers. Maintain knowledge of insurance carrier specific requirements and apply to claims as needed. Correct all identified errors on claims prior to submitting Correct all returned claim denials assigned to you in a timely manner Assist EDI and Customer Service Representatives in resolving claims issues. Communicate with site administration or providers as needed. Participates in professional development activities and maintains professional affiliations. Maintain patient confidentiality. Shows respect, courtesy and advocacy in all dealings with all people, including, but not limited to patients, coworkers, and visitors. Displays a positive attitude, and team-oriented spirit, indicated by a willingness to assist where and whenever needed. Attends meetings as required. Writes legibly and with correct grammar and sentence structure. Follows HIPAA guidelines for patient confidentiality, and maintains security of Protected Health Information (PHI) and business information. Does not exhibit, divulge, copy or remove the contents of any record or report except to fulfill work assignments. Participates in professional organizations as indicated. Upholds and exemplifies through daily actions, activities and behaviors Eagle's Vision, Mission and Values: o Vision: Eagle Physicians will be seen as the healthcare organization of choice by patients, staff and the community. o Mission: Eagle Physicians will provide patient-centered healthcare for our community with a team committed to high-quality, supportive and compassionate care. o Values: Integrity, Compassion, Trust, Professionalism and Respect. Performs additional duties as required.