Rcm A/R Coder Specialist

COMPANY DESCRIPTION

Unio Health Partners (UHP) is a highly differentiated physician practice management platform with the goal of transforming care delivery across the Western United States. UHP partners with leading physician practices, creating a cohesive, quality-oriented clinical culture and facilitating best practice sharing across the platform. Our affiliated practices gain access to a broader suite of services, providing a meaningful benefit to both physicians and patients. UHP's best-in-class clinical program covers three sub-specialties (urology, gastroenterology, and radiation oncology) and offers numerous ancillary services, including pathology lab, in-office dispensing, and chronic care management. We are led by a highly accomplished management team and provide a full suite of management services to its affiliated practices. UHP is currently affiliated with 68 providers consisting of 49 physicians and 19 advanced practice providers operating out of 21 locations in the greater Los Angeles and San Diego areas.

POSITION SUMMARY

As an RCM A/R Coder Specialist, you will be part of a team that strives to uphold Unio Health Partners' mission of providing the highest level of care. You will be responsible for timely and appropriate billing, coding, and collection of monies from payors and/or patients.

What you will be doing

• Researches and analyzes accounts and payments; reverses balances to credit or debit if charges were improperly billed or if payments were incorrect.
• Ensures that all coding conditions for billing have been satisfied, which includes, but is not limited to, accurate charges and financial class; benefit confirmation, ICD-10, and CPT-4 Coding
• Follows up on all assigned accounts from within the billing systems and Initiates proactive measures that result in account resolution.
• Evaluates accounts to determine any write-offs or corrections required, including duplicate charges..
• Reviews various reports to identify denials and edits; corrects claims; suggest action plans to eliminate these denials/edits in the future; determines appropriateness for appeal.

What you will bring to the team

• CPC certification
• 2 years of experience in physician billing, urological experience preferred
• Experience with charge entry and billing in a medical office setting
• Proficient Microsoft Office skills required (i.e. Microsoft Word, Excel, PowerPoint, etc.)
• Knowledge of different insurance types; plans, products, and their specific coding guidelines

What we can offer you

• Competitive Salary and Health Benefits (Medical, Dental, Vision)
• Generous time off (start accruing on your first day - no waiting period)
• Paid Holidays
• 401(k)
• Company Discounts
• Collaborative work environment - we want our employees to have a say in how we run our office
• Employee Recognition - we encourage employee recognition through our GEMS program