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Job description

Full-time position as Business Office Billing and Coder Specialist. Will function as a biller and coder in our business office under the supervision of the Administrator/CEO. Will be responsible for the billing and collection of medical claims utilizing the knowledge and application of third-party regulations, payor contracting issues, diagnosis and procedure coding, accurately and efficiently assigning ICD-10 and CPT codes for diagnoses and procedures as well as auditing patient visits. Related responsibilities include interaction with clients, payors and patients.

Converts narrative diagnosis to appropriate ICD Codes and efficiently and accurately codes all assigned accounts by utilizing the proper CPT and ICD coding guidelines for the assigned specialties. Understanding of verifying E/M and procedural coding along with modifiers as it relates to payor rules/regulations and to client specialists as provided on initial encounters and in review of claim denials.

Audit evaluation and management codes to assure proper location and level of coding is selected for specialties assigned. Ensure timely coding of all patient accounts by reviewing daily schedules, working with the staff and providers to verify that all changes are captured.

Responsible for taking patient phone calls with billing questions and complaints and resolving it in a timely and professional manner.

Verifying and updating patient demographics and insurance information as required per client participation.

Assumes staffing role of billing clerk. Completes clerical requests as required and maintains filing. Maintains confidentiality at all times. Demonstrates knowledge of medical terminology.

Responsible to stay current with changing guidelines and updates. Must have Coding Experience and/or completed courses on coding. Seeking an organized, detail oriented individual who possesses the ability under minimal supervision, to perform various billing tasks within the medical revenue cycle; including but not limited to collections. Must be knowledgeable and understand the laws and regulations governing Medicare, Commercial Insurance and Medi-Cal reimbursement as it pertains to outpatient surgery. The employee must have 5 years experience in Medical Provider collections and appeals, display proficiency in understanding and communicating effectively the explanation of member insurance benefits. Employee will be required to comply with all HIPAA requirements set forth for employee's in the medical field.

** Excellent customer service and professional telephone etiquette is required.

Keyboard skills, with the ability to utilize computer equipment and software are required as is experience with other types of standard office equipment. Basic knowledge of excel required.'
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This Job Is:

• Open to applicants who do not have a college diploma

Pay: $25.00 - $35.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible schedule
• Health insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Supplemental pay types:

• Bonus pay

COVID-19 considerations:
Offer vaccine and testing for all employees or as needed.

Experience:

• Medical coding: 1 year (Required)

Language:

• Spanish (Required)

Work Location: In person