Coding Compliance Specialist researches and develops the pre-certification insurance policy standards and criteria used by case management and utilization reviewers that will ensure that requested medical services are appropriate and medically necessary. Collaborates with medical professionals to resolve questions about policy development and standards. Being a Coding Compliance Specialist assigns correct ICD, CPT, or other coding assignments for medical procedures that support policy standards in claims systems. Provides expertise and solutions to users regarding the appropriate coding for claims. Additionally, Coding Compliance Specialist has broad knowledge of medical coding systems. May require an associate degree in healthcare administration, a related field, or equivalent. Requires AAPC Certified Professional Coder (CPC). May alternatively require Certified Coding Specialist (CCS) certification. Typically reports to a manager. The Coding Compliance Specialist occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Coding Compliance Specialist typically requires 2 -4 years of related experience. (Copyright 2024 Salary.com)
We are currently seeking a motivated and experienced medical biller and coder to join our growing pediatric practice. The ideal candidate will be a Certified Professional Coder with a strong background in accounts receivable and a proven track record of optimizing revenue through the use of EMR and Excel reports.
Key Responsibilities:
- Accurately assign CPT, ICD-10, and HCPCS codes for all services provided
- Review and submit claims, monitor denials, and manage accounts receivable
- Utilize EMR and Excel reports to identify revenue opportunities and improve billing processes
- Work collaboratively within a team environment to ensure efficient revenue cycle management
- Work under the direction of the Billing Manger for a growing pediatric practice with 2 office locations in Las Vegas and Henderson, NV
Qualifications:
- Professional Coder certification is required
- Prior experience in accounts receivable and medical coding
- Proficiency in EMR systems and Microsoft Excel
- Strong analytical and problem-solving skills
- Excellent communication and interpersonal skills
- Ability to work well in a fast-paced, dynamic environment
If you are passionate about pediatric healthcare and have a strong background in medical billing and coding, we encourage you to apply. Join our dedicated team and help us continue to provide exceptional care to our patients.
Job Type: Full-time
Pay: From $22.00 per hour
Benefits:
Schedule:
Work Location: In person
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