What are the responsibilities and job description for the Coding and Reimbursement Specialist (Hybrid), Day Shift, Patient Financial Services position at 133 Imaging Services?
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Adventist HealthCare seeks to hire an experienced Coding and Reimbursement Specialist for our Patient Financial Services who will embrace our mission to extend God’s care through the ministry of physical, mental, and spiritual healing.
As a Coding and Reimbursement Specialist, you will:
• Evaluate initial CPT code selections made by providers for services rendered and takes steps to make necessary corrections.
• Ensure proper use of modifiers and other coding guidelines to prevent billing errors.
• Reviews medical records for accuracy and promptly reports incomplete documentation.
• Audits and corrects previously coded claims to ensure accuracy.
• Demonstrates knowledge and experience with CCI edits, payer edits, and payer policies, including Medicare NCD and LCDs.
• Serves as the main contact for coding inquiries, issues, and projects.
• Meets daily coding production and quality standards set by the manager/director.
• Contact the payer when necessary to troubleshoot inappropriate payer responses.
• Complete assigned work projects distributed by management in a timely manner.
• Provide documentation, data, and reporting to Senior Management and offer suggestions for process improvement.
• Provide updates to management on payer-related impediments to successful results.
• Audit balances for accuracy.
• Update patient demographic information and initiate account adjustments.
Qualifications include:
• High School Diploma is required, or some college is preferred.
• Certified Medical Coder.
• Current certification in medical coding from the American Academy of Professional Coders (CPC), The American Health Information Management Association (CCS), or the Practice Management Institute (CMC).
• 5 years experience required within a healthcare environment to include physician practice Revenue Cycle Company with multi-specialty responsibility.
• Prior experience working as a certified coder.
• Ability to work independently and in a team environment.
• Strong verbal and written communication skills. Ability to relay coding information in layman’s terms to providers and colleagues within the revenue cycle.
• Good interpersonal skills to work across functional teams.
• Must maintain a high volume of processing without compromising quality and accuracy.
• Strong Customer Service skills.
• Ability to participate in an environment that promotes staff development, productivity, satisfaction, and efficiency.
Work Schedule:
Day Shift
Hybrid
#GR8 Accounting & Finance
Pay Range:
$26.91 - $39.03If the salary range is listed as $0 or if the position is Per Diem (with a fixed rate), salary discussions will take place during the screening process.
Under the Fair Labor Standards Act (FLSA), this position is classified as:
United States of America (Non-Exempt)At Adventist HealthCare our job is to care for you.
We do this by offering:
Work life balance through nonrotating shifts
Recognition and rewards for professional expertise
Free Employee parking
Medical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hire
Employer-paid Short & Long-Term Disability, Basic Life Insurance and AD&D, (short-term disability buy-up available)
Paid Time Off
Employer retirement contribution and match after 1-year of eligible employment with a 3-year vesting period
Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long term care, and critical illness & accident insurance
Subsidized childcare at participating childcare centers
Tuition Reimbursement
Employee Assistance Program (EAP) support
As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has earned a reputation for high-quality, compassionate care. Adventist HealthCare was the first and is the largest healthcare provider in Montgomery County.
If you want to make a difference in someone’s life every day, consider a position with a team of professionals who are doing just that, making a difference.
Join the Adventist HealthCare team today, apply now to be considered!
COVID-19 Vaccination
Adventist HealthCare strongly recommends all applicants to be fully vaccinated for COVID-19 before commencing employment. Applicants may be required to furnish proof of vaccination.
Tobacco and Drug Statement
Tobacco use is a well-recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine and drug use.
While some jurisdictions, including Maryland, permit the use of marijuana for medical purposes, marijuana continues to be classified as an illegal drug under the federal Controlled Substances Act. As a result, medical marijuana use will not be accepted as a valid explanation for a positive drug test result.
Adventist HealthCare will withdraw offers of employment to applicants who test positive for Cotinine (nicotine) and marijuana. Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing. ("Nicotine products" include, but are not limited to: cigarettes, cigars, pipes, chewing tobacco, e-cigarettes, vaping products, hookah, and nicotine replacement products (e.g., nicotine gum, nicotine patches, nicotine lozenges, etc.).
Equal Employment Opportunity
Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting, engaging, and developing the best people to cultivate our mission-centric culture. Our goal is to have a welcoming, equitable, and safe place to work and grow for all employees, no matter their background. AHC does not discriminate in employment opportunities or practices on the basis of race, ethnicity, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, pregnancy and related medical conditions, protected veteran status, or any other characteristic protected by law.
Adventist HealthCare will make reasonable accommodations for applicants with disabilities, in accordance with applicable law. Adventist HealthCare is a religious organization as defined under applicable law; however, it will endeavor to provide reasonable accommodations for applicants’ religious beliefs.
Applicants who wish to request accommodations for disabilities or religious belief should contact the Support Center HR Office.
Salary : $27 - $39
