Coder/AR Representative, CPC - Professional Medical Billing

*This is not a fully remote position - you must be able to commute and report to our Mount Laurel office. Semi-remote work may be available after the successful completion of a 90 day introductory period.*

Acentus is currently seeking an Accounts Receivable Representative - Medical Coder (Coder) to join our team! As a Coder at Acentus, you will report directly to the Assistant Director and work alongside other Coders and the Coding Audit Analyst on our Coding Team. The Coding team works closely with our internal Payment Posting and AR Teams: Commercial Payors, Managed Medicare & Medicaid Payors, Government Payors, Occupational Health, Specialty Payors, or Eligibility and Edits AR. You will also coordinate with a variety of external groups to ensure cohesive and efficient billing practices. The ideal Coder maintains a positive attitude, is self-motivated and detail-oriented, and has excellent problem-solving skills which allow the delivery on on-time results to ensure the success of individuals and the organization.

In this position, you will be responsible for a variety of advanced revenue related billing and coding activities requiring data research and analysis, time management, self-motivation, and teamwork. Proactive and clear written and verbal communication skills are essential as communicating with internal and external parties is a large part of this role. Coders act as a billing system super-user, perform complex billing and coding functions, and demonstrate an understanding of all business lines as they relate to the role’s responsibilities. You will be expected to work the following EPIC workqueues: Charge Review, Clearinghouse Claim Rejections, Coding Errors, and Claim Denials. This position will perform daily analysis to identify denial trends, and have the ability to assist in discussion for any possible coding and practice protocol change.

Responsibilities and Duties

A qualified and dedicated AR Representative – Medical Coder will:

• Review charge and claim edits by identifying correct assignment of Place of Service (POS) codes and ICD-10/CPT codes and modifiers while applying coding and billing guidelines per industry standards and/or specific client requests
• Utilize payor policies to create internal edit and adjustment policies
• Work claim denials and make any and all appropriate coding corrections
• Work closely with the AR Coding Manager and AR Managers/Supervisors to maximize cash and minimize denials
• Track claims and billing trends/issues and communicate them to management
• Participate in group discussions including coding changes and education and client coding issues
• Maintain knowledge of all coding changes, rules, and regulations
• Comply with HIPAA regulations and state and federal standards and guidelines
• Provide timely, accurate, and professional responses to internal, patient, and third party inquiries
• Research and resolve complex issues and escalate issues to management
• Report needed system updates to manager
• Independently work special payor projects as assigned
• Assist in training new team members

Qualifications and Skills

Successful candidates will possess the following qualifications and skills:

• Bachelor’s degree preferred, HS diploma/GED required
• Certified Professional Coder (CPC) required
• Minimum of 3 years’ coding experience required, professional medical billing experience preferred
• Advanced ability to troubleshoot and problem solve in a healthcare setting
• Advanced knowledge of CPT and ICD-10 coding
• Advanced understanding of HIPAA compliance practices
• Extensive knowledge of billing systems and electronic medical records (EPIC preferred)
• Proficient knowledge and a working understanding of Microsoft Excel and Word
• Excellent research abilities, attention to detail, and communication skills
• Outstanding problem-solving and organizational abilities
• Self-motivation, including multitasking and time management
• Positive attitude and team player

Company Overview

Founded in 2017 and focused on quality, Acentus Practice Management, LLC. (Acentus) is a growing full-service Revenue Cycle Management (RCM) company. Acentus provides customized solutions and real results for local Physician Groups and Ambulatory Surgical Centers. Following the Acentus values of professionalism, compliance, integrity, and respect allows our organization to reduce claim errors, ensure timely claim payments, and increase claim reimbursement.

Acentus offers a fast-paced and dynamic work environment that focuses on teamwork, quality, efficiency, and customer service. At Acentus, we value diversity and respect and reward employees for outstanding performance through employee of the month recognition and bi-annual bonuses. There is always opportunity for growth and our friendly and supportive leadership will help you thrive in your career. In addition, we offer a variety of comprehensive benefits, ongoing training, and flexible work schedules. Visit Acentus.org to learn more.

Job Type: Full-time

Pay: $25.00 - $30.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Day shift
• Monday to Friday

Application Question(s):

• Please acknowledge that you are aware this position is full-time & in-person in an office setting (not fully remote) and the base salary range is $25-30/hr.

Education:

• High school or equivalent (Required)

Experience:

• Epic: 4 years (Required)
• CPT coding: 4 years (Required)
• Medical Billing: 4 years (Required)

License/Certification:

• Certified Professional Coder (CPC) (Required)

Ability to Commute:

• Mount Laurel, NJ 08054 (Required)

Work Location: In person

Salary : $25 - $30