What are the responsibilities and job description for the Medical Coder/Insurance Specialist position at Augusta Urology Surgicenter?
Summary of Position:
The Augusta Urology Surgicenter is seeking a highly organized and detail-oriented Medical Coder/ Insurance Specialist to join our team. The ideal candidate will be a Certified Outpatient Coder with Ambulatory Surgical coding experience and will be proficient in handling insurance verification, billing, and claims follow-up. This position plays a critical role in ensuring accurate coding, compliance, and timely reimbursement for urology services. The position will collaborate with healthcare providers, insurance companies, and patients to resolve billing issues and facilitate smooth operations within the medical office.
Duties & Responsibilities:
Medical Coding:
- Accurately assign appropriate ICD-10 and CPT codes for urology-related to surgical procedures.
- Submit and follow up on insurance claims for urology services to insurance carriers, ensuring timely submission.
- Ensure compliance with federal, state, and payer-specific regulations and coding guidelines.
- Perform code audits to maintain quality control and adherence to coding standards.
- Stay up-to-date with changes in medical coding and urology-specific guidelines to ensure ongoing compliance.
Insurance Specialist Duties:
- Verify insurance coverage and benefits for patients, including checking eligibility for urology-related procedures and services.
- Follow up on unpaid, rejected, or denied claims to resolve issues and ensure proper reimbursement.
- Work closely with insurance companies to resolve claim disputes and provide necessary documentation to support claims.
- Communicate effectively with patients regarding insurance-related inquiries, including coverage details, billing issues, and payment options.
- Maintain accurate patient records and billing documentation in the electronic health record (EHR) system.
- Provide support to healthcare providers by clarifying coding issues or resolving insurance-related concerns.
- Stay informed of changes in insurance policies, procedures, and reimbursement rates affecting urology services.
Join our team as a Medical Coder/Insurance Specialist where your expertise will contribute significantly to our operations while ensuring that patients receive the best care possible through efficient billing practices.
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- No weekends
Experience:
- ICD-10: 1 year (Required)
License/Certification:
- Certified Outpatient Coder (Required)
Ability to Commute:
- Augusta, GA 30901 (Required)
Ability to Relocate:
- Augusta, GA 30901: Relocate before starting work (Required)
Work Location: In person