What are the responsibilities and job description for the Certified Medical Coding Specialist position at Metro Inclusive Health?
Job Description
Job Description
One of the Bay area’s best non-profit employers is seeking to add a Certified Medical Coding Specialist. Now is your chance to make a difference in your dream job! We are a mid-size company with less than 300 employees.
At Metro Inclusive Health, employees enjoy their mission to serve others in a truly inclusive workplace that values work and life balance and every individual. We offer :
Vacation time - 14 days to start! Sick time of 9 days
Day shift and no weekends
Excellent pay
Bonuses
Generous retirement plan with 5-7% company match
Medical Insurance, vision and dental insurance
9 Company Paid Holidays
Free Short- and long-term disability insurance
Education benefits
Pet benefits
Casual dress code
This is an in office position, it can be based in Hillsborough, Pasco or Pinellas county.
Statement of Purpose : This position is accountable for all steps in the billing process including processing medical claim information through data-entry in the EMR, and researching and correcting data entry errors using eClinicalWorks. This position uses knowledge of CPT and ICD-10 codes to determine the appropriate order and combination of alpha, numeric or symbolic data to ensure accuracy in entering medical claim information. This position is in a primary care and behavioral health social service setting with specialized LGBTQ care and services.
Primary Tasks / Responsibilities :
- Translating medical procedures into codes that can be translated by payers, other medical coders, and other medical facilities
- Review claims data to ensure that assigned codes meet required legal and insurance rules, and that required signatures and authorizations are in place prior to submission
- Reviewing and appealing denied and unpaid claims
- Monitoring and updating patient AR balances
- Scrubbing of claims – approx. 200 claims per day.
- Tracking and updating the Aging Report and working patient accounts for accuracy.
- Manage the program for high-quality, timely coding of diagnoses and procedures for medical outpatient and Behavioral Health accounts, using ICD-10, CPT-4, and HCPCS coding classification systems, to meet billing system requirements
- Work closely with physicians, technicians, insurance companies, and other integral parties to uncover and discuss coding analysis results
- Retrieve and collect physician background info from various resources for reporting
- Analyze medical workman comp claims by identifying issues, events, diagnoses, and procedures that resulted in the action
- Prepare summaries and assign the appropriate codes that apply
- Review claims to formulate a synopsis of facts and collaborate with claims examiners regarding the synopsis as needed
- Make corrections to draft reports sent for physician review and submit approved reports to management in a timely fashion
- Interact with claims staff, attorneys, and physicians regarding reports on an as-needed basis
- Working patient collections to reduce AR as assigned
- Assisting with Front Office coverage as needed on a limited basis.
- Other duties as assigned or needed
Education / Professional :
Knowledge, Skills and Competencies Required :
Requirements :
