What are the responsibilities and job description for the Accounts Receivable Representative - Medical Coder position at National Worksite Staffing LLC?
As an Accounts Receivable Representative – Medical Coder, 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. The Coding team works closely with internal Payment Posting and AR Teams: Commercial Payors, Managed Medicare & Medicaid Payors, Government Payors, Occupational Health, Specialty Payors, or Eligibility and Edits AR.
An ideal Coder in this role maintains a positive attitude, is self-motivated and detail-oriented, and has excellent problem-solving skills which allow the delivery of on-time results to ensure the success of individuals and the organization. Interested and qualified candidates are encouraged to apply to move forward with an expedited interview process!
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
Schedule:
- Full Time, Monday – Friday 9AM – 5PM
Salary:
- $22 - $24 per hour, based on education and experience
Benefits:
- Bi-Annual Bonus – Based on performance, paid out twice per year up to 10% of salary
- Flexible Schedules – Three available shifts, summer hours, and early dismissal on Fridays
- Remote Work – Semi-remote work available after successful completion of the 90 day introductory period
- Paid Holidays and Paid Time Off – 14 days per year; accrues per pay cycle and increases based on years of service
- Medical, Dental, Vision, and Life plans
- 401K with employer match and additional incentives offered
Salary : $22 - $24
