CPC Coder and A/R Billing Specialist

OnPoint Medical Group is searching for an outstanding CPC Coder and A/R Specialist to join our team! Come join a great group of medical professionals as our network continues to grow!

OnPoint Medical Group is a physician-led network of skilled Primary and Urgent care providers who are committed to expanding access to quality healthcare in the most effective and affordable manner possible.

Our "Circle of Care" has one primary goal – to ensure the health and wellness of members and their families. We do this by providing access to a comprehensive menu of medical services from one unified physician group in their neighborhoods. With doctors, nurses, specialists, labs and medical records all interlinked and coordinated, patient care has never been in better hands.

SUMMARY

Under the direction of the coding manager and revenue cycle management team, performs various duties to accurately interpret documentation and ensure correct CPT, ICD10 and HCPCS codes are billed.

ESSENTIAL DUTIES AND RESPONSIBILITIES
The following statements are illustrative of the essential duties of the job and do not include other non-essential or peripheral duties that may be required. We retain the right to modify or change the essential and additional functions of the job at any time.

1. Accounts Receivable

• Working directly with the insurance company, healthcare provider, to ensure correct coding initiatives are followed
• Review of documentation per request of billing staff to resolve coding denials

2. Coding

• Ability to review medical charts and code charges accurately, communicate with provider for clarification of codes billed vs documentation
• Follow company initiatives to bill codes to the highest level of specificity

3. Productivity

• Submission of at least 100 claims per day
• Report missing slips to practice manager at least 2 times per week

4. Policies

• Work within guidance of Billing Compliance Plan
• Work within Local, State and Federal Billing Guidelines
• Work within the contracted Payer Contracted Guidelines
• Work within the Work from Home guidelines if applicable

5.Maintain and follow strict privacy, confidentiality, and safety protocols. Comply with all government regulations around the following:

• HIPAA
• OSHA
• PCI DSS
  6.Other Administrative Duties
• Maintain a clean and organized work environment
  
  

QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required for this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Minimum Education/Experience

• High School Diploma or High School Equivalency
• Strong computer skills required
• 5 years healthcare experience
• 2 years coding/billing experience
• CPC Certification

Preferred Education/Experience

• Some college – medical, business, accounting focus
• Bilingual
• EMR experience preferred – Athenahealth practice management system
• Certified coder, and/or 5 years experience billing, coding, or high level of insurance knowledge

SUPERVISORY RESPONSIBILITIES
This position does not have any supervisory responsibilities

JOB ELEMENTS/WORKING CONDITIONS

• While performing the duties of this job, the employee is regularly required to stand; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear.
• Occasionally required to walk; sit; and stoop, kneel, crouch, or crawl.
• Frequently lift and/or move up to 10 pounds and occasionally lift and/or move more than 25 pounds.
• Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus.

WORK ENVIRONMENT
The above statements describe the general nature and level of work performed by people assigned to this classification. They are not an exhaustive list of all responsibilities, duties and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.

Benefits Offered:

• Health insurance plan options for you and your dependents

• Dental, and Vision, for you and your qualified dependents

• Company Paid life insurance

• Voluntary options for short-term disability, and long-term disability coverage

• AFLAC Plans

• Eligible for 401(k) after 6 months of employment with a 4% match that vests immediately

• PTO accrued

Salary: $26 - $31 / hour

The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role.

OnPoint Medical Group is an EEO Employer.

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