Medical Billing Specialist Full Time, Gowanda, NY

Job Summary:

Recovery Options Made Easy (ROME) is currently seeking a Medical Coding/Accounting Specialist to join our growing team! Our Agency is an established and growing organization in Western New York that specializes in providing mental health services to individuals and families via telehealth, in-person, or in-home. We are currently looking for a passionate and dedicated Coding Specialist to join our team. The Coding Specialist is responsible for performing necessary preparation for billing, coding and clerical duties to ensure accurate management of the practice account receivables. The Coding Specialist will work with a team to conduct a variety of daily tasks, including preparing clean and timely document for claim submissions, maintaining precise data, and collaborating with our billing to team obtain payment.

Qualifications for Medical Coder

• MUST HAVE: High School diploma or equivalent and Medical Coding Certification
• Associates’ Degree in Medical coding or successful completion of a certification program
• 2 years (minimum) of medical billing experience, working with a billing agency or provider’s office

• Preferred AHIMA Certified or AAPC certified
• Familiarity with ICD-9 codes and procedures
• Must have experience with EMS or other EMR systems

• Commitment to a high level of customer service
• Solid oral and written communication skills
• Working knowledge of medical terminology and mental health preferred

• Must have capabilities to work independently and remotely.
• Must have excellent communication and organizational skills and be familiar with working in a fast-paced environment
• Must be able to analyze processes and conceptualize solutions
• Strong proficiency with MS Office products and advanced Excel skills

Essential Duties and Responsibilities include the following

• Monitor the accuracy of documents for claim submission
• Verify ICD-10 / CPT coding for accuracy and make adjustments as needed
• Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations
• Credential staff with appropriate agencies
• Follow up with the provider on any documentation that is insufficient or unclear
• Perform special projects/reports and other duties as requested

• Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes
• Communicate with billing department for accurate submissions and open claims
• Monitor and identify status of outstanding accounts
• Receive and review participant PHI and documents for accuracy
• Review the previous day's data of participant notes for evaluation and coding

The Americans with Disabilities Act of 1990 (ADA) prohibits discrimination by employers, in compensation and employment opportunities, against qualified individuals with disabilities who, with our without reasonable accommodation, can perform the “essential functions” of a job. A function may be essential for any of several reasons, including: the job exists to perform that function, the employee holding the job was hired for his/her expertise in performing the function, or only a limited number of employees are available to perform that function.

Recovery Options Made Easy, is committed to equal opportunity for all, without regard to race, religion, color, national origin, citizenship, sex, sexual orientation, gender identity, age, veteran status, disability, genetic information, or any other protected characteristic. Recovery Options Made Easy will make reasonable accommodations for known physical or mental limitations of otherwise qualified employees and applicants with disabilities unless the accommodation would impose an undue hardship on the operation of our business. If you are interested in applying for an employment opportunity and feel you need a reasonable accommodation pursuant to the ADA, please contact Colleen Hutchinson at Recovery Options Made Easy..