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Billing & Certified Coding Specialist II- Remote
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Job Description
- Req#: JR83963
Employer Industry: Healthcare Organization
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a positive impact on patient care and billing accuracy
- Engaging in continuous professional development through education and training programs
- Work with a dedicated team of healthcare professionals committed to improving patient outcomes
What to Expect (Job Responsibilities):
- Review and code denied professional services for accurate CPT, ICD-9, ICD-10, HCPCS, and Modifier usage
- Analyze rejected claims and patient inquiries, recommending appropriate coding corrections
- Monitor accounts receivable (A/R) days and identify denial trends for management reporting
- Establish relationships with third-party payor representatives to resolve claims issues
- Participate in departmental meetings to discuss coding denials and education
What is Required (Qualifications):
- High School diploma or equivalent
- CP (Certified Professional Coder through AAPC), CPC-A (Certified Professional Coder - Apprentice through AAPC), or CCS-P (Certified Coding Specialist Physician Based through AHIMA) certification
- 2 - 3 years of experience in billing, coding, or denial management
- Strong organizational skills and ability to work independently
- Excellent judgment and problem-solving abilities
How to Stand Out (Preferred Qualifications):
- Familiarity with CMS guidelines, quarterly CCI Edits, and Medicare Bulletins
- Experience in a healthcare-related coding or billing environment
- Strong communication skills and ability to collaborate effectively with team members
#Healthcare #Coding #Billing #CareerDevelopment #Teamwork #PatientCare
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