Job description

Contributes to the company by accurately billing all diagnosis and procedures from the medical record with proper ICD-10 and CPT codes. The certified outpatient coder is responsible for daily charges, preparing, and submitting claims to third party payers. Duties include:

• Assign diagnosis and procedure codes for each case utilizing currently accepted structures while adhering to guidelines for correct assignment of codes.
• Submits insurance and patient bills
• Transmits claims electronically or mails out paper claims within 48-72 hours
• Maintains charge entry flow on a daily basis
• Applies contractual adjustments and other adjustments for managed care contracted patients
• Monitors logs to make sure claims are submitted and received properly
• Corrects rejected claims and re-bills in a timely manner
• Follows-up with insurance companies to ensure receipt of bills within 28 days
• Generates patient statements as required and makes financial arrangements with patients
• Posts refunds to accounts once a check is generated and read for mailing
• Ensures computer profiles and charges are set up, and enters concise and accurate notes in the "comments" section of the patient account in a timely manner.
• Informs the Business Office Manager of all problems in a timely manner.
• Performs quality audits
• Verifies that all supplies are correctly captured and billed
• Ensures that all scheduled or performed cases are accounted for and billed
• Documents all phone calls in in the appropriate patient accounts
• Maintains daily communication with Business manager to ensure all supplies are captured and billed appropriately
• Proactively prioritizes needs and effectively manages resources and time
• Communicates clearly, concisely and professionally
• Demonstrates ability to critically evaluate and act upon information
• Establishes long-term patient relationships, building trust and respect by consistently exceeding expectations
• Identifies issues, problems, and opportunities; compares data from different sources to draw conclusions' uses effective approaches for choosing a course of action
• Actively participates as a member of the Center's team to move the team toward the completion of goals
• Articulates knowledge and understanding of organizational policies, procedures, and systems
• Demonstrates proficiency in Microsoft Office applications and other systems required
• Knowledge of ICD-10, CPT, HCPCS coding and medical terminology Knowledge of third party billing practices, insurance companies, contracts and copays. knowledge of and skill in using automated billing systems

Qualifications for Medical Coder

• Certification in medical coding - Certified Outpatient Coder with orthopedic coding experience preferred.
• Strong knowledge of anatomy, physiology and medical terminology
• Excellent typing and 10-key speed and accuracy
• Commitment to a high level of attention to detail
• Familiarity with ICD-10 codes, HCPCS, and CPT
• Solid oral and written communication skills
• Able to work independently

Job Type: Full-time

Pay: $20.00 - $24.00 per hour

Benefits:

• 401(k) matching
• Disability insurance
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

COVID-19 considerations:
All staff is required to be fully vaccinated for COVID-19. All staff is also required to wear a mask while in the building.

Ability to commute/relocate:

• Poughkeepsie, NY 12601: Reliably commute or planning to relocate before starting work (Required)

Experience:

• CPT and ICD-10: 2 years (Preferred)

Work Location: One location

offroadmanagementgroup.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, offroadmanagementgroup.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, offroadmanagementgroup.com is the ideal place to find your next job.