Gastro Health

Gastro Health is a large, diverse group of professionals dedicated to digestive health. Visit us at GastroHealth.com

Coding Specialist

Medical Billing and CodingMedical Billing and CodingFull TimeRemoteTeam 1,001-5,000H1B No SponsorCompany SiteLinkedIn

Location

Florida

Posted

19 days ago

Salary

Not specified

High SchoolEnglish

Job Description

• Drop claims for office, hospital, nutrition, pathology, biologics, imaging, pediatricians, anesthesia, and endoscopy center for accurate processing by payers • Review medical documentation from EMR and hospital systems for accurate coding and billing to insurance companies • Apply current billing and coding guidelines • Evaluate that charges provided by the physicians support the level being billed based on the documentation • Prepare claims with necessary fields for processing, such as linking authorizations to charges, code blood work, and assigning appropriate modifiers as needed • Provide feedback to office managers and physicians regarding clinical documentation to ensure compliance with coding guidelines and reimbursement reporting requirements • Manage claims for auditing purposes, including placing them on hold and billing once the process is complete • Email office managers and physicians where updates are needed to operative reports

Job Requirements

  • High School Diploma or GED equivalent
  • Must have CPC or equivalent certification
  • Extensive knowledge of patient registration, coding, billing, regulatory requirements, billing compliance, business operations, financial systems and financial reporting.
  • Certified coder AAPC or AHIMA
  • Excellent communication skills both verbal and written.
  • Able to analyze data and quickly identify process-based issues for remediation.
  • Maintains confidentiality in all matters that include Patient Health Information and employee data.
  • Hands-on participation in process/workflow design including team member involvement across the department.
  • Intermediate experience with Microsoft Excel and Office products is required.
  • Target Oriented and Coding team resolution mindset
  • Prior experience collaborating with a remote team is highly preferred.

Benefits

  • paid holidays per year plus paid time off
  • comprehensive benefits package to our eligible employees, which includes: Cigna healthcare, dental, vision, life insurance, 401k, profit-sharing, short & long-term disability, HSA, FSA, and PTO plus 7 paid holidays

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