Offer summary

Qualifications:

High school diploma or GED required., 3+ years of experience in healthcare billing/coding., Professional Billing Coding certification (CPC, CCS-P) required., Knowledge of CPT, ICD-10, HCPCS, and CDT codes. .

Key responsibilities:

Review hospital data and assign medical billing codes.

Travel to hospitals to collect physician encounter data.

Provide positive customer service and maintain compliance with HIPAA.

Perform coding audits and work on insurance denials as needed.

Job description

*This will be a remote position, but must be willing to train for 2-3 weeks on site at the Pea Ridge Business Center in Huntington, WV*

Job Summary: Reviews hospital data, assigns medical billing codes, reviews patient accounts for services rendered to ensure accurate and prompt reimbursement.

Essential Duties and Responsibilities:

• Travel to hospitals to pick up physician encounter data.

• Reviews hospital service data to assign ICD-10, CPT, and HCPCS codes for billing.

• Reviews patient demographic and financial information in the practice management system to ensure accurate and prompt reimbursement.

• Develops and maintains professional skills and knowledge through attendance at relevant conferences, seminars and other educational programs, participation in professional organizations and review of current literature.

• Contributes to the teamwork within and between departments and organizations that support VHS operations.

• Provides positive and effective customer service that supports departmental operations.

• May perform coding audits as assigned.

• Work insurance denials based on diagnosis code – determine charge resolution as appropriate

• Conveys a professional and positive image and attitude regarding the health center and organization.

• Develops good rapport with staff.

• Maintain compliance with the organization’s confidentiality policy in accordance to the Health Insurance Portability and Accountability Act (HIPAA).

• Maintain compliance with all company policies and procedures

• Other duties as assigned.

Education and/or Work Experience Requirements:

• Knowledge of medical coding and billing national standards

• Knowledge of payer medical coding and billing requirements

• Knowledge of CPT, ICD-10, HCPCS, and CDT codes and ability to accurately assign the codes

• Ability to use Microsoft Office products

• Ability to analyze information

• Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers

• Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service

• Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices

• High school diploma or GED required

• 3+ years experience in healthcare billing/coding experience

• Professional Billing Coding certification (CPC, CCS-P) required

Physical Requirements/Working Conditions:

• Work is repetitive in nature and requires concentration and constant technical attention to accuracy and detail for extended periods of time.

• Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards.

• Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards

• Must be able to talk, listen and speak clearly on telephone

Required profile