Key Facts

Remote From:

Full time

Mid-level (2-5 years)

English

Hard Skills

ICD 503 Cppunit Medical Coding Revenue Management Medical Record Management Medical Abbreviations Regulatory Compliance Medicare Medicaid Waiver Medical Coding Claims And Litigation Management Medical Billing Process Improvement Billing Electronic Health Record Applications Mammography Cross-Functional Collaboration

Other Skills

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Quality Assurance
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Communication
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Leadership
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Team Management
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Detail Oriented
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Mentorship
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Problem Solving

Roles & Responsibilities

Certification as CCS, RHIT, or RHIA; CPC-P or CPC certification required (AAPC).
Minimum of 2 years of medical coding experience, with a focus on OBGYN coding.
In-depth knowledge of ICD-10-CM, CPT, HCPCS coding systems, and medical terminology.
Prior experience in lab billing, genetic testing, cancer screening, and mammography is preferred.

Requirements:

Review medical records to identify diagnoses and procedures.
Code medical records accurately and timely using ICD-10-CM, CPT, and HCPCS codes.
Ensure compliance with federal and state regulations, payer guidelines (including Medicare and Medicaid) and company policies.
Collaborate with OBGYN physicians, providers, nurses, and administrative staff to ensure accurate coding and billing.

Job description

Advantia is seeking a Certified Professional Coder to join our team! The ideal candidate will have a strong background in medical coding, attention to detail, and the ability to lead and mentor a team of Medical Billers. This role is critical in ensuring accurate and efficient coding practices, compliance with regulatory standards, and optimizing revenue cycle processes. The ideal candidate for this role will have subspeciality experience in obstetrics, gynecology, lab billing, genetic testing, cancer screening, and mammography.

Job Responsibilities:

Review Medical Records to identify diagnoses/procedures.
Perform accurate and timely coding of medical records using ICD-10-CM, CPT, and HCPCS codes.
Ensure compliance with federal and state regulations, payer guidelines, including Medicare and Medicaid guidelines and company policies.
Act as a liaison between the coding team and other departments, such as billing, compliance.
Work closely with OBGYN physicians, advanced practice providers, nurses, and administrative staff to ensure accurate coding and billing.
Track and request outstanding claims for assigned departments / facilities.
Implement best practices and innovative solutions to enhance coding operations.

Qualifications:

High School/GED Education required
Prior experience in lab billing, genetic testing, cancer screening, and mammography is preferred.
This position requires certification as a Certified Coding Specialist (CCS) or Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).
CPC-P or CPC certification is required (AAPC)
Certification in OBGYN coding (COBGC) preferred.
Minimum of 2 years of medical coding experience, with a focus on OBGYN coding.
In-depth knowledge of ICD-10-CM, CPT, HCPCS coding systems, and medical terminology.
Proficiency in electronic health records and billing software preferred.

Benefits & Compensation:

Health, Dental, and Vision Insurance
Health Savings Account (HSA) and Flexible Savings Account (FSA) Option
401k Retirement Plan
Life and Disability Insurances
Paid holidays/PTO

Please note: Advantia Health is dedicated to providing unparalleled healthcare to our customers by employing the most highly-qualified individuals. If you are selected for further consideration, you will be subject to a background investigation. COVID-19 and Flu vaccination or an approved request for accommodation is required as a condition of employment.

Advantia Health is an Equal Opportunity Employer that is committed to global diversity: It is a place where good people want to work, and customers want to continue to engage EOE M/F/D/V.

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