Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.
Summary
Reviews and completes the medical coding and pricing of the Allocation Worksheets and Calculation spreadsheets prepared by the Analysts.
Essential Duties and Functions
- Supports the preparation and review of the Allocation worksheet.
- Prices DME, facility & medical procedures and surgeries and prescription medications.
- Analyze and interpret Allocation worksheet to ensure accurate coding of diagnoses, procedures and services.
- Apply appropriate ICD-10-CM, CPT, and fee schedules based on coding guidelines.
- Enters the appropriate medical procedure code, NDC prescription drug code and price in the Case Management System.
- Strictly adhere to company confidentiality policies and procedures, safeguarding sensitive information at all times.
- Any other duties as may be assigned.
Qualifications/ Requirements
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.
Required Qualifications
- CPT, ICD-10, HCPCS coding, and a working knowledge of NDC codes – minimum 2 years of experience
- Workers’ Compensation or Liability experience working with multiple jurisdictions
- Working knowledge of the Medicare system, remittance and reimbursement policies
- Strong knowledge of anatomy/physiology
- Strong mathematics skills
- Strong excel skills
Preferred Qualifications
- Experience coding and billing Orthopedic and Pain Management procedures and surgeries
Preferred Certificates or Licenses
- Certified Professional Coder and/ or Certified Professional Biller
Teammate Benefits & Total Well-Being
We go beyond standard benefits, focusing on the total well-being of our teammates, including:
- Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
- Financial Benefits: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement
- Mental Health & Wellness: Free Mental Health & Enhanced Advocacy Services
- Beyond Benefits: Paid Time Off, Holidays, Preferred Partner Discounts and more.
Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations.
The Power To Be Yourself
As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”.
