Certified Medical Coder

OSWaukesha, WI
Hybrid

About The Position

We are seeking a Certified Medical Coder who has back end denial coding and revenue cycle receivables experience. This experience is a must-have. The ideal candidate is detail-oriented, adaptable, and committed to excellence in revenue cycle operations. This role is ideal for someone who takes ownership of their work, enjoys problem-solving, and is motivated to continuously grow their expertise in medical coding and reimbursement. At OS Inc., our core values drive how we work and grow. We are building a team of dedicated professionals who are passionate about mastering medical claims, improving revenue cycle performance, and delivering exceptional results for our clients.

Requirements

  • Experience in back-end medical coding and denials.
  • Demonstrated experience in the receivables side of revenue cycle.
  • Background in hospital and clinic coding environments
  • Current coding certification from AHIMA or AAPC , such as: RHIA, RHIT, CCS, CCS-P (AHIMA) CPC, COC, CIC (AAPC)
  • Strong technical proficiency, including Excel, Outlook, and Microsoft Teams
  • Excellent organizational and time management skills
  • Ability to manage a high-volume workload in a fast-paced environment
  • Solid understanding of HIPAA and patient confidentiality standards
  • Commitment to accuracy, quality, and productivity
  • Interest in revenue cycle operations and continuous learning
  • Comfortable working in a fully paperless environment

Responsibilities

  • Review and resolve back end revenue cycle coding-related denials using strong back-end coding and insurance follow up knowledge
  • Analyze explanation of benefits (EOBs) and follow through on discrepancies to resolution
  • Prepare and submit appeals as needed
  • Identify, report, and help resolve coding and reimbursement issues in collaboration with leadership and revenue cycle teams
  • Recommend process improvements to reduce denials and optimize revenue
  • Assign and/or verify CPT, HCPCS, ICD-10-CM, and ICD-10-PCS codes , including appropriate modifiers
  • Sequence diagnoses and procedures according to official coding guidelines
  • Deliver high-quality service to clients and stakeholders
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