Coding and Reimbursement Specialist
About The Position
The Coding and Reimbursement Specialist is responsible for reviewing, auditing, and coding medical records for the purpose of reimbursement, training, education and compliance. Location: Hybrid: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.
Requirements
- Requires a H.S. diploma or equivalent and minimum of 2 years of experience; or any combination of education and experience, which would provide an equivalent background.
- Certified Medical Code (CPC or CCS-P) required.
Nice To Haves
- Claims processing experience preferred.
- Knowledge of medical terminology and anatomy strongly preferred.
Responsibilities
- Audits and reviews medical documentation for appropriate ICD-9 and CPT coding and documentation.
- Queries physicians when code assignments are not straightforward or documentation is unclear.
- Trains and educates others on coding documentation, claim payment guidelines, and related issues.
- Reviews CPT and ICD-9 codes quarterly for accuracy and implements changes.
- Assists physicians and operational staff with questions and problems related to coding, documentation and billing guidelines.
- Serves as a resource to reimbursement operations.
Benefits
- We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Industry
Insurance Carriers and Related Activities
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
