Coding Specialist

Gastro Health • Miami, FL

1d

About The Position

About Coding Specialist Position Do you love to care for patients in a warm and welcoming environment? Gastro Health is currently looking for an enthusiastic full-time Coding Specialist to join our team! Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours – and we enjoy paid holidays per year plus paid time off. In this role, the you will work closely with Manager, Coding Operations and management team. The Team Lead will ensure that the company core values are being met. Job Description Drop claims for office, hospital, nutrition, pathology, biologics, imaging, pediatricians, anesthesia, and endoscopy center for accurate processing by payers Review medical documentation from EMR and hospital systems for accurate coding and billing to insurance companies Apply current billing and coding guidelines Evaluate that charges provided by the physicians support the level being billed based on the documentation Prepare claims with necessary fields for processing, such as linking authorizations to charges, code blood work, and assigning appropriate modifiers as needed Provide feedback to office managers and physicians regarding clinical documentation to ensure compliance with coding guidelines and reimbursement reporting requirements Manage claims for auditing purposes, including placing them on hold and billing once the process is complete Email office managers and physicians where updates are needed to operative reports

Requirements

• High School Diploma or GED equivalent
• Must have CPC or equivalent certification
• Extensive knowledge of patient registration, coding, billing, regulatory requirements, billing compliance, business operations, financial systems and financial reporting.
• Certified coder AAPC or AHIMA
• Excellent communication skills both verbal and written.
• Able to analyze data and quickly identify process-based issues for remediation.
• Maintains confidentiality in all matters that include Patient Health Information and employee data.
• Hands-on participation in process/workflow design including team member involvement across the department.
• Intermediate experience with Microsoft Excel and Office products is required.
• Target Oriented and Coding team resolution mindset

Nice To Haves

• Prior experience collaborating with a remote team is highly preferred.

Responsibilities

• Drop claims for office, hospital, nutrition, pathology, biologics, imaging, pediatricians, anesthesia, and endoscopy center for accurate processing by payers
• Review medical documentation from EMR and hospital systems for accurate coding and billing to insurance companies
• Apply current billing and coding guidelines
• Evaluate that charges provided by the physicians support the level being billed based on the documentation
• Prepare claims with necessary fields for processing, such as linking authorizations to charges, code blood work, and assigning appropriate modifiers as needed
• Provide feedback to office managers and physicians regarding clinical documentation to ensure compliance with coding guidelines and reimbursement reporting requirements
• Manage claims for auditing purposes, including placing them on hold and billing once the process is complete
• Email office managers and physicians where updates are needed to operative reports

Benefits

• competitive compensation
• 401(k) retirement plans
• Profit-Sharing
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance
• Disability insurance
• Pet insurance
• Cigna healthcare, dental, vision, life insurance, 401k, profit-sharing, short & long-term disability, HSA, FSA, and PTO plus 7 paid holidays

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED