Medical Billing and Coding Associate II

DocGo•New York, NY

3d•$27 - $32•Onsite

About The Position

We are seeking a skilled and detail-oriented Medical Billing and Coding Associate II with a primary focus on medical billing and coding to join our team. The ideal candidate will possess expertise in medical coding, including ICD-10, CPT, and HCPCS coding systems, and will play a vital role in ensuring accurate coding and billing practices.

Requirements

Minimum of 2 years of experience in medical coding, with a focus on ICD-10, CPT, and HCPCS coding systems.
Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or equivalent coding certification preferred.
Proficiency in medical terminology, anatomy, and physiology.
Strong understanding of healthcare reimbursement methodologies and regulatory requirements.
Excellent attention to detail and accuracy in code assignment.
Effective communication and interpersonal skills, with the ability to collaborate with multidisciplinary teams.
Proficiency in coding software and electronic health record (EHR) systems.
Minimum of 2-3 years billing follow-up experience with a high-volume practice or clinic, ambulance experience preferred.
Excellent organizational skills and the ability to multitask in a fast-paced environment.
Analytical - collects and researches data; uses intuition and experience to complement data.
Excellent Follow-up skills including appeals/reconsiderations.
Familiarity with Microsoft Office Suite.

Nice To Haves

Working knowledge of AthenaOne

Responsibilities

Medical Coding Assign appropriate ICD-10, CPT, and HCPCS codes to diagnoses, procedures, and services rendered by healthcare providers.
Review medical records and documentation to accurately assign codes and ensure compliance with coding guidelines and regulations.
Conduct regular audits to identify coding errors and discrepancies and implement corrective measures as needed.
Documentation Improvement: Provide feedback and education to healthcare providers and staff on documentation improvement opportunities to support accurate coding and billing practices.
Stay updated on changes in coding guidelines, regulations, and reimbursement policies and communicate updates to relevant stakeholders.
Quality Assurance: Perform quality assurance reviews of coded medical records to ensure compliance with coding standards and accuracy in code assignment.
Collaborate with compliance and auditing teams to address coding-related issues and implement best practices for quality improvement.
Contact payers to verify claim status via phone or web and follow up on unpaid claims.
Process appeals on aged insurance claims/denials.
Ability to analyze, identify and resolve issues which may cause payer payment delays.
Identify and resolve claim edits through understanding of billing guidelines and payer requirements.
Reconcile commercial and government accounts, ensuring CPT and diagnostic codes are accurate.
Interpret terms for Managed Care, Commercial, Medicare, Medicaid when applicable.
Review all EOBs for correct payment, deductible, adjustments, and denials.
Determining the status of claims with the insurance company, if the claim meets contractual agreements or needs adjustment.
Reconcile account balances, and verify payments are applied correctly.
Maintain well aged accounts, promptly resolve and resubmit denied unpaid claims in a timely and efficient manner.
Follow up on appeals/corrected submitted claims.
Review and correct billing errors, which require a strong knowledge of CPT and ICD-10 coding.
Review and audit customer service account inquiries.
Receive inbound/outbound customer service calls, provide excellent customer service to all patients, insurances & facilities.
Review and correct all rejections in clearing house.
Other: Other tasks as assigned