Medical Coding/Billing Specialist - Educational Health Center of Wyoming

University of Wyoming • Laramie, WY

44d • Remote

About The Position

Promote continuity of medical care and ensure compliance with third-party reimbursement policies, regulations and accreditation guidelines. Perform tasks related to provider services to include edit reviews and claim resolution.

Requirements

• High School/GED
• 2 years related experience in healthcare setting
• Certified Professional Biller (CPB) or Certified Professional Coder (CPC)
• Attention to Detail
• Consistency
• Service Orientation
• Teamwork
• Analysis/Problem Identification
• Technical/Professional Knowledge

Nice To Haves

• Experience with billing in a Federal Qualified Health Center (FQHC) or Rural Health Clinic (RHC)
• Work independently and confidently to accomplish daily tasks
• Experience with interpreting Explanation of Benefits (EOB)s
• Demonstrate ability to meet and maintain department productivity and quality standards
• Demonstrate ability to accurately code medical records for evaluation and management services, ancillary services, diagnoses for insurance purposes.
• Demonstrate experience with medical coding and modifiers.
• Demonstrate ability to communicate effectively both verbally and in writing.
• Demonstrate proficiency with computer skills necessary to complete job duties and must have strong knowledge of computerized billing system in EMR as well as Microsoft Office products: Word, Excel, Teams.

Responsibilities

• Audit information about procedures performed and diagnosis on charge.
• Provide coding and documentation education for clinical staff.
• Responsible for Athena worklists applied to medical necessity and/or coding denials.
• Complete coding assignments following coding and reimbursement guidelines.
• Assign or review ICD-10 diagnosis and CPT/HCPCS codes with appropriate modifiers and accuracy according to payer policies and regulatory requirements.
• Review and enter charges based on documentation in the record.
• Review claims, edit work queues, determine the corrective action necessary to resolve claims and complete accurate, timely and compliant billing.
• Resubmit claims as a daily task.
• Submit claims to the patient’s secondary insurance (including the primary carrier’s EOB) after receiving the correct payment from the primary carrier.
• File UB-94 and HCFA 1500 claim forms to insurance.
• Perform miscellaneous job-related duties as assigned.
• Participate in performance-related goal setting and achievement to meet personal and organizational goals and objectives.
• Attend and participate in training and other personal professional development activity.

Benefits

• Generous Retirement Contributions: The State contributes 14.94% of your gross salary, and you contribute 3.68%, totaling 18.62% toward your retirement plan.
• Exceptional Health & Prescription Coverage: Enjoy access to medical, dental, and vision insurance with competitive employer contributions, that include 4 deductible options to suit your needs.
• Paid Time Off: Benefit from ample vacation, sick leave, paid holidays, and paid winter closure.
• Tuition Waiver: Employees and eligible dependents can take advantage of tuition waivers, supporting continuous education and professional growth.
• Wellness and Employee Assistance Programs: Stay healthy with wellness initiatives, counseling services, and mental health resources.

What This Job Offers

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