firstPRO 360 is assisting our client, a growing medical practice in the Sandy Springs area in a search for a qualified Medical Coding Specialist. In this role, you will analyze data, evaluate information, and exercise sound judgment while coding patient services and charges into the EMR system and generating patient invoices. The ideal candidate will have strong written and verbal communication skills, as the position involves regular interaction with clients, insurance representatives, and patients.
DUTIES
- HIPAA and OSHA compliant.
- Translate patient information and alphanumeric medical code entries.
- Electronic “clean” claims submissions to Insurance Carriers.
- Collect, post, and manage patient account payments.
- Analyzing and correcting coding errors.
- Ensure healthcare facilities are reimbursed for all procedures.
- Follow Up on accepted or denied claims.
- Review denied claims for denial reasons and provide resolution.
- Investigate insurance fraud and report if found.
- Collect information regarding patient treatments, diagnosis, and related procedures to ensure proper coding.
- Qualifications:
- A minimum of 2 years’ experience as a Medical Coder .
- Knowledge of unfair debt collection practices and insurance guidelines.
- Understanding of primary code classifications: ICD-10 CM, ICD-10-PCS, CPT, and HCPCS
- Computer proficiency and medical billing software
- Must have the ability to multitask and manage time effectively.
- Excellent written and verbal communication skills.
- Outstanding problem-solving and organizational abilities.
- Productivity Driven.
EDUCATION
- High School, Associate Degree or 1-3 years of Billing and Coding experience
- Professional Certification preferred
