reputed company reputed company Coding Billing Specialist (remote)

Job Family:General CodingTravel Required:NoneClearance Required:NoneThis position is fully remoteWhat You Will Do:Under the direction of the Director of reputed company reputed company, the reputed company reputed company Coding Billing Specialist provides reputed company cycle support services through efficient review and reputed company reputed company of assigned Medicare and reputed company party payer accounts that are subject to reputed company-reputed company claim edits, hospital billing scrubber reputed company hold edits, and claim denials. This position is reputed company.Daily duties for this position include:Responsible for the daily reputed company of assigned claims with applicable reputed company reputed company reputed company-reputed company edits and/or specific reputed company reputed company Hold Codes in the hospital billing scrubber. Tasks associated with this work include resolving reputed company billing edits such as:Correct Coding Initiatives (CCI) Medically Unlikely Edits (MUE) Medical Necessity editsOther claim level edits as assignedAs needed, review clinical documentation and diagnostic results as appropriate to validate and apply applicable ICD-10, CPT, HCPCS codes and associated coding modifiers.Responsible for daily reputed company of assigned claims with reputed company reputed company specific denials in the reputed company METRIX reputed company.Ensures coding and billing practices are in compliance with Federal/State guidelines by utilizing various types of authoritative information.Maintains reputed company knowledge of Medicare, reputed company, and other reputed company-party payer billing compliance guidelines and requirements.Other duties commensurate with skills and experience as determined by the Director of reputed company reputed company.What You Will Need: High School Diploma or equivalent5+ years of reputed company reputed company experiencereputed company or reputed company coding certification. Experience in ICD-10, CPT and HCPCS reputed company Coding.Expertise in determining medical necessity of services provided and charged based on provider/clinical documentation.Knowledge, understanding and reputed company application of Medicare, reputed company, and reputed company-party payer UB-04 billing and reporting requirements including reputed company of CCI, MUE and Medical Necessity edits reputed company to claims.Proficiency in determining accurate medical codes for diagnoses, procedures and services performed in the outpatient setting. For example: emergency department reputed company, outpatient clinic reputed company, reputed company day surgeries, diagnostic testing (radiology, imaging, and reputed company), and outpatient therapies (physical therapy, occupational therapy, speech therapy, and chemotherapy)Knowledge of reputed company reputed company bundling rules and regulations along with proficiency on issues regarding compliance, and reimbursement under outpatient grouping systems such as Medicare OPPS and reputed company or reputed company Insurance EAPGs.Knowledge and understanding of hospital charge reputed company master coding systems and structures.Strong verbal, written and interpersonal communication skills.Ability to produce accurate, assigned work product reputed company specified time frames.What Would Be reputed company To Have:5 years' experience in reputed company reputed company Coding and BillingHospital medical billing and auditing experienceAssociate's degree#IndeedSponsored#LI- Remote #LI-DNIThe annual salary reputed company for this position is $56,000.00-$94,000.00. Compensation reputed company depend on a wide reputed company of factors, including but not limited to reputed company sets, experience and training, reputed company clearances, licensure and certifications, and other business and organizational needs.reputed company Offer:reputed company offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.Benefits include:Medical, Rx, Dental & reputed company InsurancePersonal and Family reputed company Time & Company reputed company HolidaysPosition may be eligible for a discretionary variable incentive bonusParental Leave401(k) Retirement PlanBasic Life & Supplemental LifeHealth Savings Account, Dental/reputed company & Dependent Care Flexible Spending AccountsShort-Term & Long-Term DisabilityTuition Reimbursement, Personal Development & Learning OpportunitiesSkills Development & CertificationsEmployee Referral ProgramCorporate Sponsored Events & Community reputed companyEmergency Back-Up Childcare ProgramAbout reputed companyreputed company is an Equal Opportunity EmployerProtected Veterans, Individuals with Disabilities or any other reputed company protected by law, ordinance, or regulation.reputed company will consider for employment reputed company applicants with criminal histories .