Medical CoderBiller (On-Site Opportunity)

Wilmington, DE - USA

Monthly Salary: Not Disclosed

Posted on: 5 days ago

Vacancies: 1 Vacancy

Job Summary

JOB TITLE: Medical Coder/Biller (Certified or Non-Certified)

SCHEDULE: Monday-Friday 8:00AM-5:00PM

SUPERVISOR: Business Office Manager or Assistant Administrator

Please note that this is a full-time onsite opportunity. This opportunity is not a remote or hybrid position.

JOB SUMMARY/RESPONSIBILITIES:

The Coder/Biller will determine the appropriate CPT codes and Diagnosis codes for all surgical procedures performed in a Multiple Specialty Ambulatory Surgery Center. Candidate should be able to issue claims via electronic and/or paper billing to facilitate timely billing and days in AR benchmarks; track and correct electronic claims submission rejections/errors; provide operative reports and any medically necessary information to include surgeons office notes pathology reports etc. Have an extensive understanding of all Payers to include Medicare Medicaid Commercial Carriers and private Carriers. Coder will follow Medicare Rules and regulations and will update billing procedures to accommodate these changes and keep current with insurance contract rates and all billing policy changes. Work directly with Collectors and Accounts Receivable to timely and accurately submit all insurance addition this individual will help assign self-pay and cosmetic facility charges based on company policy. This staff member will also assist with Insurance Verification to ensure that Authorizations and Approvals for procedures performed are approved prior to the Date of Service.

EDUCATION/REQUIREMENTS:

This individual must have a minimum of 2-5 years prior business office experience relating to surgery centers hospitals and/or physicians office and is proficient in the Business Office Functions listed below:

Patient Accounting Systems
Certified or Non-Certified Medical Billing specialist
Extensive knowledge of CPT/ICD-9 and Diagnosis coding
Ability to read and interpret EOBs
Stays current on all Medicare Rules and Regulations
Extensive knowledge of AR Management (billing coding and collections)
Payor Contract Management
Issue claims via electronic and/or paper billing to facilitate timely billing and days in AR benchmarks

Maintain continuing education based on the different carriers coding guidelines rules and regulations
Complies with required timelines to close the period in the automated billing system.

KNOWLEDGE: SKILLS/KNOWLEDGE/ABILITIES:

Has fundamental knowledge related to medical accounting billing & contractual.
Has ability to deal effectively and harmoniously with various professional and clerical groups and individuals; and demonstrates good interpersonal relations.
Has ability to communicate articulately comprehend written and verbal communications; and must be able to function efficiently in stressful work environment.
Is proficient with patient accounting systems and Microsoft Office products.
Will work directly with Collection and Insurance Verification departments to ensure that collection policies are being followed.
Will conduct themselves in accordance with Surgery Partners Code of Conduct
Has demonstrated professional growth and achievement.
Will maintain regular attendance habits.
Is proactive not reactive.
Other duties as assigned.

PHYSICAL/MENTAL DEMANDS: Requires sitting and standing associated with normal office environment.

ENVIRONMENTAL/WORKING CONDITIONS: Normal busy surgical office environment.

Benefits:

Comprehensive health dental and vision insurance
Health Savings Account with an employer contribution
Life Insurance
PTO
401(k) retirement plan with a company match
And more!

Equal Employment Opportunity & Work Force Diversity

Our organizationis an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race color creed sex religion marital status age national origin or ancestry physical or mental disability medical condition parental status sexual orientation veteran status genetic testing results or any other consideration made unlawful by federal state or local laws. This practice relates to all personnel matters such as compensation benefits training promotions transfers layoffs our organizationiscommitted to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities knowledge skills abilities and working conditions may change as needs evolve.

#100

Required Experience:

JOB TITLE: Medical Coder/Biller (Certified or Non-Certified)SCHEDULE: Monday-Friday 8:00AM-5:00PMSUPERVISOR: Business Office Manager or Assistant AdministratorPlease note that this is a full-time onsite opportunity. This opportunity is not a remote or hybrid position.JOB SUMMARY/RESPONSIBILITIES: Th...