Medical Coder

Salary/Position Classification

• $43170-$48300 annual
• 40 hours per week
• 100% Remote Work Availability: No
• Hybrid Work Availability: No

Purpose of Position

The medical coder understands and translates medical information and patient diagnoses into medical code using various classification systems. The medical coder will use proper coding to ensure accurate billing of claims.

Duties & Responsibilities:

Coding Healthcare Claims (75%)

• Review patient records to verify and audit diagnoses and procedure codes submitted by provider
• Utilize ICD-10 coding principles and coding guidelines to code visits ensuring maximum reimbursement
• Audit charges making sure proper billing procedures are followed
• Perform coding and entering charge information into database
• Complete billing processes
• Filing of insurance claims

Process and Handle Insurance Claims and Referrals (25%)

• File retrieve and review Explanation of Benefits forms (EOB) remittances correspondence and claims. If there is a problem with payment decide what action should be taken if to resubmit claim or bill patient
• Collect all insurance information from the patient and correctly input insurance data into the computer
• Determine and verify appropriate demographics (obtain current information and validate): patient name; date of birth; address; insurance coverage/information; financial class; and responsible party-guarantor in order to maximize timely reimbursement
• Communicate with and establish positive relationships with internal and external customers to problem solve explain policies and procedures and explain financial processes (i.e. co-payments referrals address verification) to maximize timely reimbursement
• Assist patients with questions regarding their accounts on insurance claims
• Assess accounts receivable to identify errors and determine appropriate method of problem resolution
• Provide billing customer service in person by phone or correspondence by analyzing and researching patients accounts to provide accurate timely information and ensure resolution that meets federal state and payer regulations
• Handle Workers Compensation claims
• Provide courteous reception assistance to patients and other staff to promote and ensure customer satisfaction. Be an ambassador for the facility appropriately representing the UND Center for Family Medicine and its counterparts

Required Competencies

• Demonstrated comprehension of insurance claims processing Estimate of Benefits forms (EOB) and denials
• Knowledge of medical office procedures coding and the ability to examine documents for accuracy and completeness
• Ability to process patient and public inquiries with poise and efficiency. Ability to recognize evaluate and resolve problems and correct errors
• Must have knowledge of registration procedures extensive computer skills basic knowledge of system applications and billing systems
• Maintains strict confidentiality in regard to all information acquired in course of performing the job
• Must have excellent interpersonal skills be detail oriented and be able to multi-task working on numerous projects simultaneously while meeting required completion deadlines

Minimum Requirements

• Two years of college education in Business Healthcare Management Medical Billing or related field. Degree may be substituted with equivalent years of directly related experience
• One year pf experience in medical office and/or medical billing setting
• Ability to become a Certified Professional Coder within six months of hire
• Successful completion of criminal history record check

In compliance with federal law all persons hired will be required to verify identityand eligibility to work in the US and to complete the required employment eligibility verification form upon hire.This position does not support visa sponsorship for continued employment.

Preferred Qualifications

• Certified Professional Coder