Medical Coding Specialist
Covenant Physician Partners
Location
Annapolis, MD | United States
Job description
Anne Arundel Gastroenterology Associates (AAGA) a Covenant Physician Partner, located in beautiful Annapolis, Maryland, is looking for aFulltime Medical Coding Specialist to join our talented and growing team.
Please note the pay range for this position is $20-27/hour.
Summary Under the supervision of the Revenue Cycle Manager, the Coding Specialist is expected to perform all areas of coding, have knowledge of billing and account receivables resolution by utilizing approved insurance, patient billing and collections techniques.
Essential duties and responsibilities: - Performs diagnostic and procedural coding from the Operative Reports for Outpatient Ambulatory Surgery Center procedures. The coding is performed with minimal variation from the coding guidelines, unless payer driven. The Coding Specialist should demonstrate accuracy, integrity and compliance with all the approved coding guidelines, resources and rules.
- As part of ongoing knowledge improvement process, the Coding Specialist will stay abreast of new ICD Diagnosis, CPT Procedure codes, Modifiers and guidelines.
- Employs effective and efficient billing techniques, and self-directed initiative, to resolve all types of billing edits.
- Must have working experience with all payer types: commercial, governmental, Medicare, Medicaid, HMO, etc. and the ability to cross over into different payers.
- Establishes knowledge of major payers needed to identify payer rejection issues and executes the payer procedures needed to reduce the occurrence of future rejections. Experience and ability to identify billing or payer edit opportunities.
- Acts as the connection between internal and external customers to assist in the account coding and billing issue resolution process and to escalate issues which adversely impact claim resolution and payment.
- Documents all coding, billing, and action(s) needed to successfully resolve claim issues with insurances.
- Experience, and ability to identify and escalate trends impeding coding and billing tasks.
- Ability to perform independent research prior to seeking management assistance.
- Follows department QA policies and procedures defined by department as required to meet payer and regulatory requirements related to claims coding, billing and payer claim rejection resolution including procedures related to release of information, record retention, privacy and confidentiality.
- Provides information to Manager in identifying possible areas of concern that impact account coding and billing, accurately and in a timely manner.
About the Candidate The ideal candidate for this role will be a self-motivated individual who is able to resolve issues independently with an understanding of when to approach leadership for input and direction.
Minimum Requirements: - High school diploma, GED, or equivalent
- Must have the following coding credential: AAPC (CPC or CPC-A)
- Experience in ICD-10-CM and CPT Coding, with emphasis on E&M coding.
- Gastroenterology experience preferred
- 1-2 years coding experience required
What We Offer - Generous paid time off in addition to national holidays, two floating holidays, and a birthday holiday
- Medical, Dental, and Vision insurance after 30 days of employment
- Voluntary employee and dependent life plans
- Short and Long-term disability
- Health Savings Account and Flexible Spending Account eligibility
- Critical Illness, Accident, and Hospital Indemnity insurance
- $250 of professional development funds provided every year
- Tuition Reimbursement up to $5,250 annually
- Free counseling sessions through our Employee Assistance Program
- Invest in your future with a company match on your 401k
- Associate discounts at major retailers such as Amazon Prime, Costco, and Sam’s Club
- Travel discounts with Hertz and Liberty Mutual
- Verizon Wireless discounts
- Free legal assistance through RocketLawyer
- Pet Insurance
- RN.com subscription reimbursement
- Access to our free mental wellness program – Sibly
Covenant Physician Partners is proud to be an Equal Opportunity Employer. Covenant does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
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