Coding Specialist

Job not on LinkedIn

5 hours ago

🐊 Florida – Remote

Although this job is listed in Florida, this company may be open to hiring remote in other states.

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

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Gastro Health

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Healthcare Insurance

Gastro Health is a healthcare provider specializing in gastroenterology, offering a wide range of services including colonoscopy, endoscopic ultrasound, and flexible sigmoidoscopy. They have multiple care centers such as surgery centers, infusion centers, and specialty pharmacies. They provide treatments for conditions like heartburn, Crohn's disease, and ulcerative colitis, along with specialty services like colorectal surgery and endoscopic weight loss. Additionally, they offer telehealth services and nutrition therapy, focusing on both adult and pediatric care.

1001 - 5000 employees

⚕️ Healthcare Insurance

💰 Secondary Market on 2021-05

📋 Description

• Drop claims for office, hospital, nutrition, pathology, biologics, imaging, pediatricians, anesthesia, and endoscopy center for accurate processing by payers • Review medical documentation from EMR and hospital systems for accurate coding and billing to insurance companies • Apply current billing and coding guidelines • Evaluate that charges provided by the physicians support the level being billed based on the documentation • Prepare claims with necessary fields for processing, such as linking authorizations to charges, code blood work, and assigning appropriate modifiers as needed • Provide feedback to office managers and physicians regarding clinical documentation to ensure compliance with coding guidelines and reimbursement reporting requirements • Manage claims for auditing purposes, including placing them on hold and billing once the process is complete • Email office managers and physicians where updates are needed to operative reports

🎯 Requirements

• High School Diploma or GED equivalent • Must have CPC or equivalent certification • Extensive knowledge of patient registration, coding, billing, regulatory requirements, billing compliance, business operations, financial systems and financial reporting. • Certified coder AAPC or AHIMA • Excellent communication skills both verbal and written. • Able to analyze data and quickly identify process-based issues for remediation. • Maintains confidentiality in all matters that include Patient Health Information and employee data. • Hands-on participation in process/workflow design including team member involvement across the department. • Intermediate experience with Microsoft Excel and Office products is required. • Target Oriented and Coding team resolution mindset • Prior experience collaborating with a remote team is highly preferred.

🏖️ Benefits

• 401(k) retirement plans • Profit-Sharing • Dental insurance • Health insurance • Life insurance • Paid time off • Vision insurance • Disability insurance • Pet insurance • Cigna healthcare, dental, vision, life insurance, 401k, profit-sharing, short & long-term disability, HSA, FSA, and PTO plus 7 paid holidays.