Medical Coding/Billing Specialist

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48 minutes ago

🦬 Wyoming – Remote

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

💵 $38.7k - $42k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

📊 Billing Specialist

🚫👨‍🎓 No degree required

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University of Wyoming MBA

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The University of Wyoming MBA Program provides 100% online and on campus options, utilizing a lock-step curriculum that allows our students to acquire the necessary tools to gain a competitive advantage in today's business marketplace. While continually developing practical business knowledge, soft skills, and critical thinking, students are able to apply complex concepts to real-world situations in a number of industries. We are proudly AACSB accredited, with a 2:1 student to faculty ratio and a 90% placement rating upon graduation.

11 - 50 employees

Founded 1886

📋 Description

• Promote continuity of medical care and ensure compliance with third-party reimbursement policies, regulations and accreditation guidelines. • Perform tasks related to provider services to include edit reviews and claim resolution. • Audit information about procedures performed and diagnosis on charge. • Provide coding and documentation education for clinical staff. • Responsible for Athena worklists applied to medical necessity and/or coding denials. • Complete coding assignments following coding and reimbursement guidelines. • Assign or review ICD-10 diagnosis and CPT/HCPCS codes with appropriate modifiers and accuracy according to payer policies and regulatory requirements. • Review and enter charges based on documentation in the record. • Review claims, edit work queues, determine the corrective action necessary to resolve claims and complete accurate, timely and compliant billing. • Resubmit claims as a daily task. • Submit claims to the patient’s secondary insurance (including the primary carrier’s EOB) after receiving the correct payment from the primary carrier. • File UB-94 and HCFA 1500 claim forms to insurance.

🎯 Requirements

• Education: High School/GED • Experience: 2 years related experience in healthcare setting • Required licensure, certification, registration or other requirements: Certified Professional Biller (CPB) or Certified Professional Coder (CPC) • Experience with billing in a Federal Qualified Health Center (FQHC) or Rural Health Clinic (RHC) • Work independently and confidently to accomplish daily tasks • Experience with interpreting Explanation of Benefits (EOB)s • Demonstrate ability to meet and maintain department productivity and quality standards • Demonstrate ability to accurately code medical records for evaluation and management services, ancillary services, diagnoses for insurance purposes. • Demonstrate experience with medical coding and modifiers. • Demonstrate ability to communicate effectively both verbally and in writing. • Demonstrate proficiency with computer skills necessary to complete job duties and must have strong knowledge of computerized billing system in EMR as well as Microsoft Office products: Word, Excel, Teams.

🏖️ Benefits

• Generous Retirement Contributions: The State contributes 14.94% of your gross salary, and you contribute 3.68%, totaling 18.62% toward your retirement plan. • Exceptional Health & Prescription Coverage: Enjoy access to medical, dental, and vision insurance with competitive employer contributions, that include 4 deductible options to suit your needs. • Paid Time Off: Benefit from ample vacation, sick leave, paid holidays, and paid winter closure. • Tuition Waiver: Employees and eligible dependents can take advantage of tuition waivers, supporting continuous education and professional growth. • Wellness and Employee Assistance Programs: Stay healthy with wellness initiatives, counseling services, and mental health resources.