Coding Reimbursement Specialist II

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🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $24 - $31 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Alliant Insurance Services

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1925

🏗️ Construction

🏥 Healthcare

⚖️ Legal

💰 Debt Financing on 2019-10

Construction • Healthcare • Legal

Alliant Insurance Services is a leading provider of insurance and risk management solutions, specializing in a range of sectors including agribusiness, aviation, construction, cyber, energy, and healthcare. The company offers claims assistance, disaster preparedness and recovery services, employee benefits consulting, and customized risk management solutions to meet the diverse needs of its clients. With a collaborative and entrepreneurial culture, Alliant focuses on exceeding expectations and delivering exceptional service in the insurance marketplace.

📋 Description

• Perform initial charge review to determine appropriate ICD-10 and CPT codes for physician services billed to third-party payers • Interpret progress notes, operative reports, discharge summaries, and charge documents to assign CPT and ICD-10 codes according to AMA guidelines • Enter appropriate codes, diagnoses, and modifiers into the TMP billing system to complete the charge process • Process charges according to department timeliness guidelines • Communicate with team members and practice management to ensure processing guidelines are met • Contact physicians through query protocols regarding procedures and other billed services • Review patient logs and clinical activity reports to ensure billing is captured for all patients • Review physician documentation for compliance with third-party and regulatory guidelines • Work with Reimbursement staff to answer coding and billing inquiries regarding TMP physicians’ services • Perform other related duties as required and assigned

🎯 Requirements

• High school diploma or GED completion is required • A minimum of three (3) years’ experience with CPT and ICD-10 coding of physician services required • Coding certification required • CPC Certification preferred • Must maintain active certification and required CEUs during employment tenure • Advanced working knowledge of medical terminology, anatomy, and physiology required • Knowledge of and the ability to apply payer specific rules regarding coding, bundling, and adding appropriate modifiers • Understanding of and familiarity with regulatory guidelines including NCDs and LCDs • Experience in Family Practice, Internal Medicine, Cardiology, Rheumatology, Endocrinology, Gynecology, and Dermatology preferred • Knowledge of current third-party billing and collection regulatory guidelines and requirements • Advanced knowledge of the ICD-10 CM/PCS and CPT/HCPCS coding systems and conventions • Advanced knowledge of Official Coding Guidelines and methodologies • Good interpersonal skills and a basic understanding of team concept • Ability to gather and interpret clinical data • Ability to work independently in a fast-paced environment • Must be able to lift and support weight of 35 pounds • Ability to concentrate on details • Use of computer for long periods of time