Medical Billing Specialist, Certified Coder – Laboratory

🔥 19 hours ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $23 - $39 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

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Carle Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1946

⚕️ Healthcare Insurance

🏥 Healthcare

📚 Education

Healthcare Insurance • Healthcare • Education

Carle Health is a comprehensive healthcare provider dedicated to managing the health needs of its community. Offering a wide range of services, from general medical care to specialized treatments in oncology, cardiovascular, pediatrics, and women's health, Carle Health emphasizes quality patient care and community health initiatives. Additionally, it supports education and research through the Carle Illinois College of Medicine and engages in community health programs that aim to improve overall well-being.

📋 Description

• Ensure accurate and timely billing of Laboratory services • Resolve Laboratory-related CPT, HCPCS, and applicable ICD-10 inquiries • Edit laboratory test charges and apply appropriate CPT/HCPCS codes and modifiers • Correct charges when additional tests are ordered or tests are cancelled later • Research and resolve daily billing reports and work queues for registration errors, charge review, and claim edits • Apply compliance, regulatory, CPT/HCPCS bundling, and payer-specific billing rules • Support revenue maximization through correct coding initiatives • Collaborate with Revenue Cycle, Coding, and other departments on patient and payer-related inquiries, coding, denials, lab orders, and trends • Reconcile referred testing invoices, calculate charges, enter billable services, and report discrepancies • Communicate issues and trends to management and participate in meetings and trainings • Assist with reference laboratory billing processes and financial and statistical reports • Respond promptly to clients and patients regarding billing concerns • Complete daily work assignments and promote teamwork and communication • Assist with audits, special projects, and annual policy and procedure reviews

🎯 Requirements

• Certified Professional Coder (CPC) certification from the American Academy of Professional Coders (AAPC), or Certified Outpatient Coder (COC) certification from AAPC, or Certified Coding Specialist - Physician-Based (CCS-P) certification from AHIMA, or Certified Coding Specialist (CCS) certification from AHIMA • Work experience in revenue cycle • Work experience in coding • Understanding of medical terminology • Understanding of patient registration and insurance eligibility • Knowledge of payer rules • Knowledge of CPT/HCPCS bundling and CCI modifiers • Knowledge of lab-related coding • Understanding and application of compliance and regulatory guidelines • Ability to use electronic medical record systems and a Lab Information System

🏖️ Benefits

• Comprehensive benefits package • Equal Opportunity Employer • E-Verify participation