Medical Coding Specialist

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🔥 0 minutes ago

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

💵 $25 - $28 / hour

⏰ Full Time

🟢 Junior

🏥 Medical Billing and Coding

🚫👨‍🎓 No degree required

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ExamWorks

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 2008

⚕️ Healthcare Insurance

📋 Compliance

💸 Finance

Healthcare Insurance • Compliance • Finance

ExamWorks is a leading provider of independent medical examinations and peer reviews, specializing in services such as bill reviews, Medicare compliance, and document management. With a robust portfolio that includes agile development and enterprise platform solutions, ExamWorks ensures efficient workflow enhancements and compliance auditing across healthcare sectors. The company supports a network of physicians and offers customized services for the management of medical records and claims, prioritizing reliability for clients in various communities.

📋 Description

• Receive and input client and examinee data in the system database. • Sort and verify each claim. • Process and review each claim and address all necessary modifications manually. • Contact Client as needed. • Perform quality assurance on every case prior to completion. • Ensure all medical records and reports are properly documented and saved in the appropriate location and available for audit at all times. • Process client invoicing in accordance with the client’s fee schedule. • Handle and responds promptly to incoming calls, emails or faxes from clients requesting report status and/or information. • Provide notification to the Supervisor of any provider appeals and follow directions as given to resolve the claim. • Provide testimony in court as to the content of prepared reports, as required. • Travel as necessary. • Ensure all practices are carried out in accordance with HIPAA compliance practices, state and federal safety standards and legal regulations. • Perform quality assurance on various coding related reviews. • Perform other duties as assigned.

🎯 Requirements

• High school diploma or equivalent required • Minimum one year medical billing experience; or equivalent combination of education and experience required • Must possess current coding certification in: OASIS, RAC-CT, CCS, CPC, RHIT or RHIA • CPMA certification preferred • Must have full understanding of aspects of medical billing. • Must demonstrate understanding of the various types of medical billings and ability to identify which system database should be used. • Must be able to cross reference different types of billings to ensure consistency in the review process. • Must possess knowledge of standard fee schedule review, UC&R review, drug and supply charges, rarity, utilization review, CPT guidelines, ICD 10, bundling/unbundling, duplicate billing and CMS reimbursement guidelines. • Must possess complete knowledge of general computer, fax, copier, scanner, and telephone. • Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet. • Must have a full understanding of HIPAA regulations and compliance. • Must be a qualified typist with a minimum of 35 W.P.M. • Ability to follow instructions and respond to managements’ directions accurately. • Ability to work independently, prioritize work activities and use time efficiently. • Must be able to maintain confidentiality. • Must be able to demonstrate and promote a positive team -oriented environment. • Must be able to stay focused and concentrate under normal or heavy distractions. • Must be able to work well under pressure and or stressful conditions. • Must possess the ability to manage change, delays, or unexpected events appropriately. • Ability to follow all company policies and procedures in effect at time of hire and as they may change or be added from time to time.

🏖️ Benefits

• Health insurance • 401k • Paid time off • Flexible work arrangements