Medical Coding Specialist

🕒 July 29

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

💵 $22 - $30 / 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

💼 Consulting

⚖️ Legal

Healthcare • Consulting • Legal

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 a 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 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 • Dental • Vision • Paid time off • 401k