Description

Medical Coding & Collections Specialist

Summary/Overview

Healing Partners is a rapidly growing wound care management company based in the Mid-Atlantic region that is currently hiring a Medical Coding & Collections Specialist. Reporting directly to the Revenue Cycle Manager, the Medical Coding & Collections Specialist will assist with revenue and billing operations within their scope. 

Responsibilities

• Review claims to ensure for accuracy and sequence of CPT, diagnosis codes, procedure codes, and modifiers when appropriate.
• Follow up with the provider on any documentation that is insufficient or unclear.
• Search for information in cases where coding is complex or unusual.
• Audit samples of patient charts for accuracy.
• Review coding-related rejected claims from the clearinghouse.
• Assists in identifying areas for improvement, recommending solutions to management, and developing policies and procedures.
• Follow up on denied claims and/or retractions related to coding.

Education & Experience

• Associate’s Degree in Medical Coding or successful completion of a certified coding program (AAPC CPC certification)
• 1 year of physician coding experience 

Qualifications

• Knowledge of Medicare, Medicaid, and Managed Care billing and reimbursement guidelines
• Detail-oriented, problem solver/analytical, flexible, and self-motivated 
• Proficiency with Microsoft (Outlook, Office Word, and Excel)
• Organized, ability to multi-task in a fast-paced environment
• Works well independently and in a team setting
• Ability to type 45+ words per minute

This position is onsite during training and remote with some meetings in the office after training is complete.

Healing Partners provides equal employment opportunities to all employees and applicants for employment without regard to race, color, ancestry, national origin, gender, sexual orientation, marital status, religion, age, disability, gender identity, results of genetic testing, or service in the military. Equal employment opportunity applies to all terms and conditions of employment, including hiring, placement, promotion, termination, layoff, recall, transfer, leave of absence, compensation, and training.

Compensation:  $22-30.00 per hour