<h3>Job Description</h3>
Job Description
We are seeking a Medical Coder to join a dynamic team providing expert coding and auditing services. As a Medical Coder, you will be responsible for accurately translating medical documentation into designated numerical codes according to current coding principles. The Medical Coder will also serve as a key liaison to physicians and clinical teams, ensuring best practices in documentation and compliance with company policies. This role is fully on-site near W Holcombe Blvd and Kirby Dr, in Houston, TX.
 
Responsibilities:
<ul>
<li>Provide coding and auditing services based on operative reports in accordance with current NCCI rules and LCD coverage determinations.</li>
<li>Analyze and translate medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes.</li>
<li>Act as a liaison to physicians and clinical teams, offering feedback on proper documentation and coding practices.</li>
<li>Meet coding and abstracting deadlines to expedite the billing and charge entry processes.</li>
<li>Maintain and adhere to established company policies and departmental procedures.</li>
<li>Ensure cross-coverage proficiency across all relevant coding areas.</li>
</ul>
Job Requirements:
<ul>
<li>High School Diploma or equivalent, required; Associate or Bachelor's Degree, desired.</li>
<li>Minimum of 2 years of physician billing experience, including at least 1 year of coding experience abstracting from medical record documentation.</li>
<li>Certified Professional Coder (CPC) certification, required.</li>
<li>Radiation Oncology Certified Coder (ROCC) certification, desired.</li>
<li>Certified ASC Coder Credential (CASCC), desired.</li>
<li>Diversified understanding of CPT guidelines and Medicare rules and regulations, desired.</li>
<li>Strong knowledge of ICD-9/10 codes, CPT, and HCPCs, required.</li>
<li>Working knowledge of medical terminology, anatomy, and physiology, required.</li>
<li>Experience with Electronic Medical Records (EMR), required.</li>
<li>Excellent written and verbal communication skills; strong organizational skills, required.</li>
<li>Ability to maintain confidentiality at all times, required.</li>
</ul>

Medical Coder

<h3>Job Description</h3>
Job DescriptionDescription:
This position is a fully remote E&amp; M Coder
NO WEEKENDS, NO EVENINGS, NO HOLIDAYS
 
We offer competitive pay as well as PTO, Holiday pay, and comprehensive benefits package!
Benefits:
· Health insurance
· Dental insurance
· Vision insurance
· Life Insurance
· Pet Insurance
· Health savings account
· Paid sick time
· Paid time off
· Paid holidays
· Profit sharing
· Retirement plan 
 
GENERAL SUMMARY
 
The Coder is responsible for successfully and efficiently coding all cases to the highest level of accuracy to ensure maximum reimbursement. The Coder will ensure quality and productivity standards are met. The Coder will ensure accurate coding of documentation to include diagnoses, procedures, and modifiers with adherence to established coding guidelines for both government and third-party payers. They work with the Coding Supervisor to escalate coding issues and prevent untimely claim submission and denials. 
 
 
Requirements:
ESSENTIAL JOB FUNCTION/COMPETENCIES
Responsibilities include but are not limited to:
 
<ul>
<li>Reviews chart documentation for accuracy and completeness, identify inconsistencies in chart documentation, and work with appropriate staff and Coding Supervisor to resolve issues.</li>
<li>Communicates with Claims Resolution Specialists and Business Office staff when necessary to resolve errors and clarify issues.</li>
<li>Demonstrates and use in-depth knowledge of CPT, HCPCS, modifiers, diagnosis codes, insurance coverage plans, medical terminology, and anatomy and physiology.</li>
<li>Works collaboratively with providers to obtain complete documentation to support coding.</li>
<li>Stays accountable to quality and productivity standards, and monitor compliance with policies and procedures.</li>
<li>Identifies process opportunity trends and recommend ways to improve efficiencies.</li>
<li>Responsible for maintaining current knowledge of coding guidelines and relevant state and federal regulations.</li>
<li>Ensures adherence to third party and governmental regulations relating to coding, documentation, compliance, and reimbursement.</li>
<li>Participates in special projects, personal development training, and cross training as instructed.</li>
<li>Informs Coding Supervisor of trends, inconsistencies, discrepancies, or payer changes for immediate resolution.</li>
<li>Works in conjunction with peers and functional areas of the Coding and Revenue Integrity department for the betterment of completing tasks and the company overall.</li>
<li>Performs other position related duties as assigned.</li>
<li>Employees shall adhere to high standards of ethical conduct and will comply with and assist in complying with all applicable laws and regulations. This will include and not be limited to following the Solaris Health Code of Conduct and all Solaris Health and Affiliated Practice policies and procedures; maintaining the confidentiality of patients' protected health information in compliance with the Health Insurance Portability and Accountability Act (HIPAA); immediately reporting any suspected concerns and/or violations to a supervisor and/or the Compliance Department; and the timely completion the Annual Compliance Training.</li>
</ul>
 
CERTIFICATIONS, LICENSURES OR REGISTRY REQUIREMENTS
 
<ul>
<li>CPC, CCS-P, CMRS or AAPC required.</li>
</ul>
 
KNOWLEDGE | SKILLS | ABILITIES
 
<ul>
<li>Demonstrates understanding of business and how actions contribute to company performance.</li>
<li>Demonstrates excellent customer service skills.</li>
<li>Knowledge of medical terminology, Current Procedural Terminology (CPT), International Classification of Disease (ICD) coding, and the entire revenue cycle process.</li>
<li>Knowledge of EHR (Electronic Health Record) software systems and Microsoft Office products.</li>
<li>Professional verbal and written communication skills.</li>
<li>Ability to develop reports and create presentations.</li>
<li>Ability to work collaboratively across disciplines and business lines.</li>
<li>Must be comfortable working with team members.</li>
<li>Ability to handle multiple tasks with excellent problem-solving skills.</li>
<li>Strong analytical skills with ability to make conclusions and recommendations.</li>
<li>Well organized with the ability to maintain accuracy and confidentiality.</li>
<li>Self-driven and motivated to maintain productivity and efficiency levels.</li>
<li>Excellent verbal and written communication skills.</li>
<li>Skill in using computer programs and applications including Microsoft Office.</li>
<li>Complies with HIPAA regulations for patient confidentiality.</li>
<li>Complies with all health and safety policies of the organization.</li>
</ul>
 
EDUCATION REQUIREMENTS
 
<ul>
<li>High School Diploma or equivalent required.</li>
</ul>
 
EXPERIENCE REQUIREMENTS
 
<ul>
<li>At least 3 years experience to successfully perform this job.</li>
<li>Entry level Medical Billing and Coding Terminology preferred.</li>
<li>Experience in Urology or physician practice environment preferred.</li>
</ul>
 
REQUIRED TRAVEL
 
<ul>
<li>n/a</li>
</ul>
 
PHYSICAL DEMANDS
 
Carrying Weight Frequency
1-25 lbs. Frequent from 34% to 66%
26-50 lbs. Occasionally from 2% to 33%
Pushing/Pulling Frequency
1-25 lbs. Seldom, up to 2%
100 + lbs. Seldom, up to 2%
Lifting - Height, Weight Frequency
Floor to Chest, 1 -25 lbs. Occasional: from 2% to 33%
Floor to Chest, 26-50 lbs. Seldom: up to 2%

E & M Medical Coder

<h3>Job Description</h3>
Job Description
Description:
This job involves coding and abstracting medical procedures (CPT) and diagnoses (ICD-10) for physician services, ensuring accurate and complete documentation in medical records. It includes educating physicians on documentation improvements, collaborating on record attestations, and overseeing charge capture, coding, and entry for surgical cases in the practice management system.
Qualifications:
4 years of coding experience required (2 years of experience must be in a Surgical/Ancillary Diagnostic discipline)
﻿#eastpriority25
Pay and Benefits
The pay range for this position is $54412.00 - $87068.00/yr.
Health and Income Protection
Medical insurance for employees and dependents Dental insurance for employees and dependents Vision insurance for employees and dependents Prescription benefits for employees and dependents Grady-paid life insurance for employees Grady-paid accidental death and dismemberment insurance Short-term and long-term disability insurance Employee health center Health and Dependent Care Flexible Spending and Savings Accounts. Grady matches up to $1,000 per year Grady-paid diagnostic laboratory and imaging services for some medical plans Student loan forgiveness program Work-Life Balance
Paid vacation and sick leave Discount tickets to events, trips, car rentals, etc. Recognition and celebration opportunities Onsite 1st Choice Credit Union branch Onsite fitness center Grady-paid adoption assistance ($5,000 per event; $10,000 lifetime benefit) Purchasing Power – a convenient online purchasing site Discounts at Grady’s onsite cafeteria Employee parking Employee Assistance Program Professional Development
Tuition reimbursement up to $5,250 per year for continuous learning Epic training and experience Leadership development Comprehensive on-boarding and orientation program Help to Prepare for Retirement
401K retirement plan with up to 4 percent company match
Workplace Type
This is a fully remote position.
Application Deadline
This position is anticipated to close on Apr 23, 2025.
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. 
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

<h3>Job Description</h3>
Job Description
Are you a detail-oriented medical billing and medical coding expert looking to make a significant impact in a thriving healthcare environment? CoreMed Plus is seeking a skilled in-office Medical Biller - Medical Coder to join our team full-time in White Lake, MI. Enjoy a competitive starting pay of $25 per hour and comprehensive benefits, including:
<ul>
<li>Dental, health, and vision coverage</li>
<li>Accrued PTO</li>
<li>6 paid holidays</li>
<li>Great management team and healthy work environment</li>
<li>Evaluation after a probation period</li>
</ul>
Dive into a supportive, collaborative work culture where your expertise will drive our mission to revolutionize primary care through efficient and accurate medical coding and medical billing.
This is a full-time in-office position. You MUST be able to work in our White Lake, MI office.
GET TO KNOW THE ROLE
Schedule: This medical coding and medical billing position works during normal business hours at our office in White Lake. 
Your Typical Day: As a Medical Biller - Medical Coder, your day kicks off with accurate billing for multiple offices and providers, ensuring seamless processing through AthenaOne and other billing software. You also maintain and update patient billing records, making sure every detail complies with healthcare regulations. Collaborating with healthcare providers to ensure precise coding, managing billing inquiries, and resolving issues are key parts of your role. You are also involved in analyzing billing processes for improvements, handling enrollment and credentialing tasks, and training staff on quality measures to ensure accurate coding.
The Minimum Requirements to be Considered:
<ul>
<li>3+ years of experience in primary care billing</li>
<li>Proficiency with Microsoft Office Suite (Word, Excel, and Outlook)</li>
<li>Experience with AthenaOne</li>
<li>Knowledge of quality measures in healthcare billing</li>
<li>Strong problem-solving skills and the ability to work with minimal supervision</li>
<li>Highly self-motivated and detail-oriented</li>
<li>Excellent communication skills</li>
<li>IT savvy and capable of troubleshooting minor tech issues</li>
<li>Willing to work in person at our office in White Lake, MI. This is not a remote position. Must live near White Lake or be willing to relocate.</li>
</ul>
GET TO KNOW OUR CLINIC
CoreMed Plus is a top provider of comprehensive primary care and innovative family health solutions, using state-of-the-art equipment to provide quality treatment to our patients. We can handle a diverse range of healthcare needs, and we're committed to making people feel heard, understood, and respected. Our office upholds a positive environment for both patients and employees, and we don't tolerate any toxic behavior. If you're dedicated to patient care and eager to grow your career with a supportive, vibrant clinical team, we want to hear from you!
READY TO TAKE THE NEXT STEP?
Ready to make a difference in a dynamic healthcare setting? Apply to be a Medical Biller - Medical Coder now with our quick and mobile-friendly initial application-just 3 minutes to start your journey with CoreMed Plus! Don't miss this opportunity to join a team dedicated to innovative and compassionate primary care!
 Job Posted by ApplicantPro

Medical Biller - Medical Coder

<h3>Job Description</h3>
Job DescriptionMedical CoderFull-time: M-F 8am-5pmStarting Pay: $18 - $22/hr. DOEPosition Overview:At Conceptions Fertility Center we are passionate about providing empathetic, personalized, and exceptional patient care. We work to help people grow and build their families through a variety of treatment options. We are currently looking for experienced, compassionate, and dynamic team players to join our growing practice. If you are looking for a rewarding environment where your talent and skills will change people’s lives, then we want to talk to you. This position is integral to our practice and requires working closely with patients, providers, and other staff. We are seeking a detail-oriented and organized Medical Coder to join our billing team. The ideal candidate will have a strong understanding of medical terminology, anatomy, physiology, and coding guidelines. You will play a crucial role in ensuring accurate and timely coding of medical records, which is essential for billing, reimbursement, and compliance with regulatory requirements. The position will also provide support, as needed, to our billing team helping with other billing related tasks. Responsibilities: 
<ul>
<li>Review and analyze medical records, patient charts, and documentation related to fertility treatments rendered at the clinic.</li>
<li>Assign appropriate medical codes to diagnoses, procedures, and services using ICD-10, CPT, and HCPCS code sets.</li>
<li>Ensure the accuracy and completeness of coded information to facilitate proper reimbursement and compliance with regulatory requirements.</li>
<li>Communicate regularly and effectively with healthcare providers to clarify documentation and coding queries, helping them to understand the necessity of your recommendations.</li>
<li>Stay updated on changes in coding guidelines, regulations, and reimbursement policies relevant to fertility treatments.</li>
<li>Collaborate with billing specialists to resolve coding-related denials, rejections, and queries from insurance companies.</li>
<li>Participate in coding audits and quality improvement initiatives to enhance coding accuracy and efficiency.</li>
<li>Maintain confidentiality of patient information and adhere to HIPAA regulations.</li>
<li>Provide coding-related education and training to clinical and administrative staff as needed.</li>
<li>Assist the billing team with billing related tasks as assigned by the Billing Supervisor and Practice Manager.</li>
</ul>
 Qualifications: 
<ul>
<li>High school diploma or equivalent; certification in medical coding (e.g., CPC, CCS) required.</li>
<li>Proven experience as a Medical Coder in a healthcare setting.</li>
<li>In-depth knowledge of medical terminology, anatomy, physiology, and pharmacology.</li>
<li>Proficiency in using coding classification systems such as ICD-10, CPT, and HCPCS.</li>
<li>Strong analytical and critical thinking skills with attention to detail.</li>
<li>Excellent communication and interpersonal and conflict resolution skills.</li>
<li>Ability to work independently and collaboratively in a fast-paced environment.</li>
<li>Familiarity with electronic health record (EHR) systems and medical billing software.</li>
<li>Commitment to maintaining confidentiality and adhering to ethical standards.</li>
</ul>
 We Offer: 
<ul>
<li>Competitive pay</li>
<li>Comprehensive training</li>
<li>Medical, dental, vision, and 401(k) matching.</li>
<li>A fun, motivated group of people at a clinic that makes a difference in people’s lives.</li>
</ul>
 
E04JI80040jt4077vcx

<h3>Job Description</h3>
Job DescriptionDescription:
The Medical Coder will be responsible for accurately assigning diagnostic and procedure codes to patient encounters and medical services, ensuring compliance with coding guidelines and regulations. The ideal candidate will have strong knowledge of medical coding systems, such as ICD-10 and CPT, and experience in coding for Maternal Fetal Medicine
Responsibilities:
<ul>
<li>Coding and Abstracting: Review patient medical records, encounter forms, and other documentation to accurately assign diagnostic (ICD-10) and procedure (CPT/HCPCS) codes based on coding guidelines and documentation standards. Abstract relevant information from medical records, including diagnoses, procedures, treatments, and services rendered, to support accurate coding.</li>
<li>Code Validation and Accuracy: Verify the accuracy and completeness of coded data, ensuring that codes assigned reflect the documented diagnoses, procedures, and services provided during patient encounters. Resolve coding discrepancies or inconsistencies by collaborating with healthcare providers, clinical staff, and other stakeholders to obtain additional information or clarification.</li>
<li>Compliance and Documentation: Ensure compliance with coding guidelines, regulations, and payer policies, including but not limited to CMS guidelines, NCCI edits, and local coverage determinations (LCDs). Maintain up-to-date knowledge of coding updates, changes, and revisions, and apply coding updates appropriately to ensure accurate coding practices.</li>
<li>Quality Assurance and Auditing: Perform regular audits and quality checks of coded data to identify coding errors, discrepancies, and opportunities for improvement. Assist with internal coding audits, external coding reviews, and compliance audits to ensure coding accuracy and adherence to regulatory requirements.</li>
<li>Coding Education and Training: Provide coding education and training to healthcare providers, clinical staff, and administrative staff on coding guidelines, documentation requirements, and best practices for accurate coding. Assist with developing and implementing coding-related policies, procedures, and protocols to support coding compliance and accuracy.</li>
<li>Collaboration and Communication: Collaborate with billing staff, revenue cycle management team members, and healthcare providers to resolve coding-related issues, denials, and reimbursement discrepancies. Communicate effectively with internal and external stakeholders regarding coding-related inquiries, coding updates, and documentation requirements.</li>
</ul>
Requirements:
<ul>
<li>Certification as a Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required.</li>
<li>Minimum of 2-3 years of experience in medical coding, preferably in an OBGYN or women's health practice setting.</li>
<li>Strong knowledge of medical coding systems, including ICD-10, CPT, and HCPCS, and coding guidelines and regulations.</li>
<li>Proficiency in using coding software and electronic health records (EHR) systems for coding and documentation.</li>
<li>Excellent attention to detail, analytical skills, and problem-solving abilities in reviewing and assigning diagnostic and procedure codes.</li>
<li>Strong communication and interpersonal skills, with the ability to collaborate effectively with healthcare providers, clinical staff, and administrative staff.</li>
<li>Commitment to maintaining coding accuracy, compliance with coding guidelines, and confidentiality of patient health information.</li>
</ul>

<h3>Job Description</h3>
Job Description
Job Summary:
The Medical Biller/Coder is responsible for translating healthcare services rendered into standardized codes for insurance billing, ensuring accurate reimbursement. This role ensures the efficient processing of patient data, medical records, and insurance claims in compliance with healthcare regulations.
Key Responsibilities:
<ul>
<li>Accurately assign appropriate ICD-10, CPT, and HCPCS codes to diagnoses and procedures based on medical documentation.</li>
<li>Review patient records for completeness, accuracy, and compliance with regulations.</li>
<li>Prepare and submit clean claims to insurance companies electronically or via paper submission.</li>
<li>Follow up on unpaid claims within standard billing cycle timeframe.</li>
<li>Resolve billing issues with insurance companies, patients, and healthcare providers.</li>
<li>Correct rejected or denied claims and resubmit for payment.</li>
<li>Post payments and adjustments to patient accounts.</li>
<li>Generate patient statements and respond to billing inquiries.</li>
<li>Maintain strict confidentiality of patient health information (HIPAA compliance).</li>
<li>Stay updated on coding guidelines and insurance regulations, including Medicare and Medicaid rules.</li>
<li>Assist with audits, reporting, and other administrative tasks as needed.</li>
</ul>
Required Skills and Qualifications:
<ul>
<li>High school diploma or equivalent required; Associate's degree in Health Information Management or related field preferred.</li>
<li>Certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Biller (CPB), or similar credentials preferred.</li>
<li>1-3 years of medical billing and coding experience in a healthcare setting.</li>
<li>Extensive Medicare and Medicaid Billing experience.</li>
<li>Knowledge of medical terminology, anatomy, and insurance billing procedures.</li>
<li>Proficient with billing software, electronic health records (EHRs), and Microsoft Office Suite.</li>
<li>Excellent organizational, communication, and problem-solving skills.</li>
<li>Ability to work independently and meet deadlines.</li>
</ul>
APPLICATION REQUIREMENTS:
Submit a completed application with supporting documents to the Warm Valley Health Care, Human Resource Department, P.O. Box 128, Ft. Washakie, WY 82514.
Applications are available at Warm Valley Health Care or for more information contact Stacie Fagerstone, Executive HR Director via email at <a href="mailto:stacie.fagerstone@warmvalley.health" target="_blank">stacie.fagerstone@warmvalley.health</a>.
Preference will be given to a qualified Eastern Shoshone tribal member, then other qualified federally recognized Indian tribal members and then other qualified candidates.
<ul>
<li>Applicants must submit a copy of Tribal Enrollment card or CIB for Indian Preference.</li>
</ul>
Veterans who meet the minimum qualifications and provide documentation of an honorable discharge (DD214) from any branch of military service are entitled to receive preference points during the interview process.
Any offer of employment is contingent dependent on negative drug test results, reference checks and background check. Refusal to undergo required testing or testing positive will render the applicant ineligible for employment.

Medical Biller/Coder

T.H.E. CLINIC, INC. 
JOB DESCRIPTION
POSITION: HCC CODER 
DEPARTMENT: Information Technology 
STATUS: Full-Time, Non-Exempt
POSITION SUMMARY:
Conduct the necessary audits of medical record to verify the physicians have appropriately 
documented the diagnoses then code these diagnoses in ICD-10 for Medicare Risk 
Adjustments/Medicare Advantage. Evaluate medical information (Outpatient/Inpatient) 
documentation from a clinical standpoint for evidence of the possibility of additional medical 
conditions that may not have been documented in the past, and ensure accurate coding of 
the encounter data and recommend processes for accurate coding practices. This process 
involves a very strong understanding of medical coding.
Essential Duties and Responsibilities:
- Ascertain that medical record documentations have accurate diagnoses and conditions 
to assure not to up-code, fraudulently or misrepresent the patient condition and ensure 
compliance to prepare for random CMS medical records audit
- HEDIS coding and record collection
- Report Coding discrepancies patterns identified within the chart review process to the 
Coding Project Manager and identify corrective measures regarding compliance 
problems, and suggests corrective measure to the physician in understanding of what is 
needed regarding documentation compliance
1. Provider Education:
- Provide detailed summary to make adjustments to correct improperly paid claims 
and document the correct coding to be utilized
2. Management Feedback:
- Communicate quality issues to direct supervisor &amp; COO, Team Leaders and other 
Managers.
- Provide recommendations to management based on audit findings
3. Management reports:
- Prepare management summary reports of audit findings
4. Additional Responsibilities:
- Provide support to the Management as required.
- Maintains detailed knowledge of coding guidelines and regulations
Qualifications and/or Experience Requirements:
- Must have CPC or CCS certification
- Five (5) years coding experience.
- Multi-Specialty coding experienced required.
- Outpatient/Clinic billing experience required.
- Physician billing office supervisory experience preferred
- Knowledgeable in Hierarchical Condition Categories (HCC) concepts and documentation 
guidelines.
- Knowledge in MACRA reporting
- Participate in Quality Improvement and other research projects as directed. 
- High School degree required. Some college preferred.

<h3>Job Description</h3>
Job Description
A-Line Staffing is now hiring an entry level Medical Coder in Columbus, OH. The Medical Coder would be working for a government facility and has career growth potential. This would be a full-time position with 40+ hours per week.
Compensation:
<ul>
<li>
The pay for this position is $16-17.50 per hour
</li>
<li>
Benefits are available to full-time employees after 90 days of employment
</li>
<li>
A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates
</li>
</ul>
Highlights:
<ul>
<li>
This position is a contract assignment with potential to hire on permanently based upon attendance, performance, and business needs
</li>
<li>
The required availability for this position is Monday - Friday, 8am-5pm.
</li>
</ul>
Responsibilities:
<ul>
<li>
Monitor and analyze policies and procedures to implement an accurate and efficient ICD coding system
</li>
<li>
Serve as a medical policy resource, ICD analyst, and technical expert for coding systems
</li>
<li>
Act as a liaison between the ICD unit and other agency departments
</li>
<li>
Interpret and apply federal and state regulations related to ICD policies
</li>
<li>
Perform ongoing ICD maintenance, updates, revisions, and enhancements on agency systems
</li>
<li>
Review and analyze reports to ensure correct ICD code usage and assignment
</li>
<li>
Provide coding guidance in compliance with accreditation standards and regulations
</li>
</ul>
Requirements:
<ul>
<li>
RHIA or RHIT degree and/or CCS/CCS-P/CPC certification
</li>
<li>
At least 1 year experience in Medical Billing/Coding
</li>
<li>
Proficiency in ICD-9 and ICD-10 coding, medical terminology, and healthcare regulations
</li>
<li>
Strong knowledge of anatomy, physiology, and healthcare delivery systems
</li>
<li>
Experience using Microsoft Office and agency-specific software
</li>
<li>
Ability to analyze data, maintain records, and generate reports
</li>
<li>
Attendance is mandatory for the first 90 days
</li>
</ul>
Preferred Qualifications:
<ul>
<li>
Experience in claims processing, health information systems, and database management
</li>
<li>
Strong communication and problem-solving skills
</li>
</ul>
If you think this Medical Coder position is a good fit for you, please reach out to me—feel free to call, email, or apply to this posting!
If you are interested in this Medical Coder position, please contact Stephanie White at 586-710-7973 or <a href="mailto:swhite@alinestaffing.com" target="_blank">swhite@alinestaffing.com</a>.

<h3>Job Description</h3>
Job DescriptionDescription:
GENERAL SUMMARY
 
The Claim Readiness Specialist is responsible for entering and importing charges and ensuring the appropriate billing codes on used for all charges. The Claim Readiness Specialist will ensure charges are entered accurately, efficiently, and timely into the practice management system. The Claim Readiness Specialist is also responsible for resolving all assigned claim edits and submission of claims to third party payers within the clearinghouse/practice management system in a timely and efficient manner. They work with Coding and Revenue Integrity Supervisor to escalate charge entry and bill submission issues to prevent incorrect billing. This role reports to the Revenue Integrity Supervisor. 
 
 
Requirements:
ESSENTIAL JOB FUNCTION/COMPETENCIES
Responsibilities include but are not limited to:
 
<ul>
<li>Enters and import charges daily for all professionals ensuring accurate coding.</li>
<li>Determines correct CPT codes for professional surgical procedures along with Evaluation and Management (E&amp;M) clinical encounters. Also determines appropriate all ICD-10 diagnosis codes.</li>
<li>Ensures all prior day’s charges and edits have been accurately resolved and claim is ready to bill insurance in a timely manner.</li>
<li>Identifies root cause issues causing charge edits and communicates these issues to leadership for upstream education.</li>
<li>Communicates with Coders, Business Office staff and Providers when necessary to resolve errors and clarify issues.</li>
<li>Stays accountable to quality and productivity standards, and monitor compliance with policies and procedures.</li>
<li>Identifies process opportunity trends and recommend ways to improve efficiencies.</li>
<li>Ensures adherence to third party and governmental regulations relating to coding, billing, documentation, compliance, and reimbursement.</li>
<li>Participates in special projects, personal development training, and cross training as instructed.</li>
<li>Informs Supervisor, Coding and Revenue Integrity of trends, inconsistencies, discrepancies for immediate resolution.</li>
<li>Works in conjunction with peers and functional areas of the Coding and Revenue Integrity department for the betterment of completing tasks and the company overall.</li>
<li>Job may require other duties as assigned.</li>
<li>Employees shall adhere to high standards of ethical conduct and will comply with and assist in complying with all applicable laws and regulations. This will include and not be limited to following the Solaris Health Code of Conduct and all Solaris Health and Affiliated Practice policies and procedures; maintaining the confidentiality of patients' protected health information in compliance with the Health Insurance Portability and Accountability Act (HIPAA); immediately reporting any suspected concerns and/or violations to a supervisor and/or the Compliance Department; and the timely completion the Annual Compliance Training.</li>
</ul>
 
CERTIFICATIONS, LICENSURES OR REGISTRY REQUIREMENTS
 
<ul>
<li>Certified Professional Coder (CPC) preferred.</li>
</ul>
 
KNOWLEDGE | SKILLS | ABILITIES
 
<ul>
<li>Demonstrates and uses a strong working knowledge of CPT coding and ICD10 coding as it relates to urology services.</li>
<li>Understands the utilization of modifiers and other billing and coding rules to include the AMA and other billing and coding organizations.</li>
<li>Knowledge of medical terminology and consistent application of medical documentation requirements.</li>
<li>Excellent verbal and written communication skills.</li>
<li>Excellent organizational skills and attention to detail.</li>
<li>Strong analytical and problem-solving skills.</li>
<li>Skill in using computer programs and applications including Microsoft Office.</li>
<li>Ability to work independently and manage deadlines.</li>
<li>Ability to follow policies and procedures for compliance, medical billing, and coding.</li>
<li>Ability to type and enter data with proficiency and accuracy.</li>
<li>Proven ability to manage multiple projects at a time while paying strict attention to detail.</li>
<li>Ability to successfully meet established timelines.</li>
<li>Ability to operate essential office equipment, including multi-line phone, computer, fax machine, scanner, and photocopy machine.</li>
<li>Complies with HIPAA regulations for patient confidentiality.</li>
<li>Complies with all health and safety policies of the organization.</li>
</ul>
 
EDUCATION REQUIREMENTS
 
<ul>
<li>High School Diploma or equivalent required.</li>
</ul>
 
EXPERIENCE REQUIREMENTS
 
<ul>
<li>Minimum of three years revenue cycle experience within a physician practice.</li>
<li>Experience in Urology or physician practice environment preferred.</li>
<li>Minimum 2 years hands on coding and/or billing experience within a physician’s office and/or successful completion of secondary education in medical coding/billing or medical administration, or urology experience.</li>
</ul>
 
REQUIRED TRAVEL
 
<ul>
<li>N/A</li>
</ul>
 
PHYSICAL DEMANDS
 
Carrying Weight Frequency
1-25 lbs. Frequent from 34% to 66%
26-50 lbs. Occasionally from 2% to 33%
Pushing/Pulling Frequency
1-25 lbs. Seldom, up to 2%
100 + lbs. Seldom, up to 2%
Lifting - Height, Weight Frequency
Floor to Chest, 1 -25 lbs. Occasional: from 2% to 33%
Floor to Chest, 26-50 lbs. Seldom: up to 2%
Floor to Waist, 1-25 lbs. Occasional: from 2% to 33%
Floor to Waist, 26-50 lbs. Seldom: up to 2%

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