Family Allergy & Asthma has an exciting opportunity for you to join us as a Medical Billing Internal Auditor- CPC. This position will focus on auditing of claims submissions.
To be successful in this role you need, in-depth knowledge of billing procedures, ICD codes and the ability to pay close attention to detail.
This position is for a Certified Professional Coder.
It is important to have good analytical abilities as well as proficient communication skills.
The schedule is primarily Monday – Friday, 8am-5pm.
The office/work location is in the East End of Louisville.
- Offers of employment are contingent upon providing proof of COVID-19 vaccination with considerations given for accommodations for disability and religious based reasons.
- Quarterly audits of insurance charges
- Analyze provider documentation to assure the appropriate Evaluation & Management levels are assigned using the correct CPT code
- Evaluate medical records for documentation consistency and adequacy
- Communicate with providers regarding differences in level and work with them to update documentation or have them agree to changing level.
- Assist billing team to establish the medical necessity of charges
- Provides feedback to the providers and clinical staff on coding issues and denials
- Identify billing error trends and communicate with providers as identified
- Provide training to each provider regarding errors identified
- Monitor and audit proper diagnosis codes with appropriate CPT codes for billing purposes
- Review appropriate medical codes to all diagnoses or services
- Participate with other staff to follow up on accounts until account balance is zero
- Complete coding projects as needed
- Assist with charge entry in all areas as needed
- Other duties as assigned
Education, Prior Work Experience, Special Skill and Knowledge Requirements
- Certified Professional Coding (CPC) certification required
- High School Diploma or GED required
- Basic Computer Skills-must know Excel
- 2+ years of experience in ASC coding and insurance billing required
- Knowledge of the ICD-10, ICD-9, and CPT-/HCPCS universal coding systems.
- Knowledge of coding and clinic operating policies.
- Knowledge of insurance carrier coding requirements to ensure proper coding based on license and specialty.
- Knowledge of third-party billing procedures across a variety of payer systems.
- Well organized with an ability to meet deadlines
- Detail oriented
- Excellent Customer Service
- Strong verbal and written communication skills
Family Allergy & Asthma provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Source: Indeed.com
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