Accounts Receivable Coding and Billing
Posted 2025-03-15AR Denial Coder-MUST BE CERTIFIED
Coding and Billing experience including processing appeals, corrected claims via payor portals and experience communication with the payers. Consistent experience in last two years.
Position Title: AR Follow up specialist Systems used: EPIC (MUST HAVE) Certification requirements: CPC ? One (1) Cardiology diagnostic/surgical coder with Billing and Denial experience ? Two (2) General Surgery or Multi Surgery coding experience with Billing and Denial Experience.
Case Mix, and Specific chart types: Multispecialty Surgical coding experience with Oncology, Radiation Oncology a plus.
Summary:
We are looking for an AR follow up specialist to work back end denials. Will need to comfortable working with insurance companies and providing documentation education for providers. Time will be split between back end denials and front end charge capture but coders should expect to spend the majority of their time working back end coding denials
Productivity Expectations: 5-12? charts per hour.??
Specific Instructions/Requirements: ?Coding Denials, identify areas of provider education and track trends.? They will need to know their coding guidelines in order to look at the edit, fix it, and move on.? Should have experience with cleaning up denials.
We are looking for a coder to work A/R coding denials for all CPT specialties. Coder will be an A/R coding specialist and will work with an appointed A/R Manager. Must know the adjudication process for claims. Correct coding and submission of corrected claims process within the EPIC system. Must be familiar with calling payors when necessary. A firm knowledge of CCI edits, LCD, and NCD. Payor specific knowledge of Medicare, Medicaid, and Commercial payors. Good Communication skills with Manager and Team associates is a must. Tracking of Trends is required. Will work special coding assignments as designated by Revenue Cycle Directors and Managers ?that will involve front end working of CCI edits and claim scrubber edits in EPIC. The major part of the work is Coding Denials. All work involved is in all CPT specialties and will at times require research skills.
Schedule must be Monday Thru Friday day time hours
Job Type: Full-time
Pay: $24.00 - $27.00 per hour
Benefits:
? 401(k)
? Dental insurance
? Health insurance
? Life insurance
? Paid time off
? Vision insurance
Schedule:
? 8 hour shift
Work Location: Remote
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