Accounts Receivable Specialist
August 13
Description
• Employ techniques to assign appropriate codes for medical procedures, diagnoses, and services, including CPT, ICD-10, HCPCS, and applicable modifiers. • Conduct thorough reviews and analysis of patient medical records, encounter forms, and related documents to verify coding accuracy and adherence to guidelines. • Collaborate with physicians, nurses, and administrative staff to address questions and discrepancies. • Keep abreast of evolving regulations, policies, and reimbursement methodologies, adjusting coding practices to remain compliant and up-to-date. • Validate claims and invoices for coding accuracy and adherence to Medicare and VA requirements, promptly identifying and addressing any inconsistencies. • Participate in the creation of reports and audits for internal and external evaluations, including quality assurance and compliance assessments. • Maintain effective communication with finance, data and clinical teams to ensure the smooth submission and processing of claims, ensuring proper reimbursement.
Requirements
• Certified Professional Coder (CPC) or equivalent coding certification • Minimum of 2 years of experience as a medical coder • Proficiency in coding systems such as CPT, ICD-10, and HCPCS, accompanied by an understanding of coding guidelines and policies • Strong written and verbal communication abilities for effective collaboration within virtual interdisciplinary teams and addressing coding queries • Familiarity with electronic health record (EHR) systems and medical billing tools
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