Accounts Receivable Representative - Medical Coder

National Worksite Staffing LLC

Accounts Receivable Representative - Medical Coder

Mount Laurel, NJ
Full Time
Paid
  • Responsibilities

    As an Accounts Receivable Representative – Medical Coder, you will be responsible for a variety of advanced revenue related billing and coding activities requiring data research and analysis, time management, self-motivation, and teamwork. The Coding team works closely with internal Payment Posting and AR Teams: Commercial Payors, Managed Medicare & Medicaid Payors, Government Payors, Occupational Health, Specialty Payors, or Eligibility and Edits AR.

    An ideal Coder in this role maintains a positive attitude, is self-motivated and detail-oriented, and has excellent problem-solving skills which allow the delivery of on-time results to ensure the success of individuals and the organization. Interested and qualified candidates are encouraged to apply to move forward with an expedited interview process!

    Responsibilities and Duties:

    A qualified and dedicated AR Representative – Medical Coder will:

    • Review charge and claim edits by identifying correct assignment of Place of Service (POS) codes and ICD-10/CPT codes and modifiers while applying coding and billing guidelines per industry standards and/or specific client requests
    • Utilize payor policies to create internal edit and adjustment policies
    • Work claim denials and make any and all appropriate coding corrections
    • Work closely with the AR Coding Manager and AR Managers/Supervisors to maximize cash and minimize denials
    • Track claims and billing trends/issues and communicate them to management
    • Participate in group discussions including coding changes and education and client coding issues
    • Maintain knowledge of all coding changes, rules, and regulations
    • Comply with HIPAA regulations and state and federal standards and guidelines
    • Provide timely, accurate, and professional responses to internal, patient, and third party inquiries
    • Research and resolve complex issues and escalate issues to management
    • Report needed system updates to manager
    • Independently work special payor projects as assigned
    • Assist in training new team members

    Qualifications and Skills:

    Successful candidates will possess the following qualifications and skills:

    • Bachelor’s degree preferred, HS diploma/GED required
    • Certified Professional Coder (CPC) required
    • Minimum of 3 years’ coding experience required, professional medical billing experience preferred
    • Advanced ability to troubleshoot and problem solve in a healthcare setting
    • Advanced knowledge of CPT and ICD-10 coding
    • Advanced understanding of HIPAA compliance practices
    • Extensive knowledge of billing systems and electronic medical records (EPIC preferred)
    • Proficient knowledge and a working understanding of Microsoft Excel and Word

    ** Schedule:**

    • Full Time, Monday – Friday 9AM – 5PM

    ** Salary:**

    • $22 - $24 per hour, based on education and experience

    Benefits:

    • Bi-Annual Bonus – Based on performance, paid out twice per year up to 10% of salary
    • Flexible Schedules – Three available shifts, summer hours, and early dismissal on Fridays
    • Remote Work – Semi-remote work available after successful completion of the 90 day introductory period
    • Paid Holidays and Paid Time Off – 14 days per year; accrues per pay cycle and increases based on years of service
    • Medical, Dental, Vision, and Life plans
    • 401K with employer match and additional incentives offered