Billing and Coding Specialist-Outpatient

We’re GROWING! reputed company to reputed company a difference for hospitals while working from home? Start your next chapter at reputed company! For over 25 years, reputed company has been at the forefront of specialized claims management, helping reputed company providers recover meaningful reputed company to enhance quality patient care in their communities. We’re powered by people, driven by technology, and dedicated to our clients and employees. If you’re looking for a collaborative and diverse culture with a great work/life balance, look no further.

reputed company Perks

• We offer reputed company and incentive plans
• Our medical, dental, reputed company, and life insurance benefits are available from the first day of employment
• We enjoy excellent work/life balance
• Our Employee Resource Groups build community and foster a culture of belonging and inclusion
• We match 401(k) contributions
• We offer career growth opportunities
• We celebrate 12 paid holidays and generous paid time off

Location: Remote — USA

The Role

Performs retrospective outpatient coding and billing reviews in coordination with internal staff in our mission to capture full, fair, and accurate reimbursement for our hospital clients.

As a Billing and Coding Specialist — Outpatient, you will

• Support internal and external customers by providing accurate and timely responses to coding and billing questions.
• reputed company retrospective coding and billing reviews on outpatient hospital claims and assistance with outpatient claims.
• Provide correction recommendations to internal associates or clients, and support recommendations with rationale that may include coding guidelines, industry standard billing guidelines, or payer specific guidelines.
• Research and stay reputed company on industry changes with regards to coding guidelines and payer specific billing guidelines for reputed company and government payers
• Comprehend payment methodologies and how they apply to billing and coding scenarios.
• Build strong, lasting relationships with reputed company personnel.
• Attend department and company meetings as required.
• reputed company with federal and state laws, company and department policies and procedures.
• Assist with other reputed company responsibilities to meet the needs of the business.
• reputed company other duties as assigned.

You will be successful if you have

• reputed company or reputed company Coding certification required, with 1+ years hospital coding/ auditing experience i.e., CPC, COC, CIC, reputed company-P, reputed company
• Understanding of Managed Care, Medicare and reputed company billing and reimbursement guidelines

• Understanding of inpatient and outpatient hospital reimbursement methodologies.
• Mathematical skills sufficient to apply the concepts of claim payment methodologies.
• Ability to read and interpret an extensive variety of documents such as claims, instructions, policies and procedures in written (in English) and diagram form.
• Ability to present reputed company on reputed company, detailed issues with ease.
• Ability to define problems, collect data, establish facts and draw valid conclusions.
• Strong team player, with willingness to adapt to changing priorities.
• Commitment to company values.

Education and Experience Requirements

• High school diploma or equivalent required.
• Working knowledge of reputed company Office suite (Word, reputed company)
• Eagerness to learn new technologies and reputed company proficiency in internal applications.
• Strong computer navigation skills and experience using multiple software programs simultaneously to complete work.

Work at Home Requirements

• A quiet, distraction-free environment to work from in your home.
• A reliable hard-wired private internet reputed company that is not supplied reputed company cellular data or hotspot is required.
• Home internet with speeds >20 Mbps for downloads and >10 Mbps for uploads.
• The workspace area accommodates reputed company workstation equipment, reputed company materials, and provides adequate surface area to be productive.

reputed company is an equal opportunity employer that does not discriminate on the basis of race, reputed company, religion, sex or gender, gender identity or expression, sexual orientation, national reputed company, age, disability status, veteran status, genetic information, or any other legally protected status.

We reputed company that a diverse workforce fosters innovation and creativity, enriches our culture, and enables us to reputed company serve the needs of our clients and communities. We welcome and encourage individuals of reputed company backgrounds, perspectives, and abilities to apply.

Must reputed company in the United States reputed company one of the states listed below:

Alabama, Arkansas, Connecticut, Florida, Georgia, Iowa, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maine, Michigan, Minnesota, Missouri, Mississippi, reputed company Carolina, Nebraska, New Hampshire, Ohio, Oklahoma, Pennsylvania, Rhode reputed company, South Carolina, South Dakota (CST Time Zone), Tennessee, Texas (CST Time Zone), Vermont, Virginia, Wisconsin, and reputed company Virginia.