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Professional Services Coder

Boston, MA 02115

Posted: 12/20/2023 Employment Type: Direct Hire/Perm Job Category: Accounting & Finance Job Number: 610437 Country: United States Is job remote?: Yes

Job Description


 


Perm/Direct Hire

24-32/hr.


Hybrid Boston, Mostly remote

 

Must have:

Proficient computer and data entry and retrieval skills required.

Certification through AHIMA (CCS-P) and/or AAPC (CPC) is required.

Nice to Have:

EPIC experience preferred.

Cardiology and/or evaluation & management experience preferred.
 
Job Summary
 
will be responsible for:

Retrieving daily schedules and booking lists; verifying that billing information has been downloaded and updated for procedures performed. Working with other Hospital staff to resolve any discrepancies in the schedule to ensure every service is accounted for. Following up on missing or incomplete information.

Reviewing payor policies to ensure billing adheres to guidelines set by payors.

Reviewing all providers coding on a daily basis to ensure accuracy and maximization of revenue. Utilizing information systems to process accurate medical billing, maximizing efficiency. Following-up with physicians, clinicians, fellows and residents on coding and documentation requirements as needed. Tracking coding issues by provider and providing educational materials as needed.

Preparing coding for billing for the department, all areas of service including off site locations, in and out of patient areas. Coding (CPT-4 and ICD-coding systems) may include operative procedures, office/minor procedures, diagnostic procedures and all evaluation and management services.

Serving as a resource person for the department on coding, billing and claims issues. Assisting providers and staff with identifying codes and resolving billing issues. Preparing estimates including International and self-pay patients and providing other analysis as needed.

Keeping informed of third party regulations in billing/reimbursement and maintaining files of coding publications. Participating in continuing education programs to ensure that coding knowledge remains current.

To qualify, you must have:
 
The level of knowledge typically acquired through completion of two years of occupationally specific education or an Associate’s degree in Medical Records or a closely related field. Proficient computer and data entry and retrieval skills required.

Certification through AHIMA (CCS-P) and/or AAPC (CPC) is required.

EPIC experience preferred.

Cardiology and/or evaluation & management experience preferred.

The analytical skills to gather and interpret data that requires the use of basic scientific, mathematical and technical principles.

The ability to exchange information on factual matters, schedule appointments, greet visitors, explain hospital policies and/or relay messages to the appropriate personnel. This type of interaction requires courtesy and tact when dealing with patients and/or hospital employees. Situations that are more sensitive may be referred to others as appropriate.
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