Certified Professional Coder & Physician Educator

Job Summary
Reviews physician charges for coding and documentation accuracy, bills insurance, resolves insurance denials such as exceptions and unbilled charges, helps in the appeals process when indicated, and performs routine chart audits, as well as, provider education and training.

Essential Job Functions:
Review physician CPT, ICD 9 and documentation as they are entered daily by the provider for accuracy.
Approve the charge for medical payment and send via electronic format or paper claim.
Review and resolve insurance denials by examining the provider documentation.
Initiate an appeal when necessary and follow through until resolution.
Performs random chart audits to compile information for provider education and training
Provides monthly provider education and training.
ICD 10 knowledge to prepare employee and provider education and training.

Minimum Qualifications:
Certified Professional Coder
Minimum 3 years employment experience in billing and coding.
CPT, ICD.9, ICD 10 and HCPCS coding.
Informed in all aspects of medical billing.
Informed in areas of CMS, Medicaid and commercial coding and documentation guidelines.
Ability to multi-task.
Excellent customer service, communication, team environment oriented, problem solving, resolution and organizational skills.
Ability to work independently with minimal supervision.

Desired
Experience:
Working in a multispecialty practice.
Knowledge of multiple insurance carrier processes.
Knowledge of Hospice billing.
High School or equivalent and certification in coding from AAPC or AHIMA.
Provider training in CPT and ICD 9 coding experience preferred.

Special Working Conditions:
May travel between east and west valley for provider training and education.
Occasional evening or weekend hours.
This is an office based position 7:30am -4:30pm. No remote availability.



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