MEDICAL CODING BILLING SPECIALIST

Job Description Salary: Salary commensurate with experience
We are seeking an energetic person with a desire to develop their knowledge of medical billing and coding, and contribute to our dynamic team in one of the leading outpatient surgical providers. Position includes above average wages, excellent benefits, and opportunities for learning and career development.

Job Summary:  The ideal candidate will possess experience in Medical Billing/Coding, with a strong knowledge of Billing and Collection practices for a multi-specialty outpatient facility. Accountable for understanding and coding all procedures within regulatory mandates. Responsible for verifying and notifying patient of any outstanding deductible and co-insurance, prior to upcoming procedure/surgery. Review and allocate the appropriate payments per payor contract and make necessary adjustment to patient accounts. Follow up on outstanding insurance claims, submit appeals and perform miscellaneous office duties as needed.  Essential responsibilities will include, but are not limited to the following:

Communication:
Communicates effectively and professionally with patients, visitors, physicians, and coworkers
Interacts with others in a positive, respectful, and considerate manner
Professional competence:
Participates in continuing education and other learning experiences
Shares knowledge gained in continuing education with staff
Seeks new learning experiences by accepting challenging opportunities and responsibilities
Welcomes suggestions and recommendations
Job Responsibilities :
Accountable for reviewing daily schedules for estimates, authorization and 3rd party billing
Enter patients demographics and insurance information for upcoming procedures/surgeries
Verifies patients eligibility and benefits for upfront collection on unmet deductibles and co-insurance
Contacts physician/anesthesia billing personnel regarding Global Cases
Responsible for reviewing operative reports and assigning appropriate CPT, HCPS, modifiers and ICD-10 within three (3) business days of procedure/surgery
Enters charges accurately according to insurance payors/contracts

Required Education, Experience, Skills and Abilities:
A minimum of at least one (1) year in billing experience
Knowledge of medical terminology, abbreviations, techniques and surgical procedures; anatomy and physiology; major disease processes; pharmacology; and the metric system.
Knowledge of reimbursement systems, as well as federal, state and payer-specific regulations and policies pertaining to medical documentations, billing and coding.
Skill and ability to read, interpret, and apply policies, procedures, laws, and regulations; read and interpret medical procedures and terminology; exercise independent judgment; and prepare reports and related documents.
Demonstrated excellence in interpersonal, verbal and written communication
Skill and ability to maintain working relationships with co-workers and physicians
Skill and ability to review the work of others and maintain confidentiality
Ability to work independently with minimal instructions
Excellent Customer Service and phone etiquette skills
Strong organizational skills with the ability to prioritize a high-volume workload
Helpful attitude, positive teamwork spirit with a willingness to help
Preferred Education and Qualifications:
Knowledge of ICD-9-CM/ICD-10-CM and CPT coding principles and guidelines
Coding Certificate program, AAPC or AHIMA accredited preferred

How to apply: Please complete the general employment information, and attach your resume

MPSC, LLC., does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service, and no question on this application is used for the purpose of limiting or excusing any applicant consideration for employment on a basis prohibited by local state or federal law.