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Certified Professional Coder - Full Time

Experity Machesney Park, Illinois
team medical billing urgent care insurance workplace culture revenue news compliance communications marks authority leadership
June 30, 2023
Experity
Machesney Park, Illinois
X marks the spot!

Experity Earns 2022 Great Place to Work Certification

Employees confirm positive workplace fostered by Experity, with over 90% of respondents saying they are proud to tell others that they work at the company.

We are the national leader in on-demand care solutions, and we take great pride to announce that Experity is now Certified by Great Place to Work� the global authority on workplace culture, employee experience, and the leadership behaviors proven to deliver leading revenue, employee retention and increased innovation.

Experity is a fast-paced, high-growth company that considers its people to be its greatest strength, as they are the engine that powers the company s driving mission to improve urgent care and the patient experience. Experity works diligently to continue meeting the wants and needs of employees and fostering a positive, balanced workplace culture.

We are the country's largest electronic health records company for the urgent care market and provide an integrated operating system. Nearly 50% of the U.S. urgent care market runs on Experity solutions. With Experity, providers can best meet the demands of the evolving on-demand space and deliver high-quality, high-velocity care by streamlining operations, improving patient experiences and optimizing revenue.

Experity's technology serves 5,700-plus clinics today across the US!

Great place to work article: https://www.experityhealth.com/news/experity-earns-2022-great-place-to-work-certification/

We love all our X-tras! What s in it for you?
  • Career Development Our Training Manager has created a learning program foundation for the company that will allow Team Members to explore their potential and achieve their career goals.
  • Investing in You We invest in our team members so they can reach their financial independence Smart Dollar is a Step-By-Step Plan that helps our team members Eliminate Debt, Save for Emergencies, and Retire with Confidence
  • Team Building We bring our Team Members together when we can to strengthen the team, build relationships and have fun! We even have a family company picnic and a holiday party
  • Benefits - And of course all of our wonderful benefits:
    • Medical, dental and vision
    • 401K (with company matching)
    • Paid time off and so much more!
Certified Professional Coder will oversee and monitor the coding and billing process for RCM clients.

Responsibilities:
  • Verify and ensure the accuracy, completeness and appropriateness of diagnosis and procedure codes based on services rendered
  • Review medical record information to identify all appropriate coding
  • Review provider medical records to ensure compliance with established CMS/AMA documentation requirements for CPT and NCCI edits.
  • Review insurance denials for possible coding correction and claim resubmission.
  • Review clearinghouse rejections for possible coding errors.
  • Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies
  • Responsible for duties related to billing including processing, follow-up activities, and providing related assistance as requested.
  • Communicate coding and billing specific deficiencies to various clinical staff
  • Educate and guide clinical staff on proper documentation and any trends that could cause delay of claim submission.
  • Act as a liaison between coding staff and clinic staff for any coding related issues or questions.
  • Complete appropriate paperwork/documentation/system entry regarding claim/encounter information
  • Other duties as assigned

Qualifications:
  • Strong team player

Education and Experience:
  • Knowledgeable in medical insurance billing regulations
  • Knowledge of medical terminology and anatomy
  • Review physician documentation to ensure compliance with third party and regulatory guidelines
  • Performs initial charge review to determine appropriate CPT and ICD-10 codes
  • Proficient in Windows based applications, and MS Office software products
  • Ability to learn quickly, build and maintain long term relationships and work with minimal supervision
  • Work in a professional manner with exceptional customer service skills

Preferred:
  • 2 years of medical billing/coding/insurance experience preferred
  • Prior billing/coding experience in an Urgent Care environment

Required:
  • CPC certification

Every team member exhibits our core values:
  • Team First
  • Lift Others Up
  • Share Openly
  • Set and Crush Goals
  • Delight the Client
  • We currently have 1 opening for this role. 15-minute assessment MUST be completed before phone interview. Interview details: phone interview, onsite interview, offer! All communications will be through email or text. Please check your spam folder if not seeing any communications from Experity.

https://www.experityhealth.com/news/experity-earns-2022-great-place-to-work-certification/

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