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firsthand

Individuals with Serious Mental Illnesses deserve better.

Coding and Billing Specialist

Billing SpecialistBilling SpecialistOtherRemoteSeniorTeam 201-500Since 2021H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

85 days ago

Salary

$55K / year

Seniority

Senior

High School4 yrs expEnglish

Job Description

Coding and Billing Specialist

firsthand

• Perform day-to-day encounter coding for services, procedures, diagnoses, and treatments. • Verify that all assigned codes (ICD, CPT, and HCPC) are compatible, appropriate, and accurate for billing. • Audit clinical notes for supporting documentation and code to the highest specificity. • Use medical terminology to confirm clinical documentation supports the reported diagnoses. • Conduct coding corrections. • Prepare and submit claims for payment. • Correct and resubmit rejected claims. • Maintain Accounts Receivable (A/R) for revenue cycle management. • Serve as the subject matter expert on firsthand's billing systems, including the Electronic Health Record (EHR) and Clearinghouses. • Advise on and implement ongoing process improvements related to coding and billing. • Develop and update procedures manuals to ensure correct coding standards and minimize fraud/abuse risk (e.g., revising the master CPT list). • Educate firsthand Advanced Practice Nurses (APNs), Nurse Practitioners (NPs), and other team members on proper code selection, documentation, procedures, and requirements. • Provide technical guidance to clinical staff in resolving coding issues, such as incomplete or ambiguous documentation.

Job Requirements

  • 4+ years of experience as a medical billing and coding specialist, leveraging an EHR system.
  • A High School diploma or equivalent.
  • Required Medical Coder Certification: Certified Professional Coder (CPC) from AAPC or Certified Coding Specialist (CCS) from AHIMA.
  • Nice-to-have: Certified Risk Adjustment Coder (CRC) from AAPC.
  • Strong knowledge of ICD-10-CM and CPT coding guidelines.
  • Proficiency in medical terminology, with the ability to read and interpret medical procedures and documentation.
  • Expertise in state and federal Medicare reimbursement guidelines.
  • Ability to quickly gain proficiency in firsthand’s specific EHR, Clearinghouse, and other billing software.
  • Strong multi-tasking skills and consistent attention to detail.
  • Excellent written and verbal communication skills for maintaining collaborative relationships with APNs, NPs, the Clinical Documentation Integrity Specialist, and other team members.
  • Support firsthand’s mission, vision, and values by demonstrating respect, dignity, empathy, and professional conduct.

Benefits

  • physical and mental health
  • dental
  • vision
  • 401(k) with a match
  • 16 weeks parental leave for either parent
  • 15 days/year vacation in your first year (this increases to 20 days/year in your second year and beyond)
  • supportive and inclusive culture

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