Role Description QuickVisit Urgent Care is seeking a Medical Billing and Coding Specialist for our urgent care clinics. As a Medical Biller and Coder you will support a culture of delivering the highest quality, most affordable, and accessible healthcare in the rural communities we serve. - Performs daily posting of payments. Reconciles payments and imports remits. - Post & create claims to send to insurance. - Review and correct Invalid claims from clearing house and handle accordingly. - Review Rejected claims from the insurance payers and handle accordingly. - Perform claims follow-up by working aged balances in accordance of timely filing deadlines. - Stays current with payer requirements for billing and shares best practices. - Involved with root cause analysis of denied claims and communicates trends and suggestions for improvement. - Communicate with providers to resolve coding issues or when additional information is needed. - Ensures process issues (i.e. incorrect data entry upon patient registration) resulting in denials and/or claim delays are brought to managers attention to bring about necessary process changes. - Communicate with physicians, residents, staff, and other providers when additional information is needed for accurate code assignment. - Imports claims into the clearinghouse and review claims to achieve clean claims. - Processes and corrects insurance denials. - Works Accounts Receivable account aging to achieve maximum reimbursement for services provided. - Documents all efforts on patient accounts. - Provides customer service to internal and external customers regarding claims and insurance processing. - Works with departments to resolve and avoid denials and appeals. - Collaborates with team members to make process decisions. - Works with customers regarding billing questions. - Works willingly and accepts assignments as given. - Complies with the Corporate Compliance Policy and all laws, regulations, and Standards of Conduct relating to the position. - Agrees to report any suspected violations of law or Standards of Conduct. - Complies with all applicable state and federal regulations and RHC standards. - Maintains the confidentiality of patient, resident, employee and organizational information. - Perform other duties as assigned. Qualifications - High school diploma or equivalent required. - Medical Billing and Coding certificate, diploma, or degree required. - 2-3 years outpatient billing experience. - Experience with eClinicalWorks preferred, but not required. Benefits - Health, Dental, Vision Insurance. - Short Term Disability. - 401k Program. - PTO. - Employer covered Long Term Disability and Life Insurance Policy. - Employee Discount Program – Free visits to you and discounted care for your family! Company Description QuickVisit is committed to the principles of equal employment. We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations. - It is our intent to maintain a work environment that is free of harassment, discrimination, or retaliation. - Dedicated to the fulfillment of this policy in regard to all aspects of employment.

Role Description - Abstracts data in compliance with national, regional, and local policies, and interprets and reviews medical record documentation to assign accurate ICD-10 diagnosis and CPT procedure codes. - Utilizes practice management system (PMS) to accurately account for demographics and services performed for all scheduled and unscheduled surgical cases according to standard procedures and coding guidelines. - Utilizes individual hospital medical record systems and coordinates with physicians and staff to obtain clinical documents and demographics required for appropriate coding and billing for all hospital procedures. - Provides education and support to clinical areas regarding appropriate documentation and coding of services to achieve accurate billing. Maintains effective communication with providers concerning coding issues. Qualifications - High school diploma/GED or equivalent working knowledge preferred. - Accredited by the American Health Information Management Association (CCS-P) or the American Academy of Professional Coders (CPC). Requirements - A minimum of one of the following credentials: CCS-P or CPC. - Meets established coding and abstracting quality and productivity standards. - Experience with various coding software. Previous experience with remote coding is preferred. - Possesses PC skills, both keyboarding and applications. - Requires a good understanding of anatomy, physiology, medical terminology, and disease processes. - Ability to work independently. - Excellent attention to detail.

• Conducting coding audits prior to payment release. • Performing post-payment coding reviews with overpayments. • Sending coding education correspondence to applicable providers. • Reviewing medical records, patient medical history and physical exams. • Assisting with validation audits to evaluate medical record documentation. • Interpreting medical documentation to ensure coding captures HCC conditions. • Developing tools and metrics to improve coding and documentation accuracy. • Providing high level of customer service to internal and external clients. • Escalating appropriate coding audit issues to management. • Participating in and supporting ad-hoc coding audits as needed. • Supporting ongoing programs to minimize organizational risk in RADV Audits. • Completing assigned coding projects. • Other duties as assigned.

• The Medical Coder 3 (inpatient and ambulatory surgery) abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-10 - CM/PCS and CPT codes to patient records according to established procedures. • Works with coding databases and confirms DRG assignments. • Familiar with standard concepts, practices, and procedures within a particular field. • Relies on instructions and pre-established guidelines to perform the functions of the job. • This position relies on guidelines and some experience and judgment to complete job and works under general supervision.