ExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management, and related services. Clients include property and casualty insurance carriers, law firms, third-party claim administrators, and government agencies. Services confirm the veracity of claims by sick or injured individuals under automotive, disability, liability, and workers' compensation insurance coverages.
Medical Coding Specialist
Location
United States
Posted
9 days ago
Salary
$22 - $30 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Medical Coding Specialist
IME RESOURCES LLC
Role Description Exam Works is looking for a Medical Coding Specialist to join our team remotely! The Medical Coding Specialist (Internally called a Coding Specialist) is responsible for: - Creating and writing reports based on medical records and appropriate guideline criteria. - Utilizing the system database to determine usual and customary and/or state fee schedule allowances. - Analyzing provider billing for proper coding and billing guidelines across all provider types. - Ensuring reviews are completed with the highest quality and integrity. - Maintaining compliance with client contractual agreements, regulatory agency standards, and federal and state mandates. Schedule for this role is: Monday - Friday 8am-5pm EST Qualifications - High school diploma or equivalent required. - Minimum one year medical billing experience; or equivalent combination of education and experience required. - Must possess current coding certification in: - OASIS - RAC-CT - CCS - CPC - RHIT - RHIA - CPMA certification preferred. Requirements - Must have a full understanding of aspects of medical billing. - Must demonstrate understanding of the various types of medical billings and ability to identify which system database should be used. - Must be able to cross-reference different types of billings to ensure consistency in the review process. - Must possess knowledge of: - Standard fee schedule review - UC&R review - Drug and supply charges - Rarity - Utilization review - CPT guidelines - ICD 10 - Bundling/unbundling - Duplicate billing - CMS reimbursement guidelines - Must possess complete knowledge of general computer, fax, copier, scanner, and telephone. - Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet. - Must have a full understanding of HIPAA regulations and compliance. - Must be a qualified typist with a minimum of 35 W.P.M. - Ability to follow instructions and respond to management’s directions accurately. - Ability to work independently, prioritize work activities, and use time efficiently. - Must be able to maintain confidentiality. - Must be able to demonstrate and promote a positive team-oriented environment. - Must be able to stay focused and concentrate under normal or heavy distractions. - Must be able to work well under pressure and/or stressful conditions. - Must possess the ability to manage change, delays, or unexpected events appropriately. - Ability to follow all company policies and procedures in effect at the time of hire and as they may change or be added from time to time. Benefits - Competitive benefits (medical, vision, dental) - Paid time off - 401k
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Lifeline ConnectionsWe provide confidential, compassionate care to individuals who experience a substance use and/or mental health condition
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