We are seeking someone who is experienced in laboratory medical billing and coding, is fluent in CPT and ICD-10 knowledge and is able to manage all aspects of professional medical billing.
??? Understand and manage the entire medical billing process for a molecular laboratory
??? Enter patient demographics
??? Verify patient eligibility
??? Check charge entry/cleaning claims for coding accuracy prior to submitting to insurance carriers
??? Establish coding ???rules??? and implement changes to existing and new processes
??? Perform quality check as necessary to ensure users enter all data required to create claims (CPT, POS, provider, etc.)
??? Interpreting medical documentation/records into codes that can be deciphered by payors, other medical coders, and other healthcare professionals
??? Effectively communicate with physicians, nurses, and other healthcare professionals to classify the services a patient has received
??? Maintaining patient confidentiality and HIPAA Compliance Standards
??? Remaining current and understanding industry trends and procedural code changes
??? Coordinating and monitoring insurance coverage and reimbursement rules for laboratory services
Working hours: 8 AM - 5 PM
Education/Certifications---High School Diploma or equivalent required, Bachelor's Degree preferred
--Must have certification with a current license (CPC, CMRS, CBCS or equivalent)
Work Experience---Minimum 3 years of medical coding and billing experience required
Required Skills, Knowledge, and Abilities---Must be able to handle a wide work variety and work in a fast-paced environment.
--Must be a detail-oriented, organized, self-starter, and have an ability to prioritize workload.
--Must be familiar with billing all insurance companies including Medicaid and other government plans
--Advanced knowledge of coding and charting
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