Medical Billing and Coding AssociatePay Range: $20-$24 per hour, based on experience Employment Type: Full-Time, Hourly Location: 16-70 Weirfield St, Ridgewood, NY (In-Person) Benefits: Medical, Dental, and Vision (with company contribution), Paid Time Off PTO, Weekly pay, 401kPosition Overview:We are seeking a skilled and detail-oriented Medical Billing and Coding Associate with a primary focus on coding to join our team. The ideal candidate will possess expertise in medical coding, including ICD-10, CPT, and HCPCS coding systems, and will play a vital role in ensuring accurate coding and billing practices.Responsibilities:Partners with Operations to resolve issues surrounding unbilled claims, authorizations, Physician Certification Statements (PCSs), Patient Care Reports (PCRs), and insurance, and demographic capture issuesResponsible for escalating concerns regarding questionable paperwork to appropriate managementContact payers to verify claim status via phone or web and follow up on unpaid claimsProcess appeals on aged insurance claims/denialsAbility to analyze, identify and resolve issues which may cause payer payment delaysIdentify and resolve claim edits through understanding of billing guidelines and payer requirementsReconcile commercial and government accounts, ensuring CPT and diagnostic codes are accurateInterpret terms for Managed Care, Commercial, Medicare, Medicaid and Workers' Compensation and No Fault when applicableReview all EOBs for correct payment, deductible, adjustments, and denialsDetermining the status of claims with the insurance company, if the claim meets contractual agreements or needs adjustmentReconcile account balances, and verify payments are applied correctlyMaintain well aged accounts, promptly resolve, and resubmit denied unpaid claims in a timely and efficient mannerFollow up on appeals/corrected submitted claimsReview and correct billing errors, which require a strong knowledge of CPT and ICD-10 codingReview and audit customer service account inquiriesReceive inbound/outbound customer service callProvide excellent customer service to all patients, Insurances & FacilitiesReview and correct all rejections in clearing housePerform all other related duties as assignedQualifications:Must have 2-3 years of medical billing experience (required)Ambulance billing experience (preferred)Extensive Medicare and Medicaid experience and understanding medical necessity in ambulance transportationProficient in CPT and ICD-10 codingAmbulance/Medical billing certification or diploma preferredCertified Ambulance Coder (CAC) or Certified Professional Coder (CPC) preferredExcellent organizational skills and the ability to multitask in a fast-paced environmentAnalytical - collects and researches data; uses intuition and experience to complement dataEEO/AAP Statement: DocGo is an equal opportunity employer. We acknowledge and honor the fundamental value and dignity of all individuals.
We pledge ourselves to crafting and maintaining an environment that respects diverse traditions, heritages, and experiences. DocGo is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.