Job Details
Atlantic Medical Management is currently hiring a professional Medical Coding Specialist who is goal oriented, revenue driven, highly accurate and motivated. This position includes collecting reimbursements by gathering, coding, and transmitting patient care information; resolving discrepancies; adjusting patient bills; working AR and preparing reports. Must have ProFee coding and billing experience. This is a remote position and candidates must be located in North Carolina.
Essential Functions
- Post medical charges into NextGen software in a timely manner to meet daily and monthly goals.
- Reviews and verifies documentation supports diagnoses, procedures, and treatment results.
- Identifies diagnostic and procedural information and assigns codes for reimbursements.
- Ability to navigate around CPT, ICD-10, and HCPCS.
- Work with providers to correct the diagnosis or procedure codes so that the claim can be processed.
- Identify coding or billing problems from EOBs and work to correct the errors in a timely manner.
- Maintain in depth knowledge of all payers.
- Coordinate with clinics to ensure all outstanding superbills are collected prior to month end close.
- Update patient demographic and insurance.
- Transfer open balances to correct insurance.
- Work with patients and guarantors to secure payment.
- Resolves disputed claims by gathering, verifying, and providing additional information.
- Identify problem accounts and elevate the appropriate staff member as needed.
- Write appeals and include supporting documentation.
- Run appropriate reports and contact insurance companies to resolve unpaid claims.
- Meet set department metrics and thresholds set forth by manager.
- Assist with special projects and other job-related duties as needed.
Minimum Qualifications
- High School Diploma.
- 2 years of professional coding/billing experience.
- AAPC certification preferred.
- Experience with Medicare, Medicaid and other commercial and private payers.
- Demonstrated well‑developed interpersonal skills to interact in sensitive and/or complex situations with a variety of people.
- Excellent customer service and professionalism.
- Maintains patient confidentiality.
- Proficient computer skills.
- Organized and efficient.
- Self‑motivated to meet objectives.
Benefits
- 401(k)
- Health, Dental and Vision insurance
- Employee assistance program
- AFLAC
- Paid time off