Billing Certified Coding Specialist I - Remote

Overview

The Billing Certified Coding Specialist I plays a crucial role in reviewing and interpreting third-party payments, adjustments, and coding denials for professional services while ensuring compliance with coding guidelines.

In Short

• Identify and review coding denials for professional services.
• Perform hands-on coding and documentation review.
• Resolve complex coding issues and denials.
• Maintain certification requirements for coding.
• Analyze rejected claims and recommend corrections.
• Communicate with third-party payors to resolve claims issues.
• Monitor accounts receivable and denial trends.
• Participate in departmental quality improvement activities.
• Stay updated on coding regulations and guidelines.
• Assist with projects and research as assigned.

Requirements

• High School diploma or equivalent with specialized training in coding.
• Certification as CP, CPC-A, or CCS-P.
• 1-2 years of experience in billing and coding.
• Strong organizational and problem-solving skills.
• Ability to work independently and collaboratively.
• Excellent communication skills.
• Ability to manage multiple tasks effectively.
• Knowledge of healthcare compliance and coding guidelines.
• Ability to accept feedback and improve performance.
• Willingness to learn and adapt to new tasks.

Benefits

• Comprehensive compensation and benefits package.
• Opportunities for professional growth and development.
• Supportive work environment with a focus on teamwork.
• Commitment to employee health and well-being.
• Participation in quality improvement initiatives.
• Flexible working arrangements.
• Continuous learning and training opportunities.
• Engagement in a mission-driven organization.
• Networking with healthcare professionals.
• Equal opportunity employer with a diverse workforce.