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Contact Name: DAVE

Job Details: Certified Coding Specialist Date: Mar 26 2020

Job Reference: 4777
Job Category: IT Jobs [ View All IT Jobs Jobs ]
Company Type Recruiter
Employment type: Contract
Degree: Bachelors
Experience: 3 years
Location: Liberty, Maine, 04949
Job Skills: Certified Coding Specialist
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Job Description


Research, communicate and educate others on coding changes that impact reimbursement Identify areas of opportunity that occur as a result of a coding or billing error Review insurance contracts to gain thorough understanding of payment methodologies Examine claims and calculate reimbursement based on contract terms to determine accuracy of payment through use of various reports and supporting documentation Contact insurance company to obtain missing information, explain and resolve underpayments and arrange for payment or adjustment processing on behalf of client Prepare and submit correspondence such as letters, emails, faxes, online inquiries, appeals, adjustments, reports and presentations Maintain regular contact with necessary parties regarding claims status including payors, clients, managers and other personnel Support and direct claims to all departments and client onsite analysts Build strong, lasting relationships with clients, payors and personnel Attend client, department and company meetings Comply with federal and state laws, company and department policies and procedures

Essential Skills and Experience:

Minimum 3-years of experience working with hospital claims in some capacity Familiarity with hospital billing guidelines and requirements Knowledge of healthcare codes including CPT, HCPCS, ICD-9, ICD-10, DRG and ability to correctly use and apply codes in an operational setting Ability to read and interpret an extensive variety of documents such as contracts, claims, medical records, EOB's, policies and procedures in written (English) and diagram form Familiarity with CDM and its impact on reimbursement High School diploma or equivalent Ability to define problems, collect data, establish facts and draw valid conclusions Strong organization and time management skills Moderate computer proficiency including working knowledge of MS Excel, Word and Outlook Mathematical skills: ability to calculate rates using addition, subtraction, multiplication and division Strong customer service orientation Excellent interpersonal and communication skills Strong team player Commitment to company values


Non-Essential Skills and Experience:

Related Professional License/Certification(s) Associate or Bachelor's Degree(s)

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