Alliance HealthCare Services

Certified Coder/Compliance Auditor

US-FL-Daytona Beach
ID
2017-9574
Category
Healthcare - Administrative
Position Type
full-time

Job Responsibilities

 

Come join our team!!  The ideal candidate will be an experienced Medical Coder and be prepared to handle internal compliance auditing and billing reviews.  This is a full time, Monday through Friday, 8 am to 5 pm, position.  This position is based in Daytona Beach, FL.  We offer the following benefits:

  • Medical
  • Dental
  • Life
  • 401k with company match
  • Paid vacation
  • Paid floating holidays
  • Paid calendar holidays
  • Paid sick days

 

At Alliance Interventional, our team members focus on transforming the patient experience and delivering exceptional quality care. Patients choose Alliance Interventional because of our experienced healthcare team and minimally invasive approach to pain management—resulting in cost-effective treatments with less trauma and pain, and a faster recovery time.

 

The Certified Coder identifies, collects, assesses, monitors and documents claims and encounter coding information according to respective payer guidelines. Verifies and ensures the accuracy, completeness, specificity and appropriateness of diagnosis and CPT codes based on services rendered.

 

Specific duties include, but are not limited to:

  • Demonstrates the ability to appropriately use ICD.10 and CPT coding principles to code to the highest level of specificity that complies with CMS regulations and company goals and policies. Also, understanding of various third party billing requirements, while preparing paper and electronic claims for timely submissions to insurance carriers with the ability to work independently.
  • Identifies and reports issues or errors, such as incomplete or missing records and documentation, ambiguous or non-specific documentation, or codes that do not conform to approve coding guidelines, while utilizing professional communication skills.
  • Demonstrate the ability to self-report daily tasks and assignments as well as identifying any billing trends that affected daily billing productivity.
  • Assists A/R collectors with resolving coding conflicts with third party carriers. Investigates and resolves EDI rejections. Daily batches and reports.
  • Other duties as assigned.

Position Requirements

  • High School Diploma or Equivalent Experience required; Certificate from College or Technical School preferred
  • Certified Medical Coder with one of the following active certifications and with a high degree of competency (CPC, CPC-A, CPC-H, or CPMA from AAPC; or CCA, CCSP, CCS from AHIMA) required.
  • Associates degree in Medical Billing and Coding preferred or Certified College or Technical School. Two years of experience in lieu of education may be considered. 
  • CPC from AAPC preferred.
  • Displays strong organizational skills with the ability to prioritize, multitask, detail orientated.
  • Minimum of 2 years billing experience.
  • Knowledge of CPT, HCPCS and ICD-9 and ICD-10 Coding and ability to follow coding guidelines.
  • Knowledge of E&M Coding Guidelines for 1997 and 1995.
  • Knowledge of basic medical terminology and coding for CMS, AHCCCS (State), and third-party billing guidelines.
  • Ability to prioritize and solve problems in a timely manner.
  • The ability to communicate effectively and professionally with insurance carriers for reimbursement issues to include; benefits, adjustments, reviews and authorizations, as well as to team members and providers.
  • A basic understanding of Microsoft Office to include: Outlook, MS Word, and Excel.

A division of Alliance HealthCare Services (NASDAQ: AIQ), we are an equal opportunity employer and we believe in strength through diversity. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sex, sexual orientation, gender identity & expression, status as a protected veteran, or disability.

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