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Contract Medical Coding Billing Jobs in Alabama (NOW HIRING)

Trice Healthcare

Coding Payment Resolution Spec

Homewood, AL · On-site

$18.75 - $24/hr

... medical record reviews, contracts, regulations as directed by the Supervisor Clinical / Coding ... billing/collections. * Possesses expertise in medical terminology, disease processes, patient ...

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Contract Medical Coding Billing information

What is the difference between Contract Medical Coding Billing vs Medical Coding Specialist?

AspectContract Medical Coding BillingMedical Coding Specialist
CertificationsAHIMA or AAPC certifications preferredSame certifications typically required
Work EnvironmentFreelance, remote, or temporary contractsHospital, clinic, or healthcare facility
Employer & IndustryHealthcare providers, billing companies, or as independent contractorsHospitals, clinics, insurance companies

Contract Medical Coding Billing professionals focus on billing and coding tasks on a contractual basis, often working remotely or temporarily. Medical Coding Specialists usually work full-time within healthcare facilities, performing coding duties regularly. Both roles require similar certifications but differ mainly in employment type and work setting.

How to become a contract medical coding billing specialist?

To become a contract medical coding billing specialist, you typically need a high school diploma or equivalent, followed by completing a medical coding and billing training program or certification. Certification from organizations like AAPC or AHIMA can improve job prospects, and familiarity with coding systems such as ICD-10 and CPT is essential. Experience with electronic health records and billing software is also beneficial for contract roles.

What are the most commonly searched types of Medical Coding Billing jobs in Alabama?

The most popular types of Medical Coding Billing jobs in Alabama are:

Contract Medical Coding Billing jobs near you

Coding Payment Resolution Spec

Trice Healthcare

Homewood, AL • On-site

$18.75 - $24/hr

Other

Re-posted 23 days ago

Job description

Coding Payment Resolution Specialist

Responsible for reviewing all post-billed denials (inclusive of coding-related denials) for coding accuracy and appealing them based upon coding expertise and judgment within the Hospital and/or Medical Group revenue operations of a Patient Business Services center.

Serves as part of a team of coding payment resolution colleagues at a PBS location responsible for identifying and determining root causes of denials.

Responsible for leveraging coding knowledge and standard procedures to track appeals through first, second, and subsequent levels, and ensuring timely filing of appeals as required by payers. In addition to promoting departmental awareness of coding best practices.

This position reports directly to the Supervisor Clinical/Coding Payment Resolution.

Essential Functions

  • Knows, understands, incorporates, and demonstrates the Client Mission, Vision, and Values in behaviors, practices, and decisions.
  • Provides detailed understanding or aptitude for resolving denials based on ICD-10-CM diagnosis codes, ICD-10-PCS codes, and CPT-4 procedural codes for UB-04 outpatient or inpatient claims, or other coding reasons and processing charge corrections based on medical record reviews, contracts, regulations as directed by the Supervisor Clinical / Coding Payment Resolution.
  • Interprets data, draws conclusions, and reviews findings with all level of Payment Resolution Specialist for further review.
  • Takes initiative to continuously learn all aspects of Payment Resolution Specialist role to support progressive responsibility.
  • Other duties as needed and assigned by the Supervisor Clinical / Coding Payment Resolution.
  • Maintains a working knowledge of applicable Federal, State and local laws/regulations; the Client and Compliance Program and Code of Conduct; as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.

Minimum Qualifications

  • High school diploma or Associate degree in Accounting or Business Administration or related field, and a minimum of four (4) years' experience within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience. Experience in a complex, multi-site environment preferred.
  • Must possess comprehensive knowledge of professional/physician diagnostic and procedural coding, as normally obtained through a coding certificate program and least one (1) year of physician/professional or hospital outpatient coding experience or minimum of two (2) years of relevant hospital inpatient coding experience including DRG assignment.
  • Must be a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or coding credential of a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC).
  • Must have experience with National Correct Coding Initiative edits (NCCI), National Coverage Determinations (NCD), Local Coverage Determinations (LCD), and Outpatient coding guidelines for official coding and reporting.
  • Possesses detailed understanding of principles, methods, and techniques related to compliant healthcare billing/collections.
  • Possesses expertise in medical terminology, disease processes, patient health record content and the medical record coding process.
  • Must be comfortable operating in a collaborative, shared leadership environment.
  • Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Client.

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