LAMOUR Clinic and LAMOUR Community Health Institute were developed to provide an essential link between the community, the healthcare, human services system and educational system. Our staff are multicultural providers that speak and understand the cultural needs of the community. Our specialty is using a blend of integrated behavioral health program services that meet the needs of children, adolescents, families, and adults and providing services in the community.
We are a Multi-Services Community Based Agency that is committed to advocating and providing community-based, culturally competent, and comprehensive programming services. We have a responsibility to the communities we serve and to the staff we employ to help them develop their potential.
LOCATION:
Main office in Randolph and Braintree Massachusetts with satellite locations in various states. Administrative staff can be designated to work at any of our office sites within the regions we cover based on positions that are available and travel is required at times.
JOB SUMMARY:
The Billing & Coding Coordinator oversees billing and coding operations and management, and is responsible for general day-to-day billing, financial administration of operational duties, and administration for the Billing & Coding team and finances processes. The Coordinator will set up, maintain, and oversee all web-based applications regarding billing and coding EMR, and Clearing House. They will supervise the Billing & Coding Documentation Specialist, and oversee their daily duties regarding training, billing, coding and coordinating, financial coordination, documentation coordination, and directly reporting to the Accounts Receivables in regard to all financial and accounting activities, and any additional duties. The Coordinator is responsible for coordinating resolution of complex coding denials, and questions related to claims coding for patients. The Coordinator will perform auditing of offshore coding for quality assurance and education. Collaboration with assigned client/RCM teams, providing education on coding denial trends and/or opportunities for coding improvement and documentation requirements. The Coordinator will also create presentations, develop learning material, and provide feedback to internal and external customers on denials and coding improvements.
QUALIFICATIONS REQUIRED AND EXPERIENCE:
- Master’s Degree preferred or BA or BS in Finance, Accounting or Finance, experience with Accounting and/or Finance and Healthcare Administration experience
- A minimum of 2 years of recent or previous Healthcare Administrative experience and one of the following: Certified Professional Coder (CPC), Certified Professional Coder-Hospital Outpatient (CPC-H), Certified Professional Biller (CPB™), Certified Professional Medical Auditor (CPMA®), and Certified Documentation Expert Outpatient (CDEO®).
- Optional practical training (OPT)
- Curricular Practical Training (CPT)
- Bilingual a plus; Haitian Creole, Portuguese Creole, Spanish, Vietnamese, Chinese, or Cambodian
Maintenance & Quality Improvement:
- Maintain daily billing for patient account payable and receivable
- Ensures all patient data entry is Coded with appropriate diagnoses, CPT & HCPCS procedure codes
- Provides staffing training on documentation for billing
- Submitting billing claims and resubmitting claims research for payment
- Maintain up date compliance on billing and coding
- Maintain tracking of patient authorizations units and billing tracking
KEY SKILLS & BEHAVIOR:
- Strong math, analyzing, interpersonal skills and Excellent time management skills
- Strong analytical skills and interpersonal skills willing to work directly with staff
- Ability to communicate effectively within a variety of situations and diverse populations
- Ability to work independently and as part of a team
- High attention to detail
SALARY & BENEFITS:
- $1000 per Month increase based on KIP monthly the hire after training
- $23-$30 per hour depending on experience
- Flexible Schedule 12 hour shifts
- Must however be willing to work some late afternoons and evenings until 8:15pm, and some weekends.
- Education stipends with partnering colleges available after one year of employment
- Possible H1B Visa sponsor After 365 days of hirer