Certified Professional Coder - (CPC) through governing body AAPC. * Minimum of one year of coding ... Remote work eligible REMOTE WORK REQUIREMENTS: * Must have high speed Internet (satellite is not ...
Certified Professional Coder - (CPC) through governing body AAPC. * Minimum of one year of coding ... Remote work eligible REMOTE WORK REQUIREMENTS: * Must have high speed Internet (satellite is not ...
Remote Aapc Cpc information
What is the difference between Remote Aapc Cpc vs Medical Billing Specialist?
| Aspect | Remote Aapc Cpc | Medical Billing Specialist |
|---|---|---|
| Certifications | AAPC CPC certification often required | May or may not require certification |
| Work Environment | Remote or in-office healthcare settings | Typically in-office or remote healthcare offices |
| Industry Usage | Commonly used in medical coding and billing | Used in medical billing and administrative roles |
| Job Focus | Assigning codes for insurance and billing | Processing claims, data entry, and billing tasks |
The Remote Aapc Cpc role primarily involves medical coding with a focus on insurance billing, often requiring certification. Medical Billing Specialists handle billing processes and may not always need certification. While both roles work in healthcare billing, the CPC is more coding-oriented, whereas the specialist focuses on claims processing and administrative tasks.
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Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 16 days ago
Job description
- Work with SIU Team (Clinical Reviewers, CPCs, Investigators, Analysts-including performing quality check on work, assisting in research, discuss to make appropriate coding determinations as needed).
- Analyze and interpret patient medical records pertaining to FWA investigations as needed.
- Compare information submitted on the claims to determine the amount and nature of billable services as needed.
- Determines appropriateness of billing and reimbursement as needed.
- Documents findings for each claim line in a spreadsheet as needed.
- Summarize findings in a written report as needed.
- Abstracts CPT, HCPCS, Revenue Codes, DRG codes, and ICD-9/ICD-10 from medical records as needed.
- Responsible for maintaining current knowledge of coding guidelines and relevant federal and/or state regulations as needed.
- Perform data analysis of client data as needed.
- Conduct various aspects of FWA investigations as needed.
- Provide Subject Matter Expertise and SIU support to clients as needed.
- Comply with Privacy and Security standards.
- Understands and complies with all company Privacy and Security standards.
- Employee may not use or disclose any protected health information, except as otherwise permitted, or required, by law.
- Other duties as needed.
- Knowledge of medical terminology.
- Knowledge of coding including CPT, HCPCS, Revenue Codes, DRG Codes, and ICD-10.
- Knowledge of specialty medical practices.
- Must be detail-oriented.
- Ability to communicate effectively both verbally and in writing.
- Strong listening skills.
- Independent.
- Responsible.
- Self-disciplined.
- Ability to meet defined performance and production goals.
- Strong computer skills.
- This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management.
- Certified Professional Coder - (CPC) through governing body AAPC.
- Minimum of one year of coding and/or billing experience is required.
- Medical, Dental & Vision insurance
- 401(k) retirement savings with employer match
- Vacation and sick paid time off
- 7 paid holidays & 2 floating holidays
- Paid maternity/paternity leave
- Disability & Life insurance
- Flexible Spending Account (FSA)
- Employee Assistance Program (EAP)
- Professional and career development initiatives
- Remote work eligible
- Must have high speed Internet (satellite is not allowed for this role) with a minimum speed of 25mbs download and 5mbs upload.
About Healthcare Fraud Shield
Sourced by ZipRecruiter
Industry
Software development
Company size
11 - 50 Employees
Headquarters location
Chesterfield, MO, US
Year founded
2011