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Billing and Coding Specialist- Advance Family & Sports Medicine

Community Care of North Carolina Inc
Winston-Salem, NC
  • Posted: over a month ago
  • Full-Time
Job Description
Billing and Coding Specialist (Full-time)- Winston Salem, NC
**Please note that this position is not affiliated or associated with CCPN. CCPN provides recruitment assists to independent primary practices in North Carolina and all position content was approved by the practice. **Advance Family and Sports Medicine works with patients to help them follow their unique path to optimum health. We specialize in family and sports medicine, weight loss, and lifestyle therapies. As one of the only private family medical practices in Winston-Salem, North Carolina, we are beholden to no one, except our patients and we pride ourselves on getting to know our patients. Position Summary

The Billing and Coding Specialist is responsible for office, outpatient, and inpatient physician coding. This position will work directly with both clients and insurance companies to bill and obtain payments for healthcare services rendered.

Essential Functions
  • Coding for services and medical office visits
  • Compares and reviews charge tickets, both manually and system generated, to medical documentation to ensure that all charges have been accurately documented and captured
  • Ensures that documentation supports charges to prevent denials/underpayments
  • Write appeals and include supporting documentation
  • Follows-up on missing charge tickets and medical documentation as appropriate
  • Identify problem accounts and escalate as appropriate
  • Assist with implementation of documentation and revenue enhancement opportunities
  • Collaborates with medical staff to identify and implement appropriate documentation and coding modifications
  • Consults and provides feedback with medical staff and financial coordinators to identify reimbursable indications for treatment
  • Assist with special projects and other job-related duties as needed

Qualifications

  • High School Diploma required
  • Minimum of three (3) plus years billing and coding experience required
  • CMC or CPC preferred
Knowledge, Skills, and Abilities
  • Medical Terminology, Anatomy and Physiology knowledge
  • Knowledge of claims submission and collection process
  • The ability to work in a constantly changing environment, good judgment skills, and capable of making decisions with attention to detail
  • Must have excellent organizational skills and ability to prioritize and coordinate workload with high degree of proficiency and accuracy
  • Must have excellent analytical and problem-solving skills
  • Ability to work easily and cooperatively with co-workers
  • Ability to work independently and follow through on tasks without direct supervision
  • Maintains strict confidentiality of patients’ medical records and adherence to all HIPAA policies and regulations
Working Conditions
  • Prolonged periods of sitting at a desk and working on a computer. Physical demands include requirement to regularly sit; use hands and fingers; reach with hands and arms; talk and hear. The employee is occasionally required to stand and walk; lift up to 10 lbs.; vision abilities required include close vision, distance vision, depth perception, and ability to adjust focus.

Benefits

  • Medical
  • Dental
  • Simple IRA
  • Paid vacation
  • Paid holidays

Community Care of North Carolina Inc

Address

Winston-Salem, NC
27127 USA

Industry

Healthcare

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