Medical Coding Specialist

VALLEY CLINICS, PC

Corvallis, OR

Expired: May 09, 2024 Applications are no longer accepted.

Valley Clinics is looking to hire another part-time Medical Coding/Billing Specialist! We are looking for someone who is:

CPC Certified, preferably from AAPC.
Familiar with CPT, HCPCS, and ICD-10 coding within a Primary Care Setting
Comfortable with answering phone calls as well as making phone calls to patients and insurance companies.
Familiar with payer policies regarding coding requirements.
Team Player

Role and responsibilities:
Some of your responsibilities would include, but are not limited to the following:

Review progress notes and code according to various payer rules and services rendered
Reviewing aging claims and reaching out to the payer to status of processing
Reviewing and correcting denied claims
Follow up with Clinicians on any documentation that is insufficient or unclear
Work in partnership with our quality team to ensure quality metrics are captured at claim level
Answer incoming calls from patients and insurance companies
Cross train within department to provide coverage when necessary. Required Skills
Prepare and submit accurate medical insurance claims to various insurance companies in a timely manner
Verify patient insurance eligibility and benefits to ensure accurate billing
Record and post payments received from patients and insurance companies
Monitor unpaid claims and follow up with insurance companies for resolution
Answer patient inquiries regarding billing and insurance claims
Responsible for credentialing and re-credentialing files, including both Type I and Type II files
Maintain working knowledge of and comply with partner specific credentialing and recredentialing guidelines, policies, and procedures

Required Skills: