Patient Account Representative

Position: RCM Specialist with Coding Experience

Type: Full-time, In-Person. Possibility of hybrid in-person/remote after successful completion of introductory period/training. This is NOT a fully remote position.

About Us: At Sport Ortho Urgent Care, we're more than a healthcare organization; we're a dynamic force in orthopedic medicine, dedicated to delivering top-tier medical services to our patients. As we continue to rapidly expand, we're on the lookout for a passionate and skilled Revenue Cycle Management / Coding Specialist to join our winning team. If you're fueled by a passion for healthcare, coding, and ensuring the accurate and efficient processing of claims, we want to hear from you.

Job Summary: As a Revenue Cycle Management Specialist with Coding experience, you will play a pivotal role in optimizing our revenue cycle process. Your primary mission is to tackle claims on hold, many of which are on hold for coding reasons, guarantee precise coding for MRI and Surgery claims, and provide crucial support to our healthcare finance department.

Key Responsibilities:

• Claims Resolution: Champion the review and resolution of claims on hold due to coding issues, ensuring accurate assignment of diagnosis and procedure codes.
• Medical Coding: Expertly code MRI and Surgery claims in strict compliance with coding guidelines, including ICD-10, CPT, and HCPCS Level II.
• Quality Assurance: Conduct regular audits to validate coding accuracy and ensure regulatory compliance.
• Documentation Review: Collaborate with healthcare providers to confirm clinical documentation supports accurate coding.
• Compliance: Stay ahead of coding regulations, billing guidelines, and compliance requirements to ensure unwavering adherence.
• Revenue Optimization: Unearth opportunities to boost revenue and reduce claim denials through spot-on coding and claims resolution.
• Data Analysis: Analyze coding-related data to spot trends, identify areas for improvement, and offer process enhancement recommendations.
• Team Collaboration: Team up closely with the revenue cycle management team, billing department, and clinical staff to streamline claims processing.

Qualifications:

• Certified Professional Coder (CPC) Certification: Hold a current CPC certification through AAPC or equivalent certification.
• Medical Coding Expertise: Showcase your mastery of medical coding, with a strong grasp of ICD-10, CPT, and HCPCS Level II coding systems.
• Healthcare Experience: Bring 2-3 years of experience in a similar role within a healthcare organization, with a focus on coding and revenue cycle management.
• Knowledge of Medical Terminology: Demonstrate your proficiency in medical terminology and an understanding of clinical documentation requirements.
• Analytical Skills: Flex your strong analytical and problem-solving skills to pinpoint coding issues and efficiently resolve claims.
• Compliance Awareness: Display a thorough knowledge of healthcare compliance regulations and an unwavering commitment to maintaining compliance in all coding activities.
• Communication Skills: Communicate with excellence, collaborating effectively with clinical staff, physicians, and patients.
• Attention to Detail: Boast a keen eye for detail to ensure accurate coding and documentation.
• Software Proficiency: Exhibit proficiency in using electronic health record (EHR) systems and medical billing software.
• Adaptability: Show your ability to adapt to changes in coding guidelines, regulations, and processes.
• Team Player: Be a strong team player with a willingness to support colleagues and share knowledge.
• EMR: Experience with Athena preferred but not required.
• Specialty: Orthopaedic experience preferred but not required.

If you're ready to join a thriving orthopedic platform and make a real impact in the world of healthcare, apply today and be part of our dynamic team. Your coding expertise will play a pivotal role in delivering top-tier medical services to our patients. Don't miss out on this exciting opportunity to grow with us!

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Experience:

• Medical coding: 1 year (Preferred)

License/Certification:

• Certified Coder (Required)

Ability to Commute:

• Brentwood, TN 37027 (Required)

Ability to Relocate:

• Brentwood, TN 37027: Relocate before starting work (Required)