Medical Biller - Certified Professional Coder Job in Chicago, Illinois US
VERUS is seeking an experienced Certified Coding Professional to join their growing practice management business in the Chicagoland area.
Qualified candidates will have 5 or more years of experience in medical coding, understanding of government and commercial policies, CPT, ICD-9 and HCPCS coding experience, and the ability to code from documentation.
Must have experience with and knowledge of insurance follow-up.
CPC or equivalent coding certification is required.
Strong research and analysis skills, along with excellent, written, oral and computer skills are required.
Strong people and communication skills are needed to work with a diverse group of clients and their patient customers.
Timely follow up, attention to details, and excellent customer service skills are required to successfully manage client services.
Opportunity for flexible work schedule based on required work hours.
Duties · Review medical records and code physician services utilizing current ICD-9 and CPT classifications.
· Assemble and input coding results into the Practice Management billing system in order to expedite proper billing.
· Batch and balance daily charges checking provider, place of service, date of service, referring physician, diagnoses and procedures.
· Communicate effectively with physicians, physician staff, and members of the coding team.
· Review EOBs to correct rejections for resubmission or adjustment.
· Patient correspondence, unpaid claim follow-up and collections from both patients and government & commercial payers including HMO's, PPO's, Medicare.
· Maintain patient confidentiality and keep current on HIPPA regulations.
· Maintain productivity standards and at least 90% accuracy rate.
· Maintain certification status.
Requirements· 5 or more years of coding and claims processing experience; OB/GYN coding experience highly desirable, as well as familiarity with physician-specific regulations and polices related to documentation and coding· National certification program for Certified Professional Coder or Certified Coding Specialist.
· Extensive knowledge of ICD-9 and/or CPT coding principles and guidelines.
· Must have knowledge of and experience following up with commercial and governmental payers.
· Knowledge of Medicare Risk Adjustment a and prior claim audit/quality experience a plus.
· Experience with electronic claims submission and electronic EOBs a big plus · Strong PC skills required; Microsoft Word, Excel, and proficient use of the Internet.
· Practice Management system and work procedure training will be provided.
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