Job DetailsJob Location: MD Billing Specialist - LUBBOCK, TX 79424Education Level: High SchoolSpecific Responsibilities of the Job:
Responsible for full end to end process of Family Medicine providers assigned.
Claim Coding and Submission
Rejected Claims
Denied Claims
Work closely with providers and staff to ensure timely billing processes.
Work within the EMR system to ensure charge capture and sequencing.
Reviewing and interpreting documentation.
Billing and Coding according to payer and facility guidelines.
Following up on needed coding edits.
Working denied claims to ensure appeal deadline is not exceeded.
Working with billing team to ensure proper billing and coding processes.
Ability to handle workload or daily productivity.
Responsible for providing coding support to the Billing Team.
Performs all other related duties as assigned.
QualificationsSkill Set:
Two to Five years of experience in family practice facility (preferred)
Current certification CPC, AHIMA etc. (preferred)
Knowledge of CPT, HCPCS, and ICD-10-CM
Knowledge of E/M coding guidelines including outpatient, CCM, Annual Wellness etc.
Knowledge in LCD, NCD and NCCI edits
Extensive knowledge with different payer guidelines e.g., Medicare, HMO, PPO, Medicare Advantage Plans etc.
EMR experience (eClinical preferred)
Knowledge of medical practice revenue processes.
Denial management and coding edit processes.
Ability to analyze documentation and assign appropriate codes.
Ability to work independently with a high degree of attention to detail and reliable decision making.
Strong analytical skills.
High school diploma or GED
Work setting:
Office / On Site Lubbock, TX
Experience:
Family Practice coding: 2 to 5 years (Preferred)
License/Certification:
Medical Coding Certification (Preferred)
Job Type: Full-time
Schedule:
Monday to Friday
Pay: From $25 to $30 per hour
Expected hours: 40 per week
Benefits:
401(k)
Dental insurance
Health insurance
Vision insurance
Life insurance
Paid time off
