Women’s Health Connecticut is seeking to hire a Full-time, Certified Professional Coder (CPC)- Medical Biller at our corporate business office in Rocky Hill, CT.
Position: Certified Professional Coder (CPC)- Medical Biller
Location: Women’s Health CT- HQ
Address: 175 Capital Blvd. Rocky Hill, CT 06067
Working arrangement: Hybrid, 2-3 days per week in-office
Employment Type: Full-time, 40 hours per week
Schedule: Monday- Friday
Reports to: Director of Revenue Cycle Management
Position Summary: The CPC-Medical Biller is responsible for accurately reviewing, entering and reconciling medical billing codes for patient services and treatments in compliance with guidelines and standards of The American Medical Association (AMA), The Center for Medicare and Medicaid Services (CMS) and The American Academy of Professional Coding (AAPC).
Essential duties and responsibilities:
- Receive and review charge entry data from all assigned practice locations
- Accurately and efficiently enter charges and adjustments
- Apply patient payments in Practice Management system
- Keep current on informational changes in billing procedures
- Reconcile monthly charges to ensure accuracy
- Resolve missing charges and worklists
- Review operative records, office notes, radiology and pathology reports assuring the correct diagnostic and procedural codes are assigned using the coding systems of ICD-10, CPT, and HCPCS
- Review patient medical records to ensure that any requested coding change(s) is supported by medical record documentation
- Communicate with practice staff and providers on coding related items found through charge entry or documentation review
- Collaborate with team members and leadership on opportunities for process improvement, and troubleshoot issues
Other duties and responsibilities:
- Follow internal protocols regarding departmental communications
- Participate in initiative-taking team efforts to achieve departmental and company goals
- Adhere to corporate compliance program guidelines and follow all safety policies, practices, and procedures
- Maintain and respect the confidentiality of PHI (Protected Health Information) in accordance with insurance collection guidelines, corporate policy, and all HIPAA (Health Insurance Portability and Accountability Act) mandates. Candidate will have access to PHI based on the HIPAA minimum necessary standards
- Other duties as assigned by management
Skills/qualifications/experience: ·
- High School Diploma or GED
- Must be a Certified Professional Coder through the American Academy of Professional Coding and maintain certification.
- Experience using CPT, HCPCS and ICD Codes
- A minimum of one (1) year of prior medical coding experience
- Experience with OB/GYN coding is preferred
- Excellent verbal and written communication skills
- Computer literacy and the aptitude to learn innovative programs and changes as they occur.
- Ability to work in a high-volume environment
Qualified candidates are encouraged to apply to learn more about all the position has to offer!
The Job responsibilities provided are intended to be a summary of the job duties. In no instance should the duties, responsibilities, and requirements included in a job description constitute as being all-inclusive. The Company and authorized management personnel reserve the right to review, change, add and/or delete duties, responsibilities, and requirements on a job description as necessary.