2 jobs found in Billerica

Job Description Title: Medical Coding Specialist * Pay rate: $23/hr * Schedule: M-F, standard business hours Purpose: To ensure accurate coding for diagnosis documentation and services provided and evaluate medical records determined as unable-to-code by production coders. Duties and Responsibilities: * Assign ICD-10 diagnosis and CPT procedure codes while upholding accuracy standards/rationales regarding E/M leveling, diagnosis sequencing and procedure selection * Identify error trends in coding and elevate to applicable production management teams * Perform accuracy checks on UAC (Unable to Code) charts to identify non-deficient accounts being held erroneously * Execute follow-up checks in identified problem areas to ensure coder improvement * Manage client scrubbers to address CCI and medical necessity edits * Perform retrospective audits of production team-owned scrubber edit resolutions * Track functionality of coding software as meeting the needs of general coding principles...

Job Description * Sign-on bonus * Schedule: 1st shift, standard business hours This Role: The ideal candidate will have strong technological skills, excellent interpersonal communication, and experience in third-party billing. Key Responsibilities: * Review/work denials on an explanation of benefits (EOB) statement * Analyze A/R (Accounts Receivable) reports to follow up on unpaid claims * Send out appeals on claims that require an appeal * Submit required documentation to insurance companies as requested * Research claims for information in order to process bills in a timely manner * Communicate with insurance companies, adjustors and patients on a regular basis * Correct errors and resubmit all unprocessed or returned claims to insurance companies * Create UB92 and HCFA bills Qualifications: To perform this job successfully, an individual must be able to perform each Key Responsibility satisfactorily. The following requirements are representative of the knowledge, skills, and/or...