NMA is a unique, niche medical industry. We provide professional services associated with intraoperative neuromonitoring. We value our employees and recognize and reward hard work. We offer our employees a full benefits package that includes: Medical, Dental, Vision, Life, 401k with matching, and more.
Job Responsibilities
We are currently looking for a full-time Certified Medical Coder to work out of our McKinney, Tx office. Duties and responsibilities include, but are not limited to the following:
Serve as an expert in all matters related to coding and billing.
Verify accuracy of billing data and audit claims.
Review chart elements including face sheet, operative reports, History and Physical (H&P), Professional and Technical Reports and Superbills
Consult with Technologists, Surgeons, and Physician Reader’s as needed to obtain information required for Coding.
Create CMS 1500 claim forms for submission to third-party payers.
Review and report missing or incomplete documentation.
Identify and communicate trends to Senior Staff
Serve as a resource regarding claim edits, Local Coverage Determination’s, specific insurance requirements and the nuances related to intraoperative neurophysiological monitoring.
Follow CPT / ICD 10 coding guidelines and legal requirements to ensure compliance with HIPAA, federal and state regulations.
Review patient chart and extract CPT and ICD 10 information from the clinical documentation provided.
Process encounters in a timely manner.
Continuously monitor and ensure claims have been submitted for all billable services.
Maintain up-to-date knowledge of coding and regulatory requirements to accurately assign codes for appropriate reimbursement of healthcare services.
Meet continuing education requirements for certification and keep abreast of ongoing changes to CPT, HCPCS, and ICD 10 codes.
Identify and communicate trends and educational opportunities to ensure proper documentation, coding, and accuracy of billing.
Identify charge related edits that can be built in the practice management system to reduce denials.
Respond to inquiries from providers, staff, insurance payers, and management in a timely and accurate professional manner.
Necessary Skills, Attributes, & Knowledge requirements:
Strong communication skills, oral and written, over the phone and in person are essential, friendly helpful attitude.
Responsible and dependable.
Organized and completes tasks.
Strong work ethic and flexibility required.
Analytical skills experience and sound judgment to make decisions.
Self-motivated problem-solver with professional demeanor.
Must be able to seek assistance from Manager if delays arise or are repetitive.
The ability to achieve cooperation and collaboration among team members.
Demonstrate objectivity, professionalism, integrity and honesty in dealing with people at all levels and facilitate an open and honest environment.
Ability to use whatever tools and equipment is available to get the job done.
Knowledgeable in multiple Microsoft OS’s, VOIP and MS Office Suite (Outlook, Excel, Word, PowerPoint).
The ability to work with little or no supervision.
IONM or OON experience preferred, but not required.
MINIMUM of 2 of years' experience as a Certified Professional Coder (CPC) or Certified Professional Biller (CPB) through AAPC or equivalent
Work schedule: Onsite, Monday – Friday with flexible hours and the option to work a Hybrid schedule after one year of employment.