Job 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
About WoundCentrics
WoundCentrics is a management services organization providing holistic, advanced inpatient and outpatient wound care education, research and patient care services to people in a variety of healthcare settings across the continuum of care.
