Explore 2 certified coder jobs from 2 hiring companies in Gardner, KS, US. Filter by remote, salary, experience, and company, then open any listing to apply.

certified-coder

Certified Coder

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Certified Coder Jobs

LMH Health

Saint Luke's Health System

Onsite

Remote

<h1>Job Description​</h1>The Patient Account Representative Coder will be responsible for reviewing and coding from the medical record, already billed, or suggested from provider or computer generated applications for straight-forward to complex coding, and any account receivable activities for the physician clinics within Saint Luke&#39;s Health System.  Activities include, but are not limited to, coding, charging, troubleshooting charge related issues, responding to inbound and outbound billing calls from patients, resolving payment credits, identifying and correcting medical claim errors that may prevent payment and identifying, correcting, and resubmitting medical claims denied by insurance companies.  Resolving claim edits, working denials and appeals.  Evaluation and coding of ICD, CPT, HCPCS.  All coding initiatives, NCCI edits, incidentals/inclusive, and bundling rules, etc.   Demonstrate competency for invalid diagnosis, modifiers, coding related issues, and be able to have moderate decision making in following coding concepts.  This job is 24 hours a week, Monday-Friday, flex hours 6am-9am then work scheduled shift. CPC or CCS required. Percentage of time spent on job duties above will vary dependent on the focus area of team assigned.Charging • Responsible for the first review of designated professional billing charges for accuracy • Review and assign charging codes for accuracy • Responsible for processing CPT and ICD10 billing transaction • Enter and verify the appropriate demographic information, insurance, charges and comments into the computerized billing system • Maintain log of charge postings • Coordinate with billing, coding and revenue integrity teams to resolve billing inconsistencies • Responds to inquiries from provider offices and various internal departments in a timely and accurate, professional manner • Work assigned work queues within in a timely manner • Monitor and respond to questions and requests sent to team shared email account and work with other teams as needed to resolve issues Payments • Responsible for EDI transmissions,  electronic and manual payment posting • Resolve electronic remittance errors • Responsible for recording daily bank deposits on entity batch logs • Balance payment batches posted in Epic to cash deposits and resolve variance • Resolve payment posting errors • Responsible for credit resolution of unidentified payments by contacting payors and refunding, when appropriate • Research missing checks, payments, and/or EOBs by contacting payors • Responsible for contacting payors attempting to pay by virtual credit card Credits • Responsible for reviewing patient/guarantor accounts and investigate credit balances (includes reviewing overpayments from insurance companies and patients) • Investigate Undistributed payments in Epic system to determine if should be re-distributed or refunded • Identify trends causing credits and escalate to other team members for resolution • Work assigned work queues within Epic timely Customer Service • Responsible for answering inbound patient calls • Answer patient emails in Electronic Medical Record system. • Making outbound collection calls to patients to obtain information needed to collect payment. • Straightforward coding (i.e. Review patient charts for billing implications or referrals) • Provide price estimates for patients. • Process credit card payments while complying with the Credit Card Handling policy. • Establish payment plans with patients. • Identify patients needing financial assistance. Obtain financial information and review to determine if documentation is needed. Proper, confidential handling of supporting financial documentation. • Research and troubleshoot patient account payment issues. • Serve as liaison between patient and other departments as needed. • Process incoming mail and faxes. • Meet department productivity and quality metric. • Process accounts within a work queue in the Electronic Medical Record system and take action as appropriate • This position is responsible for identifying opportunities and reporting trends to improve patient satisfaction and workflow efficiencies by identifying reasons for patient calls that could have been prevented by education up stream in the process or practice management programming solutions.  Examples of this would be educating patients on financial policies, financial expectations of services rendered, correct coding, explanation of coverage, collecting payments when scheduling, system enhancements to identify the correct insurance at registration, correct payment posting, medical necessity warnings.gs. Claim Edits • Responsible for researching patient billing claims to identify and correct coding/claim errors • Responsible for researching patient insurance coverage to identify and resubmit claims to fix coverage denials. • Research and outline documentation needed for respective payor organizations so that claims are processed correctly • Familiarity with NCCI edits, incidentals/inclusive, and bundling rules, etc. • Identify problem trends • Communicate with payors for resolution to complications with claims • Responsible for 277 EDI transactions/rejections • Working with EDI transactions • Payment posting corrections/adjustments and ability to distribute payments • Correct/enter charges • Work with multiple teams/departments to resolve issues • Payment plan or financial assistance coordination Insurance Denials and Follow-Up • Responsible for researching, identifying errors, and correcting claims denied by insurance companies. • Must be able to asses claim to determine when appropriate to make charge adjustments, void a charge, or escalate to the team lead and/or another medical billing team. • Responsible for writing appeal letters to insurance companies • Responsible for following up with insurance companies for no response claims. • Responsible for working with patient calls escalated from the Customer Service team regarding involving billing code issues. • Research refund request from payor organizations • Responsible for preliminary audit of billing code errors before claim submitted to the Coding team. • Responsible for routing complex claim denial to team lead and/or the appropriate medical billing team. • Responsible for identifying issues which can be resolved by programing software to prevent denials. • Responsible for becoming a subject matter expert on the payor policies. • Responsible for communicating and resolving problems with the  provider representatives • Responsible for simple level coding, including diagnosis review, modifier applications, some CPT cod changes following process documents and payor policies<h1>Job Requirements</h1>Applicable Experience:1 yearCert Professional Coder - American Academy of Professional Coders (AAPC)None<h1>Job Details</h1>Part TimeDay (United States of America)The best place to get care. The best place to give care. Saint Luke’s 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke’s means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.Join the Kansas City region&#39;s premiere provider of health services. Equal Opportunity Employer.

Patient Accounts Representative and Certified Coder - Part Time

Patient Accounts Representative and Certified Coder

Part-time Patient Accounts Representative and Certified Coder with CPC/CCS, 1 year experience in healthcare billing and coding.

<h1>Something special starts here. </h1>You can’t define it, but you know it when you see it: the difference between an average life and the good life. When your cup is full – with joy, purpose and lifelong health – it shows. At LMH Health, we are all about healthy people, healthy communities and healthy futures, and that makes us your destination for an exceptional career. From flexible, work-life harmony to competitive pay and great advancement potential, find everything you’re looking for at LMH Health. You&#39;ll find everything you’re looking for at LMH Health:<ul><li>Join a team that cares about the community</li><li>Tuition reimbursement to support continuing education</li><li>Professional development and recognition</li><li>Excellent benefits</li></ul> We’re looking for you.<h1>Job Description</h1>*MUST LIVE IN KS OR MO- MUST BE WITHIN Driving distance of Lawrence KS.I. JOB SUMMARY The Coder I position is responsible for accurate, coding, abstracting, claims filing, documentation review and claims denial processing working from the appropriate documentation in the medical record.  The Coder must stay up to date on code changes and coding guidelines to assure quality and code compliance is met at all times. The Coder has additional combined responsibilities of data quality and insurance representative functions working closely with other members of the HIMS department. II. ESSENTIAL JOB RESPONSIBILITIES<ul><li>Reviews inpatient and outpatient medical records to identify the principal diagnosis and all applicable secondary diagnosis and procedures.</li><li>Use computerized encoding system to facilitate accurate coding according to the appropriate classification system.</li><li>Sequence diagnosis and procedures by following ICD-10-CM &amp; ICD-10-PCS, CPT/HCPCS, UHDDS, Medicare, Medicaid, and other fiscal intermediary guidelines.</li><li>Will be cross-trained to assist with backlog in any needed focus-coding group.</li><li>Work cooperatively with medical staff and other healthcare professionals in obtaining documentation to ensure optimal hospital payment and accurate data input.</li><li>Prepare workload reports and participates in department continuous quality improvement studies.</li><li>Abstract medical data from the record to complete discharge data abstract on each outpatient.</li><li>Complete and verify diagnostic, demographic and other information for submission to KHDS.</li><li>Review, verify, and initiate necessary correction processes for data quality review.</li><li>Participate in medical record documentation auditing to monitor physician compliance with regulatory requirements.</li><li>Communicate and advise other hospital personnel on coding and DRG assignment.</li><li>Meet established quality and productivity standards.</li><li>Adhere to all hospital and departmental policies, procedures and regulations, including attendance.</li><li>Perform other related duties as assigned or requested.</li><li>Requires ability to concentrate and maintain accuracy in spite of frequent interruptions and/or distractions, sit for long periods.</li><li>Must be able to follow instructions and use sound judgment.</li><li>Requires close mental and visual attention to details, as well as excellent verbal and written communication skills.</li><li>Able to handle frustration and interactions with others in a professional manner.</li><li>Requires self-motivation to complete work assignments in a timely, accurate manner.</li><li>Maintain ongoing registration and continuing education for applicable credentials</li><li>Performs other duties as needed or assigned.</li><li>Regular and reliable attendance is an essential function of this position</li></ul>III. JOB QUALIFICATIONS Required:<ul><li>High School Diploma or equivalent</li><li>Completion of one of the following through AHIMA accredited programs:  Certificate Coding Associate, Certificate Coding Specialist, Certified Professional Coder, Registered Health Information Technician, Registered Health Information Administrator        OR</li><li>Credentialed through AAPC or in progress</li></ul>Preferred:<ul><li>Radiation oncology experience </li><li>Associates or Bachelor’s Degree in Health Information Management</li><li>3M Coding Solution Knowledge</li></ul>Remote Work/Work-from-Home:This position is entirely remote or work from home following completing of onboarding training program. This person must live within Kansas or Missouri, and will be required attend on-site meetings, as scheduled.<h1>Our Cultural Beliefs</h1><ul><li>People First </li><li>Integrity Matters</li><li>Better Together</li></ul> At LMH Health, we value inclusion and diversity. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.

Coder I

High school diploma; AHIMA- or AAPC-certified coding credentials; experience in medical coding preferred.

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Certified Coder Jobs in Gardner, KS, US

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