Medical Billing/Coding Supervisor

4 weeks ago

Campbell, United States Kandu Health Full time
Job DescriptionJob Description

Who are we

Kandu Health provides tech-enabled healthcare services for people recovering from stroke. We develop integrated solutions that aid in the stroke recovery process for stroke survivors, their providers, and care partners. Kandu Health empowers survivors to take charge of their recovery and achieve the highest quality of life possible.

Our Culture:

  • Our small team environment means we count on everyone to contribute in a meaningful way. Your contributions will make an impact, everyday.
  • We have a strong culture of collaboration. You’ll be joining our diverse and talented team members to deliver life changing support for people affected by stroke.
  • Even though we work remotely, our culture keeps us connected. Our beliefs are at the core of how we do business:
    • Everybody deserves support.
    • Agency improves outcomes.
    • Quality of life directly impacts health.
    • Community support matters.
  • The opportunity to work with new and exciting technology with the mission of improving the lives of stroke survivors and their families. 

Employee Benefits include competitive salaries, a 401k plan, health benefits, generous PTO, and parental leave program

Join us Apply today. 
 

SUMMARY/RESPONSIBILITIES:

SUMMARY: This position will be responsible for supporting our end-to-end revenue cycle from the point of service documentation all the way through the full reconciliation of the account. This position is required to analyze health record documentation to assign and/or ensure that valid codes are applied to medical diagnoses and procedures to facilitate appropriate reimbursement. This individual is also responsible for submitting claims to payers and reviewing outstanding accounts receivable. They will ensure third party claims are paid accurately and timely and, potentially, resubmitting claims denied or not received by third party guarantors.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:

  • Handles insurance verification via the EHR and other digital tools 
  • Reviews and interprets clinical documentation to identify appropriate diagnoses and procedures
  • Evaluates the appropriate designation of E&M codes, and appropriate use of modifiers for CPT codes
  • Processes complete, timely and accurate electronic and manual claims to third party payers in order to reach final payment adjudication including primary, secondary and rebilling processes
  • Manage vendor relationship with third party billing/coding company
  • Performs routine coding audits to ensure compliance and clinical documentation is consistent with billed charges
  • Validates and ensures the claim data is accurate and compliant with applicable rules, regulations and procedures including:
    • Ongoing knowledge of Medicare, Medicaid and all other third party billing requirements
    • Maintaining compliance with federal, state and local regulations, HIPAA and the Kandu Internal Compliance Program, and other established corporate and departmental policies and procedures
  • Monitors claim edit reports and resolves claims edit failures in accordance with department procedures
  • Effectively and efficiently resolves coding issues with providers, office staff and other healthcare professionals
  • Checks for insurance(s) claim status on-line and resolves suspended items and errors. Files adjustments or cancellation of claims with each insurance payer to reflect correct information (e.g. charges, diagnoses, dates of service, etc,) to ensure billing compliance
  • Responds to patient billing inquiries 
  • Applies payer policies, local coverage determinations (LCD’s), and national coverage determinations (NCD’s) to support revenue cycle processes
  • Communicates audit results to management and providers and conducts training, as necessary
  • Identifies any areas of high risk in coding and documentation practices to avoid liability to the organization and communicates risk areas to Kandu leadership
  • Maintains knowledge of any coding changes and interprets provider bulletins from third party payers and communicates necessary information to affected staff
  • Evaluates new physician coding and documentation and provides any necessary training
  • Maintains the privacy and security of all confidential and protected health information.  Uses and discloses only that information which is necessary to perform the function of the job
  • Reports issues and trends to appropriate management personnel and works collaboratively to develop solutions
  • Hire and supervise a team as company grows
  • Other duties as assigned.

Salary Range: $36-$40/hr

Please note that the salary information is a general guidance only. Kandu Health, Inc. considers factors such as scope and responsibilities of the position, candidate’s work experience, education/training, key skills and internal equity, as well as location, market and business considerations when extending an offer.
 

EDUCATION/EXPERIENCE:

  • Minimum 4 years of previous experience in physician or hospital practice ICD-10-CM/CPT coding, required.  
  • Min 4 year billing experience
  • Must have one of the following coding certifications - physician focused preferred. 
    • CPC - Certified Professional Coder (AAPC)
    • CCS-P - Certified Coding Specialist - Physician-based (AHIMA)
    • CPB - Certified Professional Biller (AAPC)
    • CCA - Certified Coding Associate (AHIMA - entry level)
    • If another coding certification, demonstrate ICD-10-CM/CPT coding competence
  • 1-2 years experience in conducting coding audits, preferred.  Must have working knowledge of the various coding systems
  • High School Diploma or equivalent required. 
  • Demonstrated working knowledge of computer applications and EHR systems required
  • Self-motivated, organized, strong attention to detail, and ability to meet deadlines required
  • Ability to work cross-functionally with a customer-driven focus and sense of urgency
  • Ability to work independently and to prioritize activities and workload
 

SKILLS

  • Excellent interpersonal and communication skills required to effectively interact with physicians, managers, associates, patients and other external agencies
  • Ability to identify and resolve complex coding problems and questions
  • Must be self-directed and able to organize and prioritize tasks effectively
Preferred Qualifications
  • Must provide bi-annual confirmation of continuing education credits and renewed certification verification
  • Additional education with courses in anatomy and physiology and medical terminology preferred

WORK ENVIRONMENT:
  • This is a fully remote position
  • This job does not offer relocation

SUPERVISORY RESPONSIBILITIES:

Manager vendor relationship with third party billing/coding company
Hire and grow team of revenue cycle management

 

2024_KDU_REPL_0001


 

Powered by JazzHR

xRc99ia4ZN

  • Healthcare Billing and Coding Manager

    2 weeks ago

    Campbell, California, United States Kandu Health Full time

    Job OverviewAbout Kandu HealthKandu Health specializes in technology-driven healthcare solutions aimed at supporting individuals recovering from strokes. Our integrated systems are designed to assist stroke survivors, their healthcare providers, and caregivers in navigating the recovery journey. We empower our clients to take control of their rehabilitation...

  • Retail Operations Supervisor

    2 weeks ago

    Campbell, California, United States Staples Full time

    Retail Operations SupervisorFunction: Retail ManagementType: Full-timePermanent / Contract: RegularDescriptionAt Staples Connect, we prioritize our customers and community, empowering you to develop, grow, and excel. As a Retail Operations Supervisor (equivalent to Assistant Store Manager), you will play a vital role in fostering a collaborative and...

  • Patient Services Associate

    3 months ago

    Campbell, United States MEDNAX National Medical Group Full time

    Responsibilities The Patient Service Associate is responsible to ensure smooth clinic, patient and billing flow by greeting and directing patients to their various appointments, preparing the daily clinic schedule and updating the physicians' schedul Patient Services, Associate, Patient, Patient Care, Billing, Insurance, Healthcare

  • Field Engineer, Programmer

    1 week ago

    Campbell, United States Air Systems Full time

    Field Supervisor - Building Automation Systems Air Systems, Inc. San Jose, California, United States (On-site) Save Apply About Us: Air Systems Inc. is a wholly owned subsidiary of EMCOR Group, Inc. EMCOR is the world's leading provider of mechanical and electrical construction and facilities services, including planning, consulting, and operations and...

  • HVAC Service Supervisor

    3 days ago

    Campbell, California, United States Bellows Plumbing, Heating, Cooling & Electrical Full time

    About the RoleBellows Plumbing, Heating, Cooling & Electrical is seeking a highly skilled and experienced HVAC Service Supervisor to lead our service team to success. As a key member of our team, you will be responsible for overseeing the service, repair, and installation of residential and light commercial HVAC systems.Key ResponsibilitiesSupervise and...

  • Emergency Medical Technician

    1 week ago

    Campbell, United States Royal Ambulance Full time

    Ranked in 2021 as one of the Top 50 Best Places to Work in the United States (Glassdoor), we pride ourselves in the Driven and Motivated team members that join our family. You will get experience like no other - with the HIGHEST Code 2 Call Volume in the Bay Area, excellent BLS to CCT Training Program, ECMO & Balloon Pump Transports, and an overall "work...

  • Ultrasound Technologist

    1 month ago

    Campbell, United States Aureus Group Full time

    MFM Sonographer needed for Campbell, CA! Clinic Setting Days 9/30 start Position: Sonographer Specialty/Modality: Sonography-General Licenses/Certifications: CPR/BLS (Basic Life Support), ARDMS-RDMS (Reg Diagnostic Medical Sono) Travel the country while you enhance your clinical skills, perfect your resume, and build your dream career. Some of the...

  • Utility Locator Specialist

    12 hours ago

    Campbell, California, United States Sandis Full time

    About the RoleWe are seeking a highly skilled Utility Locator to join our team at Sandis, a professional services corporation specializing in civil engineering, traffic engineering, land surveying, and planning. As a Utility Locator, you will play a critical role in ensuring the safe and efficient excavation and mapping of underground utilities.Key...

  • Utility Locator

    2 months ago

    Campbell, United States Sandis Full time

    Job DescriptionJob DescriptionWe are looking for a Utility Locator to service the Bay Area. The ideal candidate is a team player who can also work independently, is self-motivated and is an early bird that enjoys working 6 am – 3 pm with opportunities for overtime. We think you will love it here!Why you will love it here: Professional development,...

  • Utility Locator

    3 months ago

    Campbell, United States Sandis Full time

    Job DescriptionJob DescriptionWe are looking for a Utility Locator to service the Bay Area. The ideal candidate is a team player who can also work independently, is self-motivated and is an early bird that enjoys working 6 am – 3 pm with opportunities for overtime. We think you will love it here!Why you will love it here: Professional development,...

  • Patient Relations Representative

    3 months ago

    Campbell Hall, United States Access Physical Therapy & Wellness Full time

    Overview: ACCESSPT is seeking a highly motivated and experienced hands-on Patient Relations Representative who will be a key member of the Billing Team. In this position you will be expected to review and manage all assigned patient accounts in regard to collecting the patient's out-of-pocket expenses. This is a full-time position, the schedule is Monday...

  • Rotational Intern

    3 days ago

    Campbell, United States Abbott, Stringham & Lynch Full time

    Job DescriptionJob DescriptionSalary: $ 30.00 per hourAbbott, Stringham & Lynch (ASL) is a full service CPA firm in Silicon Valley serving closely held and middle-market companies in diverse industries.  We have great clients and provide them with high quality assurance, tax and consulting services, which in turn provides you with abundant career and growth...

  • Customer Service Representative

    3 days ago

    Campbell, California, United States Kohl's Full time

    Job SummaryThe Loss Prevention Service Specialist will be placed in high-risk stores to engage customers, promote customer service, and provide deterrence to theft. The primary role of the LPSS is to be highly visible and spend most of their time at the store entrance and in Center Core.Key ResponsibilitiesImplement customer service initiatives, such as the...

  • Part-Time Beauty Advisor

    3 months ago

    Campbell, United States Kohl's Full time

    Role Specific Information Drive sales through an authentic passion for beauty. Engaging Clients through identifying their needs with a consultative approach, top beauty brands and best in class merchandise sets. Job Description Key Accountabilities Builds strong Client loyalty and drives sales through hospitality mentality.  Influences Clients by...

  • Crisis Licensed Psychiatric Technician/Licensed Vocational Nurse

    1 week ago

    Campbell, United States Pacific Clinics Full time

    Who We Are Pacific Clinics is California's largest community-based nonprofit provider of behavioral and mental health services and support. Our team of more than 2,000 employees speak 22 languages and are dedicated to offering hope and unlocking the full potential of individuals and families through culturally responsive, trauma-informed, research-based...

  • Client Services Coordinator

    2 weeks ago

    Campbell, California, United States Aveanna Full time

    Aveanna Client Services CoordinatorPosition Overview:The Aveanna Client Services Coordinator plays a crucial role in supporting AveannaCare users, including participants, clients, care providers, and reimbursement recipients. This position is essential for ensuring the smooth operation of AveannaCare services.Key Responsibilities:Uphold Aveanna's Core Values...

  • Merchandise Womens Coordinator

    3 days ago

    Campbell, United States Marshalls Full time

     All 1,000 of our Marshalls stores embrace discovery, from designer luggage to statement shoes. Our assortment of brands is always changing, but our mission to provide the surprises that make the everyday a little more fun is unwavering. Just like working here. Everyone encourages each other and embraces the excitement that can come with change. Each shift...

  • Part-Time Store Merchandising Associate

    3 months ago

    Campbell, United States Kohl's Full time

    About the Role In this role, you will execute sales floor merchandising, pricing and recovery and deliver excellent customer service. What You’ll Do Execute store merchandising standards following merchandise and visual guidelines for product presentation in a timely and accurate manner Remerchandise and replenish salesfloor as necessary...

  • Senior Robotics Software Engineer

    6 days ago

    Campbell, California, United States Telos Health, Inc. Full time

    Job OverviewPosition Title: Senior Robotics Software EngineerLocation: This role is based in our innovative technology hub.About Telos Health:At Telos Health, we are pioneering advanced robotic-assisted technologies and interventional methods aimed at transforming the treatment landscape for ischemic stroke—a condition affecting nearly a million...

  • Aveanna Care Coordinator

    1 month ago

    Campbell, United States Aveanna Healthcare Full time

    JOB DESCRIPTION SUMMARY: The AveannaCare Specialist/Coordinator is responsible for assisting the AveannaCare users (participants, clients, care providers, reimbursement recipients) and ensuring the efficient operations of AveannaCare. The AveannaCare Coordinator will assist users by e-mail, phone, computer or in-person.ESSENTIAL JOB...