Specialist, Medical Coding

3 weeks ago

Saint Paul, United States Baxter Full time

This is where you save and sustain lives

At Baxter, we are deeply connected by our mission. No matter your role at Baxter, your work makes a positive impact on people around the world. You'll feel a sense of purpose throughout the organization, as we know our work improves outcomes for millions of patients.

Baxter's products and therapies are found in almost every hospital worldwide, in clinics and in the home. For over 85 years, we have pioneered significant medical innovations that transform healthcare.

Together, we create a place where we are happy, successful and inspire each other. This is where you can do your best work.

Join us at the intersection of saving and sustaining lives- where your purpose accelerates our mission.

Your Role at Baxter

THIS IS WHERE you build trust to achieve results

The Respiratory Health Specialist is responsible for a variety of administrative and reimbursement related task in addition to ensuring the state office is open during the posted business hours to comply with federal and state brick and mortar laws. The position will manage all external site audits in addition to cross-training to assist with other order entry and revenue cycle duties.

The Medical Coding and Billing Specialist will review medical records to ensure claims are properly documented and coded as well as coordinate and execute processes of medical billing for our Respiratory Health products. The position is responsible for ensuring business practices follow government regulations and abide by carrier specific acceptable HCPCS and ICD-10 coding standards. This consists of all billing activities including initial, re-authorization, and purchases across all lines of business (Commercial, Medicare, Medicaid, and Managed Care Organizations).

This is a full-time position where the working hours consist of Monday-Friday, 8:30 AM CST - 5:00 PM CST, where the candidate would report to the St. Paul, MN office.

What You'll Be Doing:

Ensure compliance with Federal Medicare, State Medicaid, and Third-Party requirements for in-state brick and mortar regulations, including but not limited to:

* Staff and maintain required brick and mortar location during the posted business hours, including answering of phone calls to site.
* Coordinate and update state licensure information and other appropriate documentation to ensure it is in available upon audit of site.
* Lead external audits from CHAP, Medicare, Medicaid, and licensing agencies.
* Enter orders, provide confirmation notices, and follow-up with Healthcare Teams to obtain valid order requirements, as needed.

Cross-train to assist with various Revenue Cycle Management - Medical Coding and Billing duties, including but not limited to:

* Ensure timely and accurate posting of payments, denials, and related documentation on durable medical equipment claims.
* Complete review of medical records to ensure the ICD-10 diagnosis used for billing is properly documented.
* Complete quality review of patient records to ensure they are comprehensive, in compliance with each payer's rules and regulations, and billed accurately.
* Enforce to month-end accounting deadlines, including extended hours, for revenue and claim processing including selecting orders, generating claim files, submitting EDI files to clearinghouse, printing claims, attaching claim documentation, and mailing.
* Reference coding guidelines and reimbursement policies/procedures to keep current with changes in regulations, insurance specific policies, as well as company policies and procedures.
* Collaborate with and provide feedback to Revenue Cycle Management and Managed Care colleagues to ensure accurate claims processing and documentation within company systems.
* Link and route scanned documents to appropriate team members to connect payer correspondence to patient or payer accounts.

What You'll Bring:

* CPC credential required.
* High school diploma or equivalent required.
* 3+ years of experience in a medical related business environment required; associates degree or higher may substitute for 2 years of experience.
* Experience working with high-dollar DME preferred.
* Billing database software experience required.
* Clearinghouse, payer portal, and explanation of benefits experience preferred.
* ICD-10-CM coding proficient.
* Excellent data entry skills required.
* Knowledge of insurance industry and third-party payer processes preferred.

We understand compensation is an important factor as you consider the next step in your career. At Baxter, we are committed to equitable pay for all employees, and we strive to be more transparent with our pay practices. The estimated base salary for this position is $41,600 to $57,200 annually. The estimated range is meant to reflect an anticipated salary range for the position. We may pay more or less than of the anticipated range based upon market data and other factors, all of which are subject to change. Individual pay is based on upon location, skills and expertise, experience, and other relevant factors. For questions about this, our pay philosophy, and available benefits, please speak to the recruiter if you decide to apply and are selected for an interview.

The successful candidate for this job may be required to verify that he or she has been vaccinated against COVID-19, subject to reasonable accommodations for individuals with medical conditions or religious beliefs that prevent vaccination, and in accordance with applicable law.

Equal Employment Opportunity

Baxter is an equal opportunity employer. Baxter evaluates qualified applicants without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity or expression, protected veteran status, disability/handicap status or any other legally protected characteristic.

EEO is the Law

EEO is the law - Poster Supplement

Pay Transparency Policy

Reasonable Accommodations

Baxter is committed to working with and providing reasonable accommodations to individuals with disabilities globally. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application or interview process, please click on the link here and let us know the nature of your request along with your contact information.

Recruitment Fraud Notice

Baxter has discovered incidents of employment scams, where fraudulent parties pose as Baxter employees, recruiters, or other agents, and engage with online job seekers in an attempt to steal personal and/or financial information. To learn how you can protect yourself, review our Recruitment Fraud Notice.

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