Certified Coding Specialist

3 weeks ago

Downers Grove, United States Duly Health and Care Full time

Overview:
**Hours**: Monday through Friday, 7am-5pm

**Location**: Remote
- Good enough isn’t for us. Duly Health and Care’s team members show up every day driven to exceed expectations. We see and support the remarkable in every person within and beyond the walls of our work._
- Duly Health and Care works to understand what matters most to you. We recruit and retain team members who share a relentless passion and pride for helping others live happier and healthier lives. We invest in helping our team members develop their talents in a way that is rich in personal meaning. We invite you to join us, fulfill your purpose and make your mark_

**Holistic benefits designed to help our team members flourish in all aspects of their lives, including**:

- Comprehensive medical and prescription drug benefits that include medical coverage at 100% (after deductible) when utilizing a Duly provider.
- $5,250 Tuition Reimbursement per year.
- 40 hours paid volunteer time off.
- 12 Weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members.
- 401(k) Match
- Profit-sharing program

**Responsibilities**:

- Analyzes procedural and operative records to identify and independently assign accurate ICD-10, CPT and HCPCS codes following policies/procedures established by DMG
- Abstracts pertinent information into the billing system accurately and timely.
- Effectively utilize coding tools and related materials to investigate coding issues and produce accurate results
- Maintains compliance with Federal, State and Payer regulations.
- Assist with payer denials, patient questions related to coding issues, and makes decisions on whether to appeal claims for payment.
- Understands Medicare billing rules (i.e. LC/NC, CCI, Medical Necessity, and ABN) and communicates this information to staff, management and physicians.
- Monitors services performed to assure all patient visit encounters are captured
- Utilize charge capture reports to ensure submission count.
- Other RCM duties and projects based on operational needs

Qualifications:
**MINIMUM KNOWLEDGE, SKILLS, AND ABILITIES**:

- Excellent communication skills required.
- EPIC software preferred or familiar with other EMR software required.
- Strong working knowledge of physician coding rules and guidelines
- Knowledge of insurance guidelines to maximize coding reimbursement
- Ability to interpret, analyze, and abstract data/documentation
- Detail oriented, initiative taking individual with good problem solving skills, effective communication skills, and positive attitude
- Ability to travel to Duly sites as needed
- Ability to adapt to continuously changing environment

**License / Registration / Certification**

Must be certified in at least 1 of the following: Certified Professional Coder (CPC), Registered Health Information Administration (RHIA), Registered Health Information Technologist (RHIT), or Certified Coding Specialist (CCS).

**Level of Education**

High School diploma required.

Associate’s degree preferred, or 2 years experience equivalent

**Years of Experience**

Minimum of 2 - 5 years experience in healthcare coding and billing

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