Spine Department Coder

3 weeks ago

Naperville, United States Duly Health and Care Full time
Overview

Location: Naperville & Westmont, IL.

Hours: Mon- Friday 8:00a-4:30p, No evening or weekends.

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.
  • A culture committed to Diversity, Equity, and Inclusion (DEI) and Social Impact
  • 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
Are you ready to challenge the expected to deliver the extraordinary?

Responsibilities
  • Effectively utilize ICD, CPT/HCPCS and related materials to investigate coding issues and produce accurate results.
  • Understands Medicare billing rules (i.e. LCD/NCD, CCI, Medical Necessity, and ABN) and communicates this information to staff, management and physicians.
  • Serves as a resource to providers and clinical staff on coding questions and documentation requirements/guidelines.
  • Monitors services performed to assure all encounters are captured, coded and billed within timeframes established by Boncura.
  • Assists with payer denials, patient questions related to billing issues, and makes decisions on whether to appeal claims for payment.
  • Keeps abreast of current changes in coding and reimbursement requirements for government programs and other third party payers.
  • Actively participates in meetings and/or seminars and disseminates the information to peers to enhance the knowledge and skills of the department.
  • Demonstrates the ability to educate/train others as needed.
  • Other duties as assigned.
Qualifications
  • Minimum completion of coding/billing program through college level courses or equivalent two years of experience coding/billing in a physician(s) office setting
  • Spine Coding experience
  • Computer skills, including Microsoft Office suite of products.
  • Currently eligible to attain coding certification (CCS-P or CPC), has recently acquired certification or has an equivalent of two years on the job experience in a physician office setting .
  • Must have specific knowledge of diagnostic and procedural terminology, ICD and CPT/HCPCS coding systems, and billing compliance rules.

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