Certified Medical Coder
4 weeks ago
IVX Health is a national provider of infusion and injection therapy for patients with complex chronic conditions. We strive to empower our team to succeed while embodying our core values: Be Kind, Do What's Right, Never Settle, Make It Happen, and Enjoy the Ride.
About the RoleThe Certified Coding & Billing Specialist performs various duties to accurately interpret and bill charges for infusion services. They are responsible for entering into the billing system appropriate CPT and ICD-10 codes to report services to third-party payers.
Responsibilities- Perform initial charge review to determine appropriate ICD-10 and CPT codes to be used to report services to third-party payers
- Interpret progress notes, operative reports, discharge summaries, and charge documents to determine services provided and accurately assign CPT, HCPCS, ASA, and ICD-10-CM coding to these services
- Enter appropriate data into the billing system by selecting the appropriate codes, diagnosis, modifiers, and figures based on the start and stop of the infusion case
- Contact providers regarding procedures and other services billed to ensure proper coding
- Responsible for reviewing patient logs and other reports of clinical activity to ensure billing is captured for all patients
- Monitor and follow up to ensure all services that can be billed are captured and coded for billing
- Ensure the batch processes for all coded charges
- Utilize batch-logging systems to comply with internal audit standards
- Review all provider documentation to ensure compliance with third-party and regulatory guidelines
- Work in conjunction with other billing and front desk staff to answer all inquiries regarding coding and billing for services
- Work follow-up of unpaid claims and answer patient calls
- Perform duties and job functions in accordance with the policies and procedures established for the department
- Recommend new approaches, policies, and procedures to influence continuous improvements in department's efficiency and services performed
- Take ownership of special projects, research data, and follow through with detailed action plans
- Actively participate in problem identification and resolution and coordinate resolutions between appropriate parties
- Ensuring compliance with medical coding policies and guidelines
IVX Health offers a range of benefits and perks to support our employees' well-being and success, including:
- Flexible work schedule that promotes a positive work-life balance
- 401(k) program with company-match
- Comprehensive Health, Dental, and Vision Insurance plans
- Company-Paid Life/AD&D Insurance
- Voluntary Accident, Critical Illness, and Hospital Indemnity Insurance
- Voluntary Short-Term and Long-Term Disability Insurance
- Tuition Reimbursement Program
- Charitable Giving Match and Community Involvement PTO Program
- Employee Referral Bonus Program
To be successful in this role, you will need:
- Working knowledge of medical terminology and anatomy
- Knowledge of current third-party billing and collection regulatory guidelines and requirements
- Excellent communication skills, both verbal and written
- Strong people skills
- Outstanding organizational skills
- Ability to maintain confidentiality of information
- Proficiency with standard office software applications (Microsoft Office, Outlook, Teams, etc.)
We require:
- High school diploma or GED completion
- Maintain Certified Professional Coder standing
- Five years experience with CPT/ICD-10 coding of physician services preferred
IVX Health is proud to be an Equal Opportunity Employer. We value diversity and are committed to creating an inclusive environment for all employees. We prohibit discrimination, harassment, or retaliation of any kind based on any protected characteristic. Equal employment opportunity will be extended to all persons in all aspects of the employer-employee relationship and all terms and conditions of employment.
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