Medical Coder

About NEMR Total HR

NEMR Total HR is a leading provider of comprehensive human resources solutions, dedicated to helping businesses thrive by optimizing their workforce.

We are seeking a highly motivated and detail-oriented Medical Coder - Accounts Receivable Specialist to join our dynamic team. In this role, you will play a crucial part in ensuring accurate billing and coding practices, contributing to the financial health of our organization.

• Review charge and claim edits by identifying correct assignment of Place of Service (POS) codes and ICD-10/CPT codes and modifiers while applying coding and billing guidelines per industry standards and/or specific client requests.
• Utilize payor policies to create internal edit and adjustment policies.
• Work claim denials and make any and all appropriate coding corrections.
• Collaborate closely with the AR Coding Manager and AR Managers/Supervisors to maximize cash flow and minimize denials.
• Track claims and billing trends/issues and communicate them to management.
• Participate in group discussions including coding changes and education and client coding issues.
• Maintain knowledge of all coding changes, rules, and regulations.
• Comply with HIPAA regulations and state and federal standards and guidelines.
• Provide timely, accurate, and professional responses to internal, patient, and third-party inquiries.
• Research and resolve complex issues and escalate issues to management.
• Report needed system updates to manager.
• Independently work special payor projects as assigned.
• Assist in training new team members.

• Bachelor's degree preferred, High School Diploma/GED required.
• Certified Professional Coder (CPC) required.
• Minimum of 3 years' coding experience required, professional medical billing experience preferred.
• Advanced ability to troubleshoot and problem solve in a healthcare setting.
• Advanced knowledge of CPT and ICD-10 coding.
• Advanced understanding of HIPAA compliance practices.
• Extensive knowledge of billing systems and electronic medical records (EPIC preferred).
• Proficient knowledge and a working understanding of Microsoft Excel and Word.

• Bi-Annual Bonus - Based on performance, paid out twice per year up to 10% of salary.
• Flexible Schedules - Three available shifts, summer hours, and early dismissal on Fridays.
• Paid Holidays and Paid Time Off - 14 days per year; accrues per pay cycle and increases based on years of service.
• Medical, Dental, Vision, and Life plans.
• 401K with employer match and additional incentives offered.