Medical Coding and Compliance Specialist

2 weeks ago


Butner, North Carolina, United States LUKE Full time

About the Role:

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We are seeking a skilled Medical Billing Coding Specialist to join our team at LUKE.

This is a full-time opportunity for a highly motivated individual who is passionate about delivering exceptional results in medical billing and coding.

The successful candidate will have excellent analytical, organizational, and customer service skills, as well as strong oral and written communication skills.

Job Responsibilities:

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  • Verify invoices for medical care provided to inmates by contracted medical services providers using Medicare National Correct Coding Initiative (NCCI) coding principles.
  • Utilize Medicare Part A and Part B payment regulations and payment recommendations from a third-party adjudicator to ensure accurate billing.
  • Investigate inconsistencies in invoices identified by the third-party adjudicator using knowledge of Medicare coding and billing standards and procedures.
  • Perform other duties such as filing, composing memoranda, maintaining suspense files, data entry, and preparation of cost analysis, financial obligations reconciliations, budget, and expenditures tracking.

Requirements:

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  • 2 years of experience in a healthcare or insurance environment.
  • One of the following certifications: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Assistant (CCA), or Certified Professional Coder (CPC).
  • Ability to meet deadlines in a deadline-intensive environment.

What We Offer:

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  • A competitive estimated salary of $65,000 - $75,000 per annum based on location and experience.
  • A dynamic and fast-paced work environment.
  • Flexible working hours with a 30-hour workweek.
  • Opportunities for professional growth and development.

About LUKE:

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Luke does not discriminate on the basis of race, sex, color, religion, national origin, age, disability, or veteran status in provision of services or employment opportunities and benefits.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin.



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