Coding Specialist

4 weeks ago


Joliet, Illinois, United States QualDerm Partners, LLC Full time
Job Title: Coding Specialist

We are seeking a skilled Coding Specialist to join our team at QualDerm Partners, LLC. As a Coding Specialist, you will play a critical role in ensuring accurate and compliant coding practices across our network of dermatology practices.

Job Summary

The Coding Specialist will be responsible for evaluating medical record documentation and coding to optimize reimbursement, reviewing and auditing medical records for correct CPT, ICD-10, and HCPCS codes, and monitoring progress resulting from periodic audits. This role requires strong analytical and communication skills, as well as the ability to maintain confidentiality and integrity of medical information.

Responsibilities
  • Evaluate medical record documentation and coding to optimize reimbursement
  • Review and audit medical records for correct CPT, ICD-10, and HCPCS codes
  • Monitor progress resulting from periodic audits
  • Maintain required CEUs
  • Perform coding and billing for multiple provider encounters
  • Analyze code, interpret and compile medical information/records to document patient condition and treatment
  • Code, prepare and submit clean claims to insurance companies via electronic and paper submissions
  • Monitor claim rejection queue, investigate and resolve claim rejections
Requirements
  • High school graduate or GED
  • Certified Professional Coder (CPC), Certified Professional Coder-Apprentice (CPC-A), Certified Dermatology Coder (CDC), or other applicable coding certification
  • 0-3 years of experience in medical coding/reimbursement; experience with dermatology coding/billing is a plus
  • Mod Med/EMA practice management system experience preferred
Benefits
  • Competitive Pay
  • Medical, dental, and vision
  • 401(k) - The company match is 100% of the first 3%; and 50% of the next 2%; immediately vested
  • Paid Time Off - accrual starts upon hire, plus 6 Paid Holidays and 2 floating days
  • Company paid life insurance and additional coverage available
  • Short-term and long-term disability, accident and critical illness, and identity theft protection plans
  • Employee Assistance Program (EAP)
  • Employee Discounts
  • Employee Referral Bonus Program

QualDerm Partners, LLC is an equal opportunity employer and is committed to creating an inclusive environment for all employees. Applicants must be currently authorized to work in the United States in a full-time basis.



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