Medical Coding Specialist

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<p style="text-align:left">Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.</p><p style="text-align:inherit"></p><h2>Summary</h2><p><span>Reviews and completes the medical coding and pricing of the Allocation Worksheets and Calculation spreadsheets prepared by the Analysts. </span></p><p></p><h2>Essential Duties and Functions</h2><ul><li>Supports the preparation and review of the Allocation worksheet.</li><li>Prices DME, facility & medical procedures and surgeries and prescription medications.</li><li>Analyze and interpret Allocation worksheet to ensure accurate coding of diagnoses, procedures and services.</li><li>Apply appropriate ICD-10-CM, CPT, and fee schedules based on coding guidelines.</li><li>Enters the appropriate medical procedure code, NDC prescription drug code and price in the Case Management System.</li><li>Strictly adhere to company confidentiality policies and procedures, safeguarding sensitive information at all times.</li><li>Any other duties as may be assigned.</li></ul><h2></h2><p></p><h2>Qualifications/ Requirements</h2><h2><span>To perform this job successfully, an individual must be able to perform each essential duty <span style="overflow-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">satisfactorily. </span> Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.</span></h2><h2></h2><p><u>Required Qualifications</u></p><ul><li>CPT, ICD-10, HCPCS coding, and a working knowledge of NDC codes – minimum 2 years of experience</li><li>Workers’ Compensation or Liability experience working with multiple jurisdictions</li><li>Working knowledge of the Medicare system, remittance and reimbursement policies</li><li>Strong knowledge of anatomy/physiology</li><li>Strong mathematics skills</li><li>Strong excel skills </li></ul><p></p><p><u>Preferred Qualifications</u></p><ul><li>Experience coding and billing Orthopedic and Pain Management procedures and surgeries</li></ul><p></p><p><u>Preferred Certificates or Licenses</u></p><ul><li>Certified Professional Coder and/ or Certified Professional Biller</li></ul><p style="text-align:inherit"></p><p style="text-align:left"><b>Teammate Benefits & Total Well-Being</b></p><p style="text-align:left">We go beyond standard benefits, focusing on the total well-being of our teammates, including:</p><ul><li><i><u>Health Benefits</u></i>: Medical/Rx, Dental, Vision, Life Insurance, Disability <span><span><span><span><span class="WKM1"><span style="overflow-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">Insurance  </span></span></span></span></span></span></li><li><i><u>Financial Benefits</u></i>: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement </li><li><i><u>Mental Health & Wellness</u></i>: Free Mental Health & Enhanced Advocacy Services</li><li><i><u>Beyond Benefits</u></i>: Paid Time Off, Holidays, Preferred Partner Discounts and more. </li></ul><p style="text-align:inherit"></p><p style="text-align:left"><i>Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations.</i></p><p></p><p><span><b><span>The Power To Be Yourself </span></b></span><span><span> </span></span></p><p><span>As an Equal Opportunity Employer, we are <span>committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”. </span></span></p>

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