Coding Specialist
About Coding Specialist Position Do you love to care for patients in a warm and welcoming environment? Gastro Health is currently looking for an enthusiastic full-time Coding Specialist to join our team! Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours – and we enjoy paid holidays per year plus paid time off. In this role, the you will work closely with Manager, Coding Operations and management team. The Team Lead will ensure that the company core values are being met.
Job Description
- Drop claims for office, hospital, nutrition, pathology, biologics, imaging, pediatricians, anesthesia, and endoscopy center for accurate processing by payers
- Review medical documentation from EMR and hospital systems for accurate coding and billing to insurance companies
- Apply current billing and coding guidelines
- Evaluate that charges provided by the physicians support the level being billed based on the documentation
- Prepare claims with necessary fields for processing, such as linking authorizations to charges, code blood work, and assigning appropriate modifiers as needed
- Provide feedback to office managers and physicians regarding clinical documentation to ensure compliance with coding guidelines and reimbursement reporting requirements
- Manage claims for auditing purposes, including placing them on hold and billing once the process is complete
- Email office managers and physicians where updates are needed to operative reports
Minimum Requirements
- High School Diploma or GED equivalent
- Must have CPC or equivalent certification
- Extensive knowledge of patient registration, coding, billing, regulatory requirements, billing compliance, business operations, financial systems and financial reporting.
- Certified coder AAPC or AHIMA
- Excellent communication skills both verbal and written.
- Able to analyze data and quickly identify process-based issues for remediation.
- Maintains confidentiality in all matters that include Patient Health Information and employee data.
- Hands-on participation in process/workflow design including team member involvement across the department.
- Intermediate experience with Microsoft Excel and Office products is required.
- Target Oriented and Coding team resolution mindset
- Prior experience collaborating with a remote team is highly preferred.
- Gastro Health is the largest gastroenterology multi-specialty group in the country. We are over 300 physicians strong with over 100 locations throughout the nation, including Florida, Alabama, Ohio, Maryland, Washington, Virginia, and Massachusetts. We employ the finest gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals. Gastro Health is always looking for talented individuals who share our mission to provide outstanding medical care and an exceptional healthcare experience.
This position offers a great work/life balance! We are growing rapidly and support internal advancement We offer competitive compensation 401(k) retirement plans Profit-Sharing Dental insurance Health insurance Life insurance Paid time off Vision insurance Disability insurance Pet insurance We offer a comprehensive benefits package to our eligible employees, which includes: Cigna healthcare, dental, vision, life insurance, 401k, profit-sharing, short & long-term disability, HSA, FSA, and PTO plus 7 paid holidays. Gastro Health is proud to be an Equal Opportunity Employer. We do not discriminate based on race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We thank you for your interest in joining our growing Gastro Health team!