Billing and Coding Specialist (Contract) Temporary

Description:

• Validates charges and documentation to ensure billing codes are accurate prior to claims submission.
• Seeks clarification from provider and/or clinical staff as needed.
• Applies coding (CPT, HCPCS, and ICD-10) and modifiers accurately and appropriately.
• Applies payer specific coding requirements as appropriate.
• Codes for all services performed. Services may include office visits, wellness exams, in-office surgeries & procedures, injections, supplies, lab, ultrasound, behavioral health, inpatient and outpatient hospital services, birth center, and ambulatory surgical center.
• Assists with prior authorization coding and accounts receivable coding denial reviews.
• Adds account notes when a claim has been changed or reviewed.
• Provides feedback to coding or auditing supervisor if there are trends in coding errors.
• Attends job-related in-service education programs.
• Participates in continuing education programs to increase coding knowledge.
• Mentors and trains other coders within the department as needed.
• Maintains accuracy and productivity in accordance with Diana Health’s Coding Standards.
• Understands the Athena billing and coding and related modules, including patient registration and guarantor snapshot.

Requirements:

• High school diploma or GED required.
• Coding certification through AAPC or AHIMA required. CPC preferred.
• At least three years of experience in medical coding required and two years of experience with OBGYN/MFM coding preferred.
• Knowledge of medical terminology and coding, including ICD-10, CPT, and HCPCS required. OB/GYN specific knowledge preferred.
• Experience in Athena is preferred.
• Demonstrated ability to be detail-oriented with strong aptitude for accuracy required.
• Demonstrated ability to effectively work with others required.
• Knowledge of local and major national medical insurance practices preferred.
• Knowledge of proper business writing standards for letters and memos including the ability to write correspondence with proper punctuation, grammar, spelling, etc.
• Proven effective verbal, listening, and written communication skills.

Benefits:

• Competitive compensation.
• Diana Health Culture:
  • Having a growth mindset and striving for continuous learning and improvement.
  • Positive, can-do / how can I help attitude.
  • Empathy for our team and our clients.
  • Taking ownership and driving to results.
  • Being scrappy and resourceful.