Certified Coder – Physicians Billing Service

Role Overview

• Responsible for appealing claims denied by third-party payers
• Creates appropriate letters and compiles documentation to substantiate the validity of claims
• Investigates and problem solves reimbursement issues in collaboration with other coding staff and faculty
• Works directly with physicians and other clinical staff as needed to provide documentation feedback and to develop appeals
• Researches payer policies and processes
• Reviews clinical documentation in the medical record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patient's conditions and treatment
• Codes evaluation and management services to the appropriate CPT code level
• Ensures ICD codes are linked appropriately to services provided
• Responsible for charge corrections when necessary
• Works assigned Epic Work queues, CRM tasks, and reviews remittance advice for rejections and accuracy of payment amounts as needed
• Identifies invoices that have been rejected per department criteria
• Performs accounts receivable (AR) functions in the Epic billing system, including updating insurance information, demographics
• Completes special projects as assigned

Requirements

• Must have one of the following coding credentials: AHIMA (CCA, CCS, or CCS-P); AAPC (CPC, CPC-A, CPC-H, CPC-H-A, or one of the AAPC specialty-specific coding credentials)
• Previous coding experience or experience equivalent to an associate’s degree in a related field is preferred
• Knowledge of ICD-10 and CPT coding is preferred
• No specific work experience is required for this position

Benefits

• Up to 22 days of vacation
• 10 recognized holidays
• Sick time
• Competitive health insurance packages with priority appointments and lower copays/coinsurance
• Free Metro transit U-Pass for eligible employees
• Defined contribution (403(b)) Retirement Savings Plan, starting at 7%
• Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!
• 4 weeks of caregiver leave to bond with your new child
• Tuition coverage for you and your family members, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.