Billing Coder III

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    "jobTitle": "Billing Coder III",
    "location": "IDX Coppell TX Site - Coppell, TX 75019",
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    "clientCode": "0ZL65",
    "remoteType": "Fully Remote",
    "description": "<p><strong><span style=\"text-align:justify\"><span dir=\"ltr\">About Us</span></span></strong></p>\n\n<p><span style=\"text-align:justify\">Inform Diagnostics, a Fulgent Genetics Company, is a nationally recognized diagnostics laboratory focused on anatomic pathology subspecialties including gastrointestinal pathology, dermatopathology, urologic pathology, hematopathology, and breast pathology. </span></p>\n\n<p><span style=\"text-align:justify\">Founded in 2011, our parent entity, Fulgent Genetics, has evolved into a premier, full-service genomic testing company built around a foundational technology platform.</span></p>\n\n<p><span style=\"text-align:justify\"><span dir=\"ltr\">Through our diverse testing menu, Fulgent is focused on transforming patient care in oncology, anatomic pathology, infectious and rare diseases, and reproductive health. We believe that by providing a wide range of effective, flexible testing options in conjunction with best-in-class service and support, we can redefine the way medicine is managed for patients and clinicians alike.</span></span></p>\n\n<p><span style=\"text-align:justify\"><span dir=\"ltr\">Since integrating with our therapeutic development business, Fulgent is also developing drug candidates for treating a broad range of cancers using a novel nanoencapsulation and targeted therapy platform. By merging our fields of expertise, we aim to become a fully integrated precision medicine company.</span></span></p>\n\n<p>&nbsp;</p>\n\n<p><strong><span style=\"text-align:justify\"><span dir=\"ltr\">Summary of Position</span></span></strong></p>\n\n<p><span style=\"text-align:justify\"><span dir=\"ltr\">Each <strong>Billing Coder III </strong>is responsible for documentation review, coding, and data abstracting of medical service documentation to ensure the company receives appropriate reimbursement and conforms to applicable guidelines and regulations. Patients and their needs are our primary focus, so developing and sustaining productive member relationships is key to success.</span></span></p>\n\n<p>&nbsp;</p>\n\n<p><strong><span style=\"text-align:justify\"><span dir=\"ltr\">Key Job Elements</span></span></strong></p>\n\n<ul>\n\t<li style=\"text-align:justify\"><span style=\"text-align:justify\"><span dir=\"ltr\">Research and assign pathology procedures (CPT) and diagnosis (ICD-10CM) codes based on review of the entire medical record.</span></span></li>\n\t<li style=\"text-align:justify\"><span style=\"text-align:justify\"><span dir=\"ltr\">Analyze and review detailed and highly complex code edits and transactions within Xifin/LIS.</span></span></li>\n\t<li style=\"text-align:justify\"><span style=\"text-align:justify\"><span dir=\"ltr\">Provide support to the billing staff by resolving complex cases and issues as assigned.</span></span></li>\n\t<li style=\"text-align:justify\"><span style=\"text-align:justify\"><span dir=\"ltr\">Assist in new hire training and escalation point for teammates.</span></span></li>\n\t<li style=\"text-align:justify\"><span style=\"text-align:justify\"><span dir=\"ltr\">Coding related denials review for resolution.</span></span></li>\n\t<li style=\"text-align:justify\"><span style=\"text-align:justify\"><span dir=\"ltr\">Contribute to the development and maintenance of specialized educational materials.</span></span></li>\n\t<li style=\"text-align:justify\"><span style=\"text-align:justify\"><span dir=\"ltr\">Maintain current knowledge of coding conventions, guidelines, and regulations governing government and third-party billing to ensure that coding and documentation meets regulatory guidelines and audit standards.</span></span></li>\n\t<li style=\"text-align:justify\"><span style=\"text-align:justify\"><span dir=\"ltr\">Meet department quality and production standards.</span></span></li>\n\t<li style=\"text-align:justify\"><span style=\"text-align:justify\"><span dir=\"ltr\">Participate in the testing and training of new system applications.</span></span></li>\n</ul>\n",
    "jobCategory": "Biotech",
    "salaryRange": "$25.26 - $37.89 Hourly",
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We believe that by providing a wide range of effective, flexible testing options in conjunction with best-in-class service and support, we can redefine the way medicine is managed for patients and clinicians alike.\\n\\nSince integrating with our therapeutic development business, Fulgent is also developing drug candidates for treating a broad range of cancers using a novel nanoencapsulation and targeted therapy platform. By merging our fields of expertise, we aim to become a fully integrated precision medicine company.\\n\\n&nbsp;\\n\\nSummary of Position\\n\\nEach Billing Coder III is responsible for documentation review, coding, and data abstracting of medical service documentation to ensure the company receives appropriate reimbursement and conforms to applicable guidelines and regulations. Patients and their needs are our primary focus, so developing and sustaining productive member relationships is key to success.\\n\\n&nbsp;\\n\\nKey Job Elements\\n\\n\\n\\tResearch and assign pathology procedures (CPT) and diagnosis (ICD-10CM) codes based on review of the entire medical record.\\n\\tAnalyze and review detailed and highly complex code edits and transactions within Xifin/LIS.\\n\\tProvide support to the billing staff by resolving complex cases and issues as assigned.\\n\\tAssist in new hire training and escalation point for teammates.\\n\\tCoding related denials review for resolution.\\n\\tContribute to the development and maintenance of specialized educational materials.\\n\\tMaintain current knowledge of coding conventions, guidelines, and regulations governing government and third-party billing to ensure that coding and documentation meets regulatory guidelines and audit standards.\\n\\tMeet department quality and production standards.\\n\\tParticipate in the testing and training of new system applications.\\n\\nQualificationsKnowledge/Experience\\n\\n\\n\\tHigh School diploma or equivalent required.\\n\\t10 years of medical coding experience OR 7 years of anatomic pathology coding experience required.\\n\\tAbility to proficiently use Current Procedural Terminology (CPT) and International Classification of Diseases (ICD-10) codes to ensure reliable communication with all physicians, insurance companies, and other healthcare providers.\\n\\tWorking knowledge of CPT, HCPCS and ICD.\\n\\tCertified Professional Coder Certification - CPC through AAPC.\\n\\tDemonstrated ability to abstract and assign all codes to multi-specialty pathology services performed, including, but not limited to Hematopathology.\\n\\tKnowledge of Local Coverage Determination and National Coverage Determination (LCD/NCD).\\n\\tExtensive knowledge of resolving coding related denials caused by MUE Edits, CPT codes, ICD codes, modifiers or medical necessity requirements.\\n\\tAbility to work in a fast-paced, deadline driven environment.\\n\\tExcellent written and oral communication.\\n\\tProficient in Microsoft Office Suite, specifically Word, Excel, and Outlook, and general working knowledge of Internet for business use\\n\\n\\n&nbsp;\\n\\nEnvironment\\n\\nFulgent Therapeutics LLC is an Equal Employment Opportunity Employer.\\n\\nThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. The term &ldquo;qualified individual with a disability&rdquo; means an individual with a disability who, with or without reasonable accommodation, can perform the essential functions of the position.\\n\\nBenefits include:\\n\\n\\n\\tHealth, dental, vision, disability, life and AD&amp;D insurance\\n\\tFSA and HSA plans\\n\\tEmployee Assistance Program\\n\\t401K plan\\n\\tVacation time\\n\\tAnnual sick leave\\n\\tCompany-paid holidays\\n\\tContinuous education allowance\\n\\tEmployee referral bonus program\\n\\tChildcare and commute allowance\\n\\tVoluntary elective benefits such as pet insurance, legal plan, accident, critical illness, and hospital indemnity insurance\\n\\n\\n&nbsp;\\n\\nFor California residents, please see the link below to access our CCPA Privacy Notice.\\n\\nCCPA Privacy Notice for California Residents\\n\\nhttps://tinyurl.com/FulgentCCPA\\n\\n&nbsp;\\n\\nPlease note that Fulgent (and its affiliated companies, including Inform Diagnostics and CSI Laboratories) does not accept unsolicited information and/or resumes from search firms or agencies for our job postings. Search firms or agencies without an applicable contract and/or express approval to recruit for the role in question &mdash; that choose to submit a resume or client information to our career page or to any employee of Fulgent &mdash; will not be eligible for payment of any fee(s), and any associated shared data will become the property of Fulgent.\\n\",\"responsibilities\":\"About Us\\n\\nInform Diagnostics, a Fulgent Genetics Company, is a nationally recognized diagnostics laboratory focused on anatomic pathology subspecialties including gastrointestinal pathology, dermatopathology, urologic pathology, hematopathology, and breast pathology. \\n\\nFounded in 2011, our parent entity, Fulgent Genetics, has evolved into a premier, full-service genomic testing company built around a foundational technology platform.\\n\\nThrough our diverse testing menu, Fulgent is focused on transforming patient care in oncology, anatomic pathology, infectious and rare diseases, and reproductive health. We believe that by providing a wide range of effective, flexible testing options in conjunction with best-in-class service and support, we can redefine the way medicine is managed for patients and clinicians alike.\\n\\nSince integrating with our therapeutic development business, Fulgent is also developing drug candidates for treating a broad range of cancers using a novel nanoencapsulation and targeted therapy platform. By merging our fields of expertise, we aim to become a fully integrated precision medicine company.\\n\\n&nbsp;\\n\\nSummary of Position\\n\\nEach Billing Coder III is responsible for documentation review, coding, and data abstracting of medical service documentation to ensure the company receives appropriate reimbursement and conforms to applicable guidelines and regulations. 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Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. The term &ldquo;qualified individual with a disability&rdquo; means an individual with a disability who, with or without reasonable accommodation, can perform the essential functions of the position.\\n\\nBenefits include:\\n\\n\\n\\tHealth, dental, vision, disability, life and AD&amp;D insurance\\n\\tFSA and HSA plans\\n\\tEmployee Assistance Program\\n\\t401K plan\\n\\tVacation time\\n\\tAnnual sick leave\\n\\tCompany-paid holidays\\n\\tContinuous education allowance\\n\\tEmployee referral bonus program\\n\\tChildcare and commute allowance\\n\\tVoluntary elective benefits such as pet insurance, legal plan, accident, critical illness, and hospital indemnity insurance\\n\\n\\n&nbsp;\\n\\nFor California residents, please see the link below to access our CCPA Privacy Notice.\\n\\nCCPA Privacy Notice for California Residents\\n\\nhttps://tinyurl.com/FulgentCCPA\\n\\n&nbsp;\\n\\nPlease note that Fulgent (and its affiliated companies, including Inform Diagnostics and CSI Laboratories) does not accept unsolicited information and/or resumes from search firms or agencies for our job postings. Search firms or agencies without an applicable contract and/or express approval to recruit for the role in question &mdash; that choose to submit a resume or client information to our career page or to any employee of Fulgent &mdash; will not be eligible for payment of any fee(s), and any associated shared data will become the property of Fulgent.\\n\",\"experienceRequirements\":\"Knowledge/Experience\\n\\n\\n\\tHigh School diploma or equivalent required.\\n\\t10 years of medical coding experience OR 7 years of anatomic pathology coding experience required.\\n\\tAbility to proficiently use Current Procedural Terminology (CPT) and International Classification of Diseases (ICD-10) codes to ensure reliable communication with all physicians, insurance companies, and other healthcare providers.\\n\\tWorking knowledge of CPT, HCPCS and ICD.\\n\\tCertified Professional Coder Certification - CPC through AAPC.\\n\\tDemonstrated ability to abstract and assign all codes to multi-specialty pathology services performed, including, but not limited to Hematopathology.\\n\\tKnowledge of Local Coverage Determination and National Coverage Determination (LCD/NCD).\\n\\tExtensive knowledge of resolving coding related denials caused by MUE Edits, CPT codes, ICD codes, modifiers or medical necessity requirements.\\n\\tAbility to work in a fast-paced, deadline driven environment.\\n\\tExcellent written and oral communication.\\n\\tProficient in Microsoft Office Suite, specifically Word, Excel, and Outlook, and general working knowledge of Internet for business use\\n\\n\\n&nbsp;\\n\\nEnvironment\\n\\nFulgent Therapeutics LLC is an Equal Employment Opportunity Employer.\\n\\nThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. The term &ldquo;qualified individual with a disability&rdquo; means an individual with a disability who, with or without reasonable accommodation, can perform the essential functions of the position.\\n\\nBenefits include:\\n\\n\\n\\tHealth, dental, vision, disability, life and AD&amp;D insurance\\n\\tFSA and HSA plans\\n\\tEmployee Assistance Program\\n\\t401K plan\\n\\tVacation time\\n\\tAnnual sick leave\\n\\tCompany-paid holidays\\n\\tContinuous education allowance\\n\\tEmployee referral bonus program\\n\\tChildcare and commute allowance\\n\\tVoluntary elective benefits such as pet insurance, legal plan, accident, critical illness, and hospital indemnity insurance\\n\\n\\n&nbsp;\\n\\nFor California residents, please see the link below to access our CCPA Privacy Notice.\\n\\nCCPA Privacy Notice for California Residents\\n\\nhttps://tinyurl.com/FulgentCCPA\\n\\n&nbsp;\\n\\nPlease note that Fulgent (and its affiliated companies, including Inform Diagnostics and CSI Laboratories) does not accept unsolicited information and/or resumes from search firms or agencies for our job postings. Search firms or agencies without an applicable contract and/or express approval to recruit for the role in question &mdash; that choose to submit a resume or client information to our career page or to any employee of Fulgent &mdash; will not be eligible for payment of any fee(s), and any associated shared data will become the property of Fulgent.\\n\",\"industry\":\"Biotech\",\"validThrough\":\"-0001-11-30\",\"educationRequirements\":\"High School\"}",
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    "qualifications": "<p style=\"text-align:justify\"><strong><span dir=\"ltr\">Knowledge/Experience</span></strong></p>\n\n<ul>\n\t<li style=\"text-align:justify\"><span dir=\"ltr\">High School diploma or equivalent required.</span></li>\n\t<li style=\"text-align:justify\"><span dir=\"ltr\">10 years of medical coding experience OR 7 years of anatomic pathology coding experience required.</span></li>\n\t<li style=\"text-align:justify\"><span dir=\"ltr\">Ability to proficiently use Current Procedural Terminology (CPT) and International Classification of Diseases (ICD-10) codes to ensure reliable communication with all physicians, insurance companies, and other healthcare providers.</span></li>\n\t<li style=\"text-align:justify\"><span dir=\"ltr\">Working knowledge of CPT, HCPCS and ICD.</span></li>\n\t<li style=\"text-align:justify\"><span dir=\"ltr\">Certified Professional Coder Certification - CPC through AAPC.</span></li>\n\t<li style=\"text-align:justify\"><span dir=\"ltr\">Demonstrated ability to abstract and assign all codes to multi-specialty pathology services performed, including, but not limited to Hematopathology.</span></li>\n\t<li style=\"text-align:justify\"><span dir=\"ltr\">Knowledge of Local Coverage Determination and National Coverage Determination (LCD/NCD).</span></li>\n\t<li style=\"text-align:justify\"><span dir=\"ltr\">Extensive knowledge of resolving coding related denials caused by MUE Edits, CPT codes, ICD codes, modifiers or medical necessity requirements.</span></li>\n\t<li style=\"text-align:justify\"><span dir=\"ltr\">Ability to work in a fast-paced, deadline driven environment.</span></li>\n\t<li style=\"text-align:justify\"><span dir=\"ltr\">Excellent written and oral communication.</span></li>\n\t<li style=\"text-align:justify\"><span dir=\"ltr\">Proficient in Microsoft Office Suite, specifically Word, Excel, and Outlook, and general working knowledge of Internet for business use</span></li>\n</ul>\n\n<p style=\"margin-left:8px\">&nbsp;</p>\n\n<p><strong><span dir=\"ltr\">Environment</span></strong></p>\n\n<p style=\"text-align:justify\"><span dir=\"ltr\">Fulgent Therapeutics LLC is an Equal Employment Opportunity Employer.</span></p>\n\n<p><span dir=\"ltr\">The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. The term &ldquo;qualified individual with a disability&rdquo; means an individual with a disability who, with or without reasonable accommodation, can perform the essential functions of the position.</span></p>\n\n<p>Benefits include:</p>\n\n<ul>\n\t<li>Health, dental, vision, disability, life and AD&amp;D insurance</li>\n\t<li>FSA and HSA plans</li>\n\t<li>Employee Assistance Program</li>\n\t<li>401K plan</li>\n\t<li>Vacation time</li>\n\t<li>Annual sick leave</li>\n\t<li>Company-paid holidays</li>\n\t<li>Continuous education allowance</li>\n\t<li>Employee referral bonus program</li>\n\t<li>Childcare and commute allowance</li>\n\t<li>Voluntary elective benefits such as pet insurance, legal plan, accident, critical illness, and hospital indemnity insurance</li>\n</ul>\n\n<p>&nbsp;</p>\n\n<p style=\"text-align:justify\"><span>For California residents, please see the link below to access our CCPA Privacy Notice.</span></p>\n\n<p><span><a href=\"https://fulgentgenetics.com/policies/ccpa-privacy-notice\" target=\"_blank\"><span dir=\"ltr\">CCPA Privacy Notice for California Residents</span></a></span></p>\n\n<p><span><a href=\"https://fulgentgenetics.com/content/EP-CCPA_Privacy_Notice_to_California_Job_Applicants-V3.pdf\" target=\"_blank\"><span dir=\"ltr\">https://tinyurl.com/FulgentCCPA</span></a></span></p>\n\n<p>&nbsp;</p>\n\n<p><em>Please note that Fulgent (and its affiliated companies, including Inform Diagnostics and CSI Laboratories) does not accept unsolicited information and/or resumes from search firms or agencies for our job postings. Search firms or agencies without an applicable contract and/or express approval to recruit for the role in question &mdash; that choose to submit a resume or client information to our career page or to any employee of Fulgent &mdash; will not be eligible for payment of any fee(s), and any associated shared data will become the property of Fulgent.</em></p>\n",
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