Medical Coding Specialist (31620)

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    "jobTitle": "Medical Coding Specialist (31620)",
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    "description": "<p><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\"><strong>Exam Works is looking for a Medical Coding Specialist to join our team remotely!&nbsp;</strong></span></span></p>\n\n<p><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\"><strong>*Must</strong><strong>&nbsp;possess current coding certification in CPC. CPMA certification &amp;&nbsp;</strong></span><strong style=\"font-size:13px\"><span style=\"font-family:&quot;Aptos&quot;,sans-serif\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Certified Life Care Planner </span>certification&nbsp;</span></strong><strong style=\"font-family:Arial,Helvetica,sans-serif\">preferred.</strong></span></p>\n\n<p><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">The <strong>Medical Coding Specialist</strong> (Internally called a Coding Specialist)&nbsp; is responsible to create and write reports based on medical records and appropriate guideline criteria. This position utilizes the system database to determine usual and customary and/or state fee schedule allowances and this position is responsible for analyzing provider billing for proper coding and billing guidelines across all provider types and ensures reviews are completed with highest quality and integrity and that all work is in full compliance with client contractual agreements, regulatory agency standards and/or federal and state mandates.</span></span></p>\n\n<p><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Schedule for this role is: <strong>Monday - Friday 8am-5pm EST</strong></span></span></p>\n\n<p><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\"><strong>ESSENTIAL JOB FUNCTIONS</strong></span></span></p>\n\n<ul>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Receive and input client and examinee data in the system database.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Sort and verify each claim.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Process and review each claim and address all necessary modifications manually. Contact Client as needed</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Perform quality assurance on every case prior to completion.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Ensure all medical records and reports are properly documented and saved in the appropriate location and available for audit at all times.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Process client invoicing in accordance with the client&rsquo;s fee schedule.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Handle and responds promptly to incoming calls, emails or faxes from clients requesting report status and/or information.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Provide notification to the Supervisor of any provider appeals and follow directions as given to resolve the claim.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Provide testimony in court as to the content of prepared reports, as required. Travel as necessary.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Ensure all practices are carried out in accordance with HIPAA compliance practices, state and federal safety standards and legal regulations.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Perform quality assurance on various coding related reviews.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Perform other duties as assigned.</span></span></li>\n</ul>\n",
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CPMA certification &amp;&nbsp;Certified Life Care Planner certification&nbsp;preferred.\\n\\nThe Medical Coding Specialist (Internally called a Coding Specialist)&nbsp; is responsible to create and write reports based on medical records and appropriate guideline criteria. 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CPMA certification preferred.\\n\\n\\n&nbsp;\\n\\nQUALIFICATIONS&nbsp; \\n\\n\\n\\tMust have minimum of one year medical billing experience; or equivalent combination of education and experience required.&nbsp;\\n\\tMust have a full understanding of aspects of medical billing.\\n\\tMust demonstrate understanding of the various types of medical billings and ability to identify which system database should be used.\\n\\tMust be able to cross reference different types of billings to ensure consistency in the review process.\\n\\tMust possess knowledge of standard fee schedule review, UC&amp;R review, drug and supply charges, rarity, utilization review, CPT guidelines, ICD 10, bundling/unbundling, duplicate billing and CMS reimbursement guidelines.\\n\\tMust possess complete knowledge of general computer, fax, copier, scanner, and telephone.\\n\\tMust be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.\\n\\tMust have a full understanding of HIPAA regulations and compliance.\\n\\n\\n\\n\\tMust be a qualified typist with a minimum of 35 W.P.M.\\n\\tAbility to follow instructions and respond to managements&rsquo; directions accurately.\\n\\tAbility to work independently, prioritize work activities and use time efficiently.\\n\\tMust be able to maintain confidentiality.\\n\\tMust be able to demonstrate and promote a positive team -oriented environment.\\n\\tMust be able to stay focused and concentrate under normal or heavy distractions.\\n\\tMust be able to work well under pressure and or stressful conditions.\\n\\tMust possess the ability to manage change, delays, or unexpected events appropriately.\\n\\tAbility to follow all company policies and procedures in effect at time of hire and as they may change or be added from time to time.\\n\\n\\nExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. 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All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.\\n\\nEqual Opportunity Employer - Minorities/Females/Disabled/Veterans\\n\\nExamWorks offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k.\\n\\nTAGS\\n\\nCPC, CPMA, Medical Billing, Medical Billing Specialist\\n\",\"responsibilities\":\"Exam Works is looking for a Medical Coding Specialist to join our team remotely!&nbsp;\\n\\n*Must&nbsp;possess current coding certification in CPC. CPMA certification &amp;&nbsp;Certified Life Care Planner certification&nbsp;preferred.\\n\\nThe Medical Coding Specialist (Internally called a Coding Specialist)&nbsp; is responsible to create and write reports based on medical records and appropriate guideline criteria. 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CPMA certification preferred.\\n\\n\\n&nbsp;\\n\\nQUALIFICATIONS&nbsp; \\n\\n\\n\\tMust have minimum of one year medical billing experience; or equivalent combination of education and experience required.&nbsp;\\n\\tMust have a full understanding of aspects of medical billing.\\n\\tMust demonstrate understanding of the various types of medical billings and ability to identify which system database should be used.\\n\\tMust be able to cross reference different types of billings to ensure consistency in the review process.\\n\\tMust possess knowledge of standard fee schedule review, UC&amp;R review, drug and supply charges, rarity, utilization review, CPT guidelines, ICD 10, bundling/unbundling, duplicate billing and CMS reimbursement guidelines.\\n\\tMust possess complete knowledge of general computer, fax, copier, scanner, and telephone.\\n\\tMust be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.\\n\\tMust have a full understanding of HIPAA regulations and compliance.\\n\\n\\n\\n\\tMust be a qualified typist with a minimum of 35 W.P.M.\\n\\tAbility to follow instructions and respond to managements&rsquo; directions accurately.\\n\\tAbility to work independently, prioritize work activities and use time efficiently.\\n\\tMust be able to maintain confidentiality.\\n\\tMust be able to demonstrate and promote a positive team -oriented environment.\\n\\tMust be able to stay focused and concentrate under normal or heavy distractions.\\n\\tMust be able to work well under pressure and or stressful conditions.\\n\\tMust possess the ability to manage change, delays, or unexpected events appropriately.\\n\\tAbility to follow all company policies and procedures in effect at time of hire and as they may change or be added from time to time.\\n\\n\\nExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers&#39; compensation insurance coverages.\\n\\nExamWorks, LLC is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.\\n\\nEqual Opportunity Employer - Minorities/Females/Disabled/Veterans\\n\\nExamWorks offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k.\\n\\nTAGS\\n\\nCPC, CPMA, Medical Billing, Medical Billing Specialist\\n\",\"validThrough\":\"-0001-11-30\"}",
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    "qualifications": "<p><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\"><strong>Education and/or Experience </strong>&nbsp;</span></span></p>\n\n<ul>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">High school diploma or equivalent required.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Minimum one year medical billing experience; or equivalent combination of education and experience required. &nbsp;</span></span></li>\n</ul>\n\n<p><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">&nbsp;&nbsp;&nbsp;</span></span></p>\n\n<p><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\"><strong>Certificates, Licenses, Registrations</strong></span></span></p>\n\n<p><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Must possess current coding certification in:</span></span></p>\n\n<ul>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">OASIS, RAC-CT, CCS, CPC, RHIT or RHIA. CPMA certification preferred.</span></span></li>\n</ul>\n\n<p>&nbsp;</p>\n\n<p><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\"><strong>QUALIFICATIONS&nbsp; </strong></span></span></p>\n\n<ul>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Must have minimum of one year medical billing experience; or equivalent combination of education and experience required.&nbsp;</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Must have a full understanding of aspects of medical billing.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Must demonstrate understanding of the various types of medical billings and ability to identify which system database should be used.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Must be able to cross reference different types of billings to ensure consistency in the review process.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Must possess knowledge of standard fee schedule review, UC&amp;R review, drug and supply charges, rarity, utilization review, CPT guidelines, ICD 10, bundling/unbundling, duplicate billing and CMS reimbursement guidelines.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Must possess complete knowledge of general computer, fax, copier, scanner, and telephone.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Must have a full understanding of HIPAA regulations and compliance.</span></span></li>\n</ul>\n\n<ul>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Must be a qualified typist with a minimum of 35 W.P.M.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Ability to follow instructions and respond to managements&rsquo; directions accurately.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Ability to work independently, prioritize work activities and use time efficiently.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Must be able to maintain confidentiality.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Must be able to demonstrate and promote a positive team -oriented environment.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Must be able to stay focused and concentrate under normal or heavy distractions.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Must be able to work well under pressure and or stressful conditions.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Must possess the ability to manage change, delays, or unexpected events appropriately.</span></span></li>\n\t<li><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">Ability to follow all company policies and procedures in effect at time of hire and as they may change or be added from time to time.</span></span></li>\n</ul>\n\n<p><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\"><strong>ExamWorks</strong> is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers&#39; compensation insurance coverages.</span></span></p>\n\n<p><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\"><strong>ExamWorks, LLC</strong> is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.</span></span></p>\n\n<p><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\"><strong>Equal Opportunity Employer - Minorities/Females/Disabled/Veterans</strong></span></span></p>\n\n<p><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\"><em><strong>ExamWorks offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k.</strong></em></span></span></p>\n\n<p><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">TAGS</span></span></p>\n\n<p><span style=\"display:block; font-size:12px\"><span style=\"font-family:Arial,Helvetica,sans-serif\">CPC, CPMA, Medical Billing, Medical Billing Specialist</span></span></p>\n",
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