Billing Specialist
Brief Description
A career at MCR Health offers exciting opportunities with one of the largest Healthcare companies in the areas we serve. Now, more than ever, we are looking for exceptional people to support our passion to provide "Exceptional Care to Everyone, Every Time" and our Mission to serve everyone. Whether you provide direct patient care or in other areas of our Company, you can find a home here. We invite you to be part of our Company where you can grow your career and serve with your heart.
Work Location
Work Location: Bradenton, FL
As Part Of This Role, You Will
- Reviews provider documentation in medical records and assigns the most accurate diagnosis and procedure codes, which also meet payer coding and billing requirements
- Adds missing codes to claims that are supported by provider chart documentation for submission of claims that reflect the severity and intensity of care rendered
- Queries providers to obtain clarifying documentation to improve the specificity and completeness of the data used to assign diagnosis and procedure codes
- Reviews denials and recodes claims as appropriate for resubmission
- Completes chart auditing to improve coding accuracy as assigned
Requirements
- High School Graduate or GED minimum
- Minimum of two years of experience in insurance and reimbursement
- Must be proficient in the operation of a computer, calculator, copier, and other standard office equipment
- Proficient in the Microsoft Office Suite is required
- Bilingual: Spanish/English is a plus
Summary
In a broad scope, the Billing and Coding Specialist position focuses on the accuracy and completeness of diagnosis and procedures codes submitted on claims for quality documentation reporting and to maximize reimbursement. This role completes tracking and trending of denied claims, errors, and/or other assigned issues to be communicated to the appropriate Revenue Cycle leader. Lastly, this role serves as a coding and documentation resource for providers and clinical staff.
MCR Health is a drug-free workplace
All job applicants selected for employment are required to submit to a pre-employment drug test and background check.