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 are providing direct patient care or are 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.
In our time of Company growth, we seek a Billing and Coding Specialist.
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
Query providers to obtain clarifying documentation to improve the specificity and completeness of the data used to assign diagnosis and procedure codes
Review denials and recode claims as appropriate for resubmission
Completes chart auditing to improve coding accuracy as assigned
What you will need to bring to this role
High School Graduate or GED minimum
Working knowledge of medical terminology preferred
Working knowledge of ICD-10 and CPT codes (minimum of 1 year required)
Coding Certification preferred, but must be able to obtain certification within 6 months of hire (or as assigned by management)
Working knowledge in Managed Care, Government Payers, and Private Payers preferred
If onsite position - Reliable transportation to/from site and ability to be moved between sites as assigned
Ability to maintain patient confidentiality required
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