Medical Billing Specialist
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WOUND CENTRICS LLC
Lubbock, TX, US
Summary
The Medical Billing Specialist will manage end-to-end claim processes, including coding, rejections, and denials, while ensuring accurate charge capture within the EMR system. They will also collaborate with providers to educate them on documentation and billing guidelines to maintain compliance and productivity.
Job Description
Job Details: Job Location: MD Billing Specialist - LUBBOCK, TX, Education Level: High School, Salary Range: Undisclosed, About MD Billing:
We are MD Billing, a quickly growing medical billing company based out of Lubbock, Texas. Currently, we service facilities and providers in over 14 states, consisting of multiple specialties including Cardiovascular, Wound Care and Family Medicine. As a company we pride ourselves in being able offer elite coding and billing services to our customers and we are in search of the talent that will help us continue to separate ourselves in the services we offer.
We are looking for Coding Specialists who are committed to our principles of accuracy, versatility, knowledge and relationships. We are looking for those with a passion in their craft and understand that education never stops. Here at MD Billing we offer competitive pay, full benefits, continuing education and pathways for advancement. We deeply believe in not only growing our company, but in growing our employees as well.
Come help us continue to raise the bar in medical coding and billing!
Specific Responsibilities of the Job:
Work closely with providers and staff to ensure timely billing processes.
Ability to effectively communicate with and educate providers as needed.
Billing and Coding for multiple specialties (preferred).
Ability to work End to End claim process: Coding, Rejections, Denials
Work within the EMR system to ensure charge capture and sequencing.
Reviewing and interpreting provider documentation.
Billing and Coding according to payer and facility guidelines.
Ability to identify and code to Local Coverage Determinations and CPT Guidelines.
Ability to uphold to all MD Billing coding metrics and guidelines.
Following up on needed coding edits.
Working with billing team to ensure proper billing and coding processes.
Ability to handle workload or daily productivity.
Performs all other related duties as assigned.
Commitment to continuing education.
Qualifications: Skill Set:
Experience with multi-specialty coding
Experience in E/M and Procedural Coding
Current certification CPC, AHIMA etc. (preferred)
Knowledge of CPT, HCPCS, and ICD-10-CM.
Knowledge of current coding guidelines.
Knowledge in LCD, NCD and NCCI edits
Knowledge of different payers and policies e.g., Medicare, HMO, PPO, Medicare Advantage Plans etc.
EMR experience (eClinical preferred)
Knowledge of medical practice revenue cycle processes.
Denial management and coding edit processes.
Ability to identify and track trends
Ability to analyze documentation and assign appropriate codes.
Ability to work independently with a high degree of attention to detail and reliable decision making.
Strong analytical skills.
High school diploma or GED.
Schedule:
Monday to Friday 8 AM to 5 PM
Work setting:
Office (If in Lubbock,TX area)
Experience:
2 to 5 years (preferred)
License/Certification:
CPC, AHIMA Certification (preferred)
Woundcare services represents an opportunity to maximize LTAC success and profitability, but only with a properly managed, system-based program. Our system-based woundcare programs make your LTAC a center of excellence, driving referrals and maximizing profitability. Our physicians are trained to provide both evidence-based woundcare services, and LTAC-aware management oversight. They are on your team.
Company size
51-200 employees
Industry
Hospitals and Health Care
Org type
Partnership
Headquarters
New Braunfels, Texas
Woundcare services represents an opportunity to maximize LTAC success and profitability, but only with a properly managed, system-based program. Our system-based woundcare programs make your LTAC a center of excellence, driving referrals and maximizing profitability. Our physicians are trained to provide both evidence-based woundcare services, and LTAC-aware management oversight. They are on your team.
Company size
51-200 employees
Industry
Hospitals and Health Care
Org type
Partnership
Headquarters
New Braunfels, Texas