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Coding Specialist

Gastro Health, Miami, Florida, us, 33222

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Overview About Coding Specialist Position

Gastro Health is currently looking for an enthusiastic full-time Coding Specialist to join our team. The team offers a collaborative environment with consistent hours, paid holidays per year, and paid time off. In this role, you will work closely with the Manager of Coding Operations and the management team. The Team Lead will ensure that the company core values are being met.

Responsibilities

Drop claims for office, hospital, nutrition, pathology, biologics, imaging, pediatricians, anesthesia, and endoscopy center for accurate processing by payers

Review medical documentation from EMR and hospital systems for accurate coding and billing to insurance companies

Apply current billing and coding guidelines

Evaluate that charges provided by the physicians support the level being billed based on the documentation

Prepare claims with necessary fields for processing, such as linking authorizations to charges, code blood work, and assigning appropriate modifiers as needed

Provide feedback to office managers and physicians regarding clinical documentation to ensure compliance with coding guidelines and reimbursement reporting requirements

Manage claims for auditing purposes, including placing them on hold and billing once the process is complete

Email office managers and physicians where updates are needed to operative reports

Minimum Requirements / Qualifications

High School Diploma or GED equivalent

Must have CPC or equivalent certification

Extensive knowledge of patient registration, coding, billing, regulatory requirements, billing compliance, business operations, financial systems and financial reporting

Certified coder AAPC or AHIMA

Excellent communication skills both verbal and written

Able to analyze data and quickly identify process-based issues for remediation

Maintains confidentiality in all matters that include Patient Health Information and employee data

Hands-on participation in process/workflow design including team member involvement across the department

Intermediate experience with Microsoft Excel and Office products

Target oriented and coding team resolution mindset

Prior experience collaborating with a remote team is highly preferred

Benefits

Comprehensive benefits package including: health insurance, dental, vision, life insurance, 401(k) retirement plans, profit-sharing, short & long-term disability, HSA, FSA, PTO, and paid holidays

Great work/life balance

401(k) retirement plans

Vision and disability insurance

Paid time off

Pet insurance

Opportunities for internal advancement

Gastro Health is the largest gastroenterology multi-specialty group in the country with over 300 physicians and 100 locations across multiple states. We are committed to providing outstanding medical care and an exceptional healthcare experience.

Equal Opportunity Employer:

Gastro Health does not discriminate based on race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

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