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Coder, Rejections in Fairlawn, OH, US at TeamHealth

Date Posted: 4/15/2019

Job Snapshot

Job Description

Join a team of dynamic, results oriented professionals!

Named among “The World’s Most Admired Companies" by Fortune Magazine
Named among "America's 100 Most Trustworthy Companies" by Forbes magazine
Named among “Great Places to Work" by Becker’s Hospital Review

  • Career Growth Opportunities
  • Convenience market on site
  • Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
  • 401K program (Discretionary matching funds available)
  • Employee Assistance Program
  • Referral Program
  • Dental plans & Vision plans
  • GENEROUS Personal time off
  • Eight Paid Holidays per year
  • Quarterly incentive plans
  • Business casual dress code
  • Free Parking
  • Free coffee daily
  • Employee of the month awards with monetary gift and parking space
  • Training Programs
  • Fitness Center with personal trainer on site
  • Awesome Facility with terrific amenities
  • Wellness programs
  • Flexible work schedule

JOB DESCRIPTION OVERVIEW:

The Rejection Coder is responsible for reviewing ETM denials flowing directly to coding or reassigned to coding from other departments.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Research denials by utilizing coding policy, payer websites, or payer phone calls.
  • Complete contractual adjustments to invoices as needed.
  • Request non-routine write-offs or complete adjustment as appropriate.
  • Provide correction suggestions to other departments so the invoice can be resubmitted.
  • Provide coding direction to appeal invoices and/or submit appeals via payer website or fax, as directed.
  • Complete reconsideration letters as needed.
  • Complete audit tools, if assigned.
  • Other projects or tasks as directed by management.
  • Proficiency in ICD-9 and ICD-10 diagnostic coding and CPT-4 procedural coding.
  • Extensive knowledge of medical terminology.
  • Extensive knowledge of regulatory requirements.
  • Extensive knowledge of physician billing and reimbursement.
  • Effective communication skills, able to interact effectively with all levels.
  • Ability to be flexible as it relates to changes in process and/or job duties and assignments.

 

Job Requirements

QUALIFICATIONS / EXPERIENCE:

  • Minimum high school diploma or equivalent of experience in physician coding and billing relate field.
  • CPC or CCS-P certification preferred
  • 1-2 years of previous medical coding experience, emergency medicine experience preferred

SUPERVISORY RESPONSIBILITIES:

  • None

PHYSICAL / ENVIRONMENTAL DEMANDS:

  • High production volume, fast paced working environment.

 

This position may require manual dexterity and/or frequent use of the computer, telephone, 10-key, calculator, office machines (copier, scanner, fax) and/or the ability to perform repetitive motions and/or meet production standards to comply with the essential functions. Also, may require physical and/or mental stamina to work overtime, additional hours beyond a regular schedule and/or more than five days per week.

DISCLAIMER:

Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position. All employees must be able to work with others beyond giving and receiving instructions. This includes getting along with co-workers, peers and management without exhibiting behavior extremes. Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor. Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.

 

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