EnableComp.

  • Franklin, TN


  • Irreversible.

  • Full-time.

We partner with doctor to make the most of repayment from complicated claims payers by having the very best individuals, procedures, items and efficiency.

Our Vision

We allow doctor to do what they do best.

Position Summary

The Medical Coding Expert offers analysis of coded medical services, reports, records and billed charges, and so on to identify suitability of the medical coding used, shipment of care and treatment strategies. The Medical Coding Professional will utilize his/her competence and coding competence to interact internally and externally.

Secret Obligations

  • Carries out coding audits of sent claims to figure out suitability of treatment and medical diagnosis codes billed based upon documents attended to both center and expert claims.
  • Collaborates with profits cycle groups to examine turned down or rejected claims to see why rejection was provided and operate in cooperation with other locations to fix
  • Files convincing coding-review audits to optimize supplier compensation.
  • Helps the Medical Coding Supervisor with recognizing coding patterns within the company
  • Efficiently uses computer system and proper software application (Microsoft Workplace Suite) to produce correspondence, charts, spreadsheets and/or other details relevant to the position task
  • Helps other departments relating to examination of medical records, treatment or medical diagnosis code concerns, unclear, or non-specific medical paperwork recognized relating to coding procedure associated to company disagreements or appeal.
  • Preserves understanding concerning medical coding and/or health care market modifications.
  • Other responsibilities as needed.

Requirements and Credentials

  • Associates or Bachelor’s Degree
  • Present accreditation in among the following:
  • Qualified Expert Coder (CPC) or associated accreditation by AAPC
  • Licensed Coding Partner (CCA) by AHIMA
  • Licensed Coding Expert (CCS) by AHIMA
  • Registered Health Info Specialist (RHIT) by AHIMA
  • The candidate need to have a strong background in orthopedics and surgical treatment billing/coding. The perfect prospect has 5 years of experience in orthopedic surgical treatment billing, a strong background in coding and medical billing, with unique focus on AR, EOB’s and general account management, consisting of coding rejections.
  • Needs to have the ability to collect and evaluate claims and medical records info essential to documents findings and results; utilize this info to make informed choices.
  • Should have strong composed interaction abilities. This position needs the capability to prepare well composed interest payors utilizing nationally sourced coding standards such as CPT Assistant, state charge schedule language, AAPC/AHIMA posts and so on
  • Sound time management abilities with the capability to handle work individually
  • Strong analytical, issue fixing and research study abilities with the capability to make use of creativity
  • Experience in medical coding for Employees’ Settlement health center billing highly chosen
  • General computer system abilities consisting of a standard to intermediate level of proficiency in Excel is needed.
  • Should be comfy with CAC/Encoder audits and have the ability to recognize proper code choice from audit findings.
  • Comparable mix of education and experience will be thought about
  • Capability to work from another location however should remain in the Tennessee location
  • To perform this task effectively, a specific need to have the ability to carry out each important task adequately. Sensible lodgings might be made to allow certified people with impairments to carry out the vital functions.

Unique Factors To Consider and Requirements

  • Familiarity with health care paperwork systems
  • Experience with numerous charge schedule ideas such as DRGs, APCs, and NCCI.
  • Strong spoken, written and social interaction and client service abilities
  • Capability to interact audit results and screening results with other personnel within the business who are both clinically and non-medically oriented
  • Capability to analyze policies and treatments and interact intricate subjects to others
  • Capability to believe seriously and make choices within specific function and duty
  • Veterans’ Administration and MVA medical billing and coding experience a plus

EnableComp, LLC.

EnableComp.

  • Apply Now.