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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
• 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
• Employee of the month awards with monetary gift and parking space
• Training Programs
• Wellness programs
• Flexible work schedule

JOB DESCRIPTION OVERVIEW:

The Denials and Appeals Coder is responsible for reviewing various carrier denials for their assigned Billing Groups within Base Pointe or LABC ETM. Submit corrections as needed after review of the notes in the medical records and applying TeamHealth's coding policies, and/or carrier policies according to the rejection(s) posted. Maintains accuracy and production to ensure invoices are processed timely and efficiently. This is a remote position with the possibility of on-site meetings, training, etc.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Maintain QA standards of 5% or below.
• Maintain required set production for ETM and Letters
• Work ETM daily invoices to maintain view age at required department standard
• Work Claim and TES Edits daily
• Report Coding errors
• Work diagnosis
• Work various reports as requested
• Perform production coding as needed
• Report any payer problem to ETM Senior or Supervisor.
• Works with other department to resolve Coding Rejections
• Assist the Supervisor and Educational Manager with any duties that need to be completed

QUALIFICATIONS / EXPERIENCE:

• High school diploma or equivalent required. College course work preferred in a health care related field. Additional training in coding and medical documentation required.
• Extensive knowledge of medical terminology, regulatory requirements and physician billing.
• Record of passing Level 2 QA audits.
• Proficiency in ICD-10 coding and CPT procedural coding.
• CPC, RHIT or CCS-P certification preferred.
• Minimum two (2) years medical coding experience.
• Excellent organizational, analytical and communication skills.
• Maintain confidentiality at all times.

PHYSICAL / ENVIRONMENTAL DEMANDS:

• Job performed in a semi-quiet setting
• Prolonged sitting
• Occasional lifting or carrying

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 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.