Certified Coder and Reimbursement Specialist

The Certified Coder and Reimbursement Specialist serve as an integral part of the Revenue Cycle Team. Primary responsibilities include analyzing codes entered by providers and validating providers’ documentation as well as medical claims before insurance submission to ensure accuracy of coding and billing procedures. Surgery Coding experience preferred. Efficiently analyze insurance claims independently before submission to submit claims with accurate coding to ensure optimum reimbursement and compliance. Identify incorrect coding and compliance trends and analyze and investigate suspected problems. Forward problems to the attention of the Coding Supervisor in a timely manner and independently research and accurately resolve insurance denials in a timely fashion with moderate supervision. Effectively integrate coding/billing changes and demonstrate excellent communication skills both verbally and written/electronic when dealing with either business or clinical staff (e.g., provider questions, coding feedback); effective listening techniques.