Billing Specialist

• Description

Why MCR Health?

A career at MCR Health offers exciting opportunities with one of the largest Healthcare companies in the areas we serve. Now, more than ever, we are looking for exceptional people to support our passion to provide "Exceptional Care to Everyone, Every Time" and our Mission to serve everyone. Whether you provide direct patient care or in other areas of our Company, you can find a home here. We invite you to be part of our Company where you can grow your career and serve with your heart.

Monday-Friday schedule, 9 Holidays, generous Vacation and Sick policy, and onsite corporate gym.

Work Location: Bradenton, FL

As part of this role, you will:

• Reviews provider documentation in medical records and assigns the most accurate diagnosis and procedure codes, which also meet payer coding and billing requirements

• Adds missing codes to claims that are supported by provider chart documentation for submission of claims that reflect the severity and intensity of care rendered

• Query providers to obtain clarifying documentation to improve the specificity and completeness of the data used to assign diagnosis and procedure codes

• Review denials and recode claims as appropriate for resubmission

• Completes chart auditing to improve coding accuracy as assigned

• Requirements

What you will need to bring to this role:

• High School Graduate or GED minimum

• Minimum of two years of experience in insurance and reimbursement

• Must be proficient in the operation of a computer, calculator, copier, and other standard office equipment

• Proficient in the Microsoft Office Suite is required

• Bilingual: Spanish/English is a plus

• Summary

In a broad scope, the Billing and Coding Specialist position focuses on the accuracy and completeness of diagnosis and procedures codes submitted on claims for quality documentation reporting and to maximize reimbursement. This role completes tracking and trending of denied claims, errors, and/or other assigned issues to be communicated to the appropriate Revenue Cycle leader. Lastly, this role serves as a coding and documentation resource for providers and clinical staff.

MCR Health is a drug-free workplace. All job applicants selected for employment are required to submit to a pre-employment drug test and background check.

• Additional Information
• Work Site Location :

Bradenton, Florida

What you will need to bring to this role:

• High School Graduate or GED minimum
• Working knowledge of medical terminology preferred
• Working knowledge of ICD-10 and CPT codes (minimum of 1 year required)
• Coding Certification preferred, but must be able to obtain certification within 6 months of hire (or as assigned by management)
• Working knowledge in Managed Care, Government Payers, and Private Payers preferred
• If onsite position - Reliable transportation to/from site and ability to be moved between sites as assigned
• Ability to maintain patient confidentiality required

In a broad scope, the Billing and Coding Specialist position focuses on the accuracy and completeness of diagnosis and procedures codes submitted on claims for quality documentation reporting and to maximize reimbursement. This role completes tracking and trending of denied claims, errors, and/or other assigned issues to be communicated to the appropriate Revenue Cycle leader. Lastly, this role serves as a coding and documentation resource for providers and clinical staff.

MCR Health is a drug-free workplace. All job applicants selected for employment are required to submit to a pre-employment drug test and background check.