Medical Billing and Coding Specialist

NJ Eye LLC - Union, NJ
Posted: May 19, 2020

Summary:
The Revenue Cycle Specialist reports to the Senior Manager of Revenue Cycle and is responsible for a variety of duties, including but not limited to surgical coding.


Role and Responsibilities: 

  • Surgical Coding from operative reports
  • Interacts with staff and payers to answer questions, obtain information and resolve issues and/or coding errors
  • Ensures that coding is accurate and sequenced according to government and insurance regulations
  • Communicates with providers regarding insufficient medical documentation
  • Participates in and assist with audits as needed
  • Keeps abreast of most recent information relevant to medical coding and billing
  • Attends and participates in payer meetings / seminars as needed
  • Maintains open, positive and team-oriented lines of communication with management and staff members
  • Contributes to the team through positive attitude, respectful interaction and innovative ideas
  • Other duties and projects as assigned


Essential Qualifications:
Education: High School Diploma or equivalent; Bachelor’s degree preferred.
Experience: 3-5 years’ experience in a medical billing specialist role; Back-end billing experience within Ophthalmology preferred but not required.

 

Knowledge/Skills/Experience:

  • Knowledge of ICD-9, ICD-10, CPT codes and procedures
  • Ability to work independently and to work collaboratively on projects
  • Ability to interface with management and co-workers
  • Ability to create channels of communication to obtain information necessary to perform job tasks, such as with clients, payers, clinical staff and billing department staff
  • Ability to recognize individual and system problems and to communicate such information to the supervisor
  • Excellent written and verbal communication skills
  • Outstanding attention to detail and excellent time management skills
  • Outstanding computer skills with billing software, Microsoft Word and Microsoft Excel, able to learn our system, good typing skills
  • Experience with Medicare, insurances, claims, appeals
  • Ability to work with proprietary information, PHI, ePHI, etc., while maintaining confidentiality at all times


NJ Eye LLC is an Equal Opportunity / Affirmative Action employer.  Candidates are selected solely on the basis of legally permissible job-related criteria without regard to race, color, religion, sex, national origin, disability, marital status, or sexual orientation, in accordance with federal and state law.


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NJ Eye LLC

NJ Eye LLC

Union, NJ

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