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Practice made perfect

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Medical Appeals Coder in Remote Position at TeamHealth

Date Posted: 7/1/2024

Job Snapshot

Job Description

Join a team of dynamic, results oriented professionals!

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
  • Fitness Center with personal trainer on site
  • Wellness programs
  • Flexible work schedule

 

JOB DESCRIPTION OVERVIEW:

Responsible for reviewing rejections according to the rejection posted. Verify coding following Team Health coding criteria.

 

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Maintains QA standards of 95% or greater accuracy.
  • Maintains required set production for ETM
  • Works ETM daily invoices to maintain view age 5 days or less
  • Works claim edits daily
  • Report Serco diagnosis and coding errors
  • Report coding errors to Supervisor
  • Report payer problem to Coding Appeals Supervisor or Coding Manager (Educational)
  • Works with other department to resolve Coding Rejections
  • Assist the Coding Appeals Supervisor and/or Coding Manager (Educational) with any duties that need to be completed
  • Performs other duties and assignments as requested

 

Job Requirements

QUALIFICATIONS / EXPERIENCE:

  • Minimum high school diploma or equivalent and billing related field required
  • Proficiency in ICD-9 and ICD-10 diagnostic coding and CPT-4 procedural coding required
  • 2-3 years in ED Coding experience preferred
  • 2-3 years Coding Appeals experience preferred
  • CPC or RHIT certified preferred
  • Advanced communication skills (verbal and written)
  • Advanced proficiency Excel

 

SUPERVISORY RESPONSIBILITIES:

  • None

 

PHYSICAL / ENVIRONMENTAL DEMANDS:

This job will be performed in a well-lighted and well-vented environment. Work is oriented around good visual skills. Eye fatigue may be encountered as extended amount of time is spent in front of computer display terminal.

 

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 overtime, additional hours beyond a regular schedule and/or more than five days per week. Overtime may be required and can be mandated by Management.

 

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.

 

https://www.teamhealth.com/california-applicant-privacy-notice/