CPC Certified Coder at Experity, Inc in Machesney Park, Illinois

Job Description:

!!$1,000 SIGN ON BONUS IF HIRED IN JUNE!!  

Experity is a software technology company focused on urgent care software solutions. Every member of our team is encouraged to think and act as an owner. When you play on our team, you are challenged to bring your best every day—and then some. It makes us better. It makes you better. 

Why we LOVE it:

• Quarterly bonuses 


• Fitness reimbursements


• Door Dash lunch (provided once a month during COVID)


• SmartDollar Financial Wellness Program


• Employee Assistance Program  


• Generous maternity/paternity leave 


• Paid vacation and 8 paid holidays 


• 401K company match 


• Experity Synthetic Equity Program  


• Medical, dental and vision benefits 


• And more! 

Certified Professional Coder will oversee and monitor the coding and billing process for RCM clients.  

Responsibilities: 

• Verify and ensure the accuracy, completeness and appropriateness of diagnosis and procedure codes based on services rendered  


• Review medical record information to identify all appropriate coding  


• Review provider medical records to ensure compliance with established CMS/AMA documentation requirements for CPT and NCCI edits.  


• Review insurance denials for possible coding correction and claim resubmission.  


• Review clearinghouse rejections for possible coding errors.  


• Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies  


• Responsible for duties related to billing including processing, follow-up activities, and providing related assistance as requested.  


• Communicate coding and billing specific deficiencies to various clinical staff  


• Educate and guide clinical staff on proper documentation and any trends that could cause delay of claim submission.  


• Act as a liaison between coding staff and clinic staff for any coding related issues or questions.   


• Complete appropriate paperwork/documentation/system entry regarding claim/encounter information  


• Other duties as assigned  

Qualifications:   

• Strong team player  

Education and Experience:  

• Knowledgeable in medical insurance billing regulations  


• Knowledge of medical terminology and anatomy  


• Review physician documentation to ensure compliance with third party and regulatory guidelines  


• Performs initial charge review to determine appropriate CPT and ICD-10 codes  


• Proficient in Windows based applications, and MS Office software products  


• Ability to learn quickly, build and maintain long term relationships and work with minimal supervision  


• Work in a professional manner with exceptional customer service skills  

Preferred:   

• 2 years of medical billing/coding/insurance experience preferred  


• Prior billing/coding experience in an Urgent Care environment

Required: 

• CPC certification 

Every team member exhibits our core values:

• Team First 


• Lift Others Up


• Share Openly


• Set and Crush Goals


• Delight the Client 

See job description