Medical Billing/Coding Specialist II
Casa Grande Regional Medical Center - Casa Grande, AZ

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Coding certification is REQUIRED for Level II. Associates degree req; Bachelors pref. 3-5 yrs Physician outpatient billing/coding exp req. General Surgery, Anesthesia, OBGYN, Neurology billing experience a plus. Extensive insurance knowledge req. Demonstrate proficiency in coding, including appropriate use of modifiers, CCI edits and surgical global periods. Ensures charges are entered and coded correctly. Assigns modifiers when appropriate. Demonstrated proficiency in use of billing software, claim edits and eligibility/claim status systems. Validate claims and submit both electronic and paper claims. Reviews claim submission reports, resolves claim edits and claim rejections. Reviews unpaid claims and performs claim follow-up per policy. Researches and corrects denials appropriately. Coordinates with clinical staff to get charge information for all patients. May cross-train in other business office functions. High school diploma or equivalency required. Associates degree and/or proof of continuing education in related area required. Bachelor's degree preferred. Will consider work experience in lieu of degree. Coding Certification Required
Casa Grande Regional Medical Center - 17 months ago - save job - block
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