Under indirect supervision, the Medical Billing Specialist is responsible for reviewing claims and ensuring that CPT/ICD codes are correct for clean claims. Uses knowledge of AAPC guidelines and procedures to provide a review of codes assigned to medical diagnoses and clinical procedures, ensuring that medical billing conforms to legal and procedural requirements. Will be responsible for working claim denials for assigned clinics which can include attaching documentation, phone calls to insurance companies, and prior authorizations. Knowledge of insurance correspondence.
High School diploma or equivalent. Current American Heart – HeartSaver or Basic Life Support (BLS) card.
Must attend education coding classes required and keep certification current.
Certificate in Medical Coding, at least 1 year of experience that is directly related to the duties and responsibilities
Must obtain Certified Professional Coding Certificate within 12 months of employment.
Current American Heart – HeartSaver or Basic Life Support (BLS) card.