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Certified Medical Biller/Coder

KG Workforce Solutions
Published
May 28, 2024
Location
Remote, South Carolina
Category
Job Type

Description

KG Workforce Solutions, LLC is recruiting for a Certified Medical Biller/Coder for a growing client that provides SC health care and pharmacy services. This position can be worked remotely for residents of South Carolina. FQHC experience is a huge plus!

Job Duties

  • Collect, post, and manage patient account payments.
  • Review claims in EMR and submit claims to insurance.
  • Resolve issues with patient billing.
  • Review payments from insurance companies.
  • Code patient services and enter the computer system(s).
  • Ensure healthcare facilities are reimbursed for all procedures.
  • Handle information about patient treatment, diagnosis, and related procedures to ensure proper coding.
  • Follow up to see if a claim is accepted or denied.
  • Investigate rejected claims to see why a denial was issued.
  • Investigate insurance fraud and report instances per company policy and best practices.
  • Procure authorizations and pre-certification for referral procedures.
  • Credential providers with insurance companies.

Work Experience

  • Two or more years of work experience as a billing/coder
  • FQHC experience is strongly preferred

Skills / Education

  • Certified Professional Coder (CPC)
  • Proficiency in EMR systems; Athena preferred.
  • Current knowledge of ICD-10 codes.
  • Medical coding certification in accordance with South Carolina law.
  • Knowledge of the PECOS system.
  • Strong initiative and time management skills.

Schedule

  • Monday to Friday, 40 hours per week

Excellent benefits (medical, dental, vision, life, short-term and long-term disability), generous paid time off and holidays, and much more!

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