Service Line Coding & Reimbursement Specialist (Hybrid), Day Shift, Patient Financial Services

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If you are a current Adventist HealthCare employee, please click this link to apply through your Workday account.

 

Adventist HealthCare seeks to hire an experienced Service Line Coding & Reimbursement Specialist for our Patient Financial Services department who will embrace our mission to extend God’s care through the ministry of physical, mental, and spiritual healing.

As a Service Line Coding & Reimbursement Specialist, you will:
• Evaluates initial CPT code selections made by providers for services rendered and takes steps to make necessary corrections.
• Ensure proper use of modifiers and other coding guidelines to prevent billing errors.
• Reviews medical records for accuracy and promptly reports incomplete documentation.
• Audits and corrects previously coded claims to ensure accuracy.
• Demonstrates knowledge and experience with CCI edits, payer edits, and payer policies, including Medicare NCD and LCDs.
• Serves as the main contact for coding inquiries, issues, and projects.
• Meets daily coding production and quality standards set by the manager/director.
• Contact the payer when necessary to troubleshoot inappropriate payer responses.
• Complete assigned work projects distributed by management in a timely manner.
• Provide documentation, data, and reporting to Senior Management and offer suggestions for process improvement.
• Provides updates to management on payer-related impediments to successful results.
• Audit balances for accuracy.
• Update patient demographic information and initiate account adjustments.

Qualifications Include:
• High School Diploma required, or some college preferred.
• Certified Medical Coder. Certified Radiology coder preferred.
• Current certification in medical coding from the American Academy of Professional Coders (CPC), the American Health Information Management Association (CCS), or the Practice Management Institute (CMC).
• 5 years’ experience required within a healthcare environment to include physician practice, Revenue Cycle Company with multi-specialty responsibility.
• Prior experience working as a certified coder.
• Ability to work independently and in a team environment.
• Strong verbal and written communication skills. Relating coding information in layman’s terms to providers and colleagues within the revenue cycle.
• Good interpersonal skills to work across functional teams.
• Must maintain a high volume of processing without compromising quality and accuracy.
• Strong Customer Service skills.
• Ability to participate in an environment that promotes staff development, productivity, satisfaction, and efficiency.

Work Schedule:

Day Shift

Hybrid

Pay Range:

$26.91 - $39.03

If the salary range is listed as $0 or if the position is Per Diem (with a fixed rate), salary discussions will take place during the screening process.

Under the Fair Labor Standards Act (FLSA), this position is classified as:

United States of America (Non-Exempt)

At Adventist HealthCare our job is to care for you.

We do this by offering:

• Work life balance through nonrotating shifts

• Recognition and rewards for professional expertise

• Free Employee parking

• Medical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hire

• Employer-paid Short & Long-Term Disability, Basic Life Insurance and AD&D, (short-term disability buy-up available)

• Paid Time Off

• Employer retirement contribution and match after 1-year of eligible employment with a 3-year vesting period 

• Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long term care, and critical illness & accident insurance

• Subsidized childcare at participating childcare centers

• Tuition Reimbursement

• Employee Assistance Program (EAP) support

As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has earned a reputation for high-quality, compassionate care. Adventist HealthCare was the first and is the largest healthcare provider in Montgomery County.

If you want to make a difference in someone’s life every day, consider a position with a team of professionals who are doing just that, making a difference.

Join the Adventist HealthCare team today, apply now to be considered!

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