Job description

Background:

Established in 1963, The Cardiovascular Care Group provides complete care for patients with vascular disease. With New Jersey offices in Essex, Passaic, Union, Morris, Monmouth, and Mercer counties, the Group is able to deliver care in both office-based and hospital settings.

Job Summary:

Reporting to the Billing Manager, the Certified Medical Coder must have a current/active Certified Professional Coder (CPC or CPC-A) certification to provide quality review and analysis of a wide range of patient medical records and ensure accuracy of coding and maintain records in accordance with accepted medical and legal standards as well as provide the full range of billing support functions to ensure the efficient billing and collection of medical payments to the practice.

Responsibilities will include:

• Properly analyze coding services, procedures, diagnoses, and treatments.
• Submit claims to insurance companies by paper; attach any needed documents to claims (e.g. EOBs, operative reports, referrals).
• Follow-up with hospitals on any missing data (operative reports, admission dates, etc).
• Maintain accurate records of medical billing and claims, settlements, and medical insurance; scan/file EOBs and all related billing documents.
• Answer questions from patients, office staff and insurance companies.
• Identify and resolve billing issues.
• For denials, assign appropriate corresponding modifiers to bills to ensure correct processing; contact insurers and hospitals for precertification and referral numbers for claims.
• Review accounts for possible assignments and prepare information for review by Billing Manager.
• Settle claims between medical institutions, insurance companies & patients.
• Prepare and scan daily deposits; report to Billing Manager.
• Support accurate and efficient billing process and financial close.
• Prepare and post vascular reading charges.
• Maintain nursing home bills and payments.
• Post-surgical consults/charges, must review operative notes to ensure correct coding.
• Perform other administrative duties (back up).

Skills and Experience: * Minimum 3+ years of experience as a Certified Medical Coder, preferably in a busy medical office.

• Excellent knowledge of medical insurance and medical office billing practices
• Excellent interpersonal communication skills
• Strong customer service and problem solving skills
• Excellent attention to detail; thorough and accurate in work
• Management experience a plus
• Proficient with electronic health records systems
• Demonstrated organization skills including ability to manage multiple tasks and meet deadlines
• Proficient in Microsoft Office Suite

Education: * High School Diploma or equivalent

• Completion of accredited medical coding program CPC or CPC-A Certification that is current/active.

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

COVID-19 considerations:

All employees must be fully vaccinated for COVID and provide proof of vaccination.

Ability to commute/relocate:

• Springfield, NJ 07081: Reliably commute or planning to relocate before starting work (Required)

Work Location: One location

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

COVID-19 considerations:
All employees must be fully vaccinated for COVID and provide proof of vaccination.

Ability to commute/relocate:

• Springfield, NJ 07081: Reliably commute or planning to relocate before starting work (Required)

License/Certification:

• CPC or CPC-A Certification (Required)

Work Location: One location

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