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Gastro Health

Coding Specialist

Gastro Health, Miami, Florida, us, 33222

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About Coding Specialist Position Do you love to care for patients in a warm and welcoming environment?

Gastro Health

is currently looking for an enthusiastic full-time Coding Specialist to join our team!

Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours – and we enjoy paid holidays per year plus paid time off.

In this role, you will work closely with the Manager of Coding Operations and the management team. The Team Lead will ensure that the company core values are being met.

Job Description

Drop claims for office, hospital, nutrition, pathology, biologics, imaging, pediatricians, anesthesia, and endoscopy center for accurate processing by payers

Review medical documentation from EMR and hospital systems for accurate coding and billing to insurance companies

Apply current billing and coding guidelines

Evaluate that charges provided by the physicians support the level being billed based on the documentation

Prepare claims with necessary fields for processing, such as linking authorizations to charges, code blood work, and assigning appropriate modifiers as needed

Provide feedback to office managers and physicians regarding clinical documentation to ensure compliance with coding guidelines and reimbursement reporting requirements

Manage claims for auditing purposes, including placing them on hold and billing once the process is complete

Email office managers and physicians where updates are needed to operative reports

Minimum Requirements

High School Diploma or GED equivalent

Must have CPC or equivalent certification

Extensive knowledge of patient registration, coding, billing, regulatory requirements, billing compliance, business operations, financial systems and financial reporting.

Certified coder AAPC or AHIMA

Excellent communication skills both verbal and written.

Able to analyze data and quickly identify process-based issues for remediation.

Maintains confidentiality in all matters that include Patient Health Information and employee data.

Hands-on participation in process/workflow design including team member involvement across the department.

Intermediate experience with Microsoft Excel and Office products is required.

Target Oriented and Coding team resolution mindset

Prior experience collaborating with a remote team is highly preferred.

Benefits

This position offers a great work/life balance!

We are growing rapidly and support internal advancement

We offer competitive compensation

401(k) retirement plans

Profit-Sharing

Dental insurance

Health insurance

Life insurance

Paid time off

Vision insurance

Disability insurance

Pet insurance

We offer a comprehensive benefits package to our eligible employees, which includes: Cigna healthcare, dental, vision, life insurance, 401k, profit-sharing, short & long-term disability, HSA, FSA, and PTO plus 7 paid holidays.

Gastro Health is proud to be an Equal Opportunity Employer. We do not discriminate based on race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

We thank you for your interest in joining our growing Gastro Health team!

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