OrthoAtlanta, LLC
Location: Atlanta, GA
Compensation: Competitive compensation and inclusive benefits for a strong total rewards package.
About OrthoAtlanta
Become part of OrthoAtlanta, the largest independent physician-owned orthopedic and sports medicine practice in Georgia and contribute to our mission of providing comprehensive orthopedic care. At OrthoAtlanta, you'll be an integral member of a dedicated team of Healthcare Professionals committed to enhancing our patients' quality of life. We offer diverse career paths for talented individuals seeking professional growth and development within a supportive and rewarding work environment where your contributions will make a significant impact.
Job Responsibilities
Posts and allocates payments from third-party payers and patients through electronic remittances, online payment portal and patient payments accurately and timely
Interpret EOBs and identify and reconcile unapplied account balances
Post insurance adjustments to accounts received as documented from payers
Post administrative adjustments as approved
Analyze third-party payments, adjustments and denials for appropriateness raising concerns and/or questions in a timely manner so that further reimbursement analysis may be initiated.
Participate in month end processes
Review all payments in accordance with fee schedules where available
Ensure that all payments receive on CPT codes which have modifiers, multiple frequencies appended are paid correctly
Supports and assists employees in assigned area(s) in identifying and troubleshooting Revenue Cycle related problems and provides recommendations for resolution. Perform other office duties as assigned.
Job Requirements
High School Diploma or equivalent
CPC, COSC, COC, CCS, or CCS-P through AAPC of AHIMA preferred
Must have 3-5 years of active billing and collections experience
Preferred experience in orthopedics, pain management or surgical billing
Advance knowledge of medical terminology, anatomy and physiology, disease process, pharmacology, and complex surgical procedures.
Advance knowledge of ICD-10-CM, CPT, HCPCS, CCI, MUE, NCD, and payment modifiers.
Advance knowledge of information systems, encoders, and other technology to facilitate a successful virtual work environment
Abides by the Standards of Ethical Coding according to AHIMA and AAPC and adheres to all official coding guidelines.
Experience with Microsoft Office Suite
Experience with Epic preferred
Must be well organized, detail-oriented, and able to multi-task.
Must be able to work independently.
Excellent verbal and written communication skill
Maintain patient confidentiality and HIPAA security standards.
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Compensation: Competitive compensation and inclusive benefits for a strong total rewards package.
About OrthoAtlanta
Become part of OrthoAtlanta, the largest independent physician-owned orthopedic and sports medicine practice in Georgia and contribute to our mission of providing comprehensive orthopedic care. At OrthoAtlanta, you'll be an integral member of a dedicated team of Healthcare Professionals committed to enhancing our patients' quality of life. We offer diverse career paths for talented individuals seeking professional growth and development within a supportive and rewarding work environment where your contributions will make a significant impact.
Job Responsibilities
Posts and allocates payments from third-party payers and patients through electronic remittances, online payment portal and patient payments accurately and timely
Interpret EOBs and identify and reconcile unapplied account balances
Post insurance adjustments to accounts received as documented from payers
Post administrative adjustments as approved
Analyze third-party payments, adjustments and denials for appropriateness raising concerns and/or questions in a timely manner so that further reimbursement analysis may be initiated.
Participate in month end processes
Review all payments in accordance with fee schedules where available
Ensure that all payments receive on CPT codes which have modifiers, multiple frequencies appended are paid correctly
Supports and assists employees in assigned area(s) in identifying and troubleshooting Revenue Cycle related problems and provides recommendations for resolution. Perform other office duties as assigned.
Job Requirements
High School Diploma or equivalent
CPC, COSC, COC, CCS, or CCS-P through AAPC of AHIMA preferred
Must have 3-5 years of active billing and collections experience
Preferred experience in orthopedics, pain management or surgical billing
Advance knowledge of medical terminology, anatomy and physiology, disease process, pharmacology, and complex surgical procedures.
Advance knowledge of ICD-10-CM, CPT, HCPCS, CCI, MUE, NCD, and payment modifiers.
Advance knowledge of information systems, encoders, and other technology to facilitate a successful virtual work environment
Abides by the Standards of Ethical Coding according to AHIMA and AAPC and adheres to all official coding guidelines.
Experience with Microsoft Office Suite
Experience with Epic preferred
Must be well organized, detail-oriented, and able to multi-task.
Must be able to work independently.
Excellent verbal and written communication skill
Maintain patient confidentiality and HIPAA security standards.
#J-18808-Ljbffr