Certified Billing and Coding Specialist

Job Details
Job Location IVX Health Headquarters - Brentwood, TN

Remote Type Fully Remote

Position Type Full Time

Education Level High School Diploma / GED

Travel Percentage No Travel Required

Job Shift Monday - Friday, regular business hours

Job Category Revenue Cycle

Description

ABOUT US
IVX Health is a national provider of infusion and injection therapy for those with Rheumatoid Arthritis, Crohn's Disease, Multiple Sclerosis and other complex chronic conditions. IVX offers a different, better approach to caring for our patients and believes it is vital to take the same approach with our employees. We strive to empower our team to succeed while embodying our core values: Be Kind, Do What's Right, Never Settle, Make It Happen, and Enjoy the Ride.

ABOUT THE ROLE
The Certified Coding & Billing Specialist performs various duties to accurately interpret and bill charges for infusion services. They are responsible for entering into the billing system appropriate CPT and ICD-10 codes bill charges.

RESPONSIBILITIES
• Perform initial charge review to determine appropriate ICD-10 and CPT codes to be used to report services to third party payers
• Interpret progress notes, operative reports, discharge summaries, and charge documents to determine services provided and accurately assign CPT, HCPCS, ASA and ICD-10-CM coding to these service
• Enter appropriate data into the billing system by selecting the appropriate codes, diagnosis, modifiers, and figures time based on the start and stop of the infusion case
• Contact providers regarding procedures and other services billed to ensure proper coding
• Responsible for reviewing patient logs and other reports of clinical activity to ensure billing is captured for all patients
• Monitor and follow up to ensure all services that can be billed are captured and coded for billing
• Ensure the batch processes for all coded charges
• Utilize batch-logging systems to comply with internal audit standards
• Review all provider documentation to ensure compliance with third party and regulatory guidelines
• Work in conjunction with the other billing and front desk staff to answer all inquiries regarding coding and billing for services
• Work follow-up of unpaid claims and answer patient calls
• Perform duties and job functions in accordance with the policies and procedures established for the department
• Recommend new approaches, policies, and procedures to influence continuous improvements in department's efficiency and services performed
• Take ownership of special projects, research data and follow through with detailed action plans
• Actively participate in problem identification and resolution and coordinate resolutions between appropriate parties
• Ensuring compliance with medical coding policies and guidelines

BENEFITS + PERKS
• Flexible work schedule that promotes a positive work-life balance
• 401(k) program with company-match
• Comprehensive Health, Dental, and Vision Insurance plans
• Company-Paid Life/AD&D Insurance
• Voluntary Accident, Critical Illness, and Hospital Indemnity Insurance
• Voluntary Short-Term and Long-Term Disability Insurance
• Tuition Reimbursement Program
• Charitable Giving Match and Community Involvement PTO Program
• Employee Referral Bonus Program

Qualifications

ESSENTIAL COMPETENCIES
• Working knowledge of medical terminology and anatomy required
• Knowledge of current third-party billing and collection regulatory guidelines and requirements
• Excellent communication skills, both verbal and written
• Strong people skills
• Outstanding organizational skills
• Ability to maintain confidentiality of information
• Proficiency with standard office software applications (Microsoft Office, Outlook, Teams, etc.)

REQUIRED EDUCATION & EXPERIENCE
• High school diploma or GED completion is required
• Maintain Certified Professional Coder standing
• Five years experience with CPT/ICD-10 coding of physician services preferred

WAGE RANGE

Pay is based on a number of factors including market location, job-related knowledge, skills, and experience, and is benchmarked against similar organizations to our size and industry. For our Financial Counselor role, we generally pay new hires between $20.00 and $23.50 per hour. It is not typical for an individual to be hired at or near the top of the range for roles and compensation decisions are dependent on the facts and circumstances of each situation. In addition to cash pay, full-time regular employees are eligible for 401(k), health benefits, and other company benefits; some of these benefits may also be available for part-time positions.

EEO STATEMENT
IVX Health is proud to be an Equal Opportunity Employer. We value diversity and are committed to creating an inclusive environment for all employees. IVX Health wants to have the best available people in every job, and we make employment decisions on the basis of business needs, job requirements, individual qualifications, and merit. Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, national origin, military and veteran status, age, physical or mental disability, genetic characteristic, reproductive health decisions, family or parental status, or any other legally protected category in accordance with applicable federal, state, or local laws. IVX Health prohibits discrimination, harassment, or retaliation of any kind based on any of these characteristics. Equal employment opportunity will be extended to all persons in all aspects of the employer-employee relationship and all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation benefits, and separation of employment.

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