People's Health Centers | St. Louis, MO | Full Time
Check out a great opportunity in finance and billing at our leading community health center!
Join a great team, become a part of a great legacy!
Equivalent of Associates degree or 1 year in coding or medical record review. Certification as Certified Professional Coder (CPC) required. Experience in ICD-9 and CPT Coding, with emphasis on clinical practice coding. Working knowledge of medical terminology, medical records, computers, Medicaid, Medicare, private insurance. Demonstrate knowledge of third party claims processing rules and procedures.
Review billing encounters for coding accuracy and update according to coding guidelines.Ensure proper recording of charges, payments and adjustments.
Resubmit denied claims promptly and consistent with timely filing requirements. Make adjustments needed to maximize payments. Follow-up to obtain the maximum payment.Submit claims promptly according to billing cycle policies. This includes all Medicaid, Medicare, and private insurance payers.Keep abreast of coding and documentation changes and communicate appropriately to physicians and clinical personnel.Maintain working knowledge of the finance department’s policies and procedures regarding collecting and processing patient information, filing insurance claims, and posting payments.