MBE/WBE Certified
Credence Global Solutions

Job Title – Medical Coder

Department – Operations

Job Role:

  • Minimum 2 year of experience in US Healthcare Coding & Billing Process.
  • Should be CPC Certified.
  • Previously should have worked on Cardiology, Anesthesia, OB-GYN, Surgery coding along with Evaluation and Management Coding. (Either 1 specialty should be there – Cardiology, Anesthesia, OB-GYN and Surgery)
  • Strong knowledge on CPT and ICD-10 Codes.
  • Should be able to extract/identify correct ICD-10 codes and Procedure Codes by looking at the complete Medical Records and the extracted codes should warrant Medical Necessity.
  • Should be familiar with the challenges/consequences of Up coding/Down Coding.
  • Should be able to identify ICD-10 codes and procedure codes with proper sequencing. Perform actions on the Practice management system/Billing system.

Preferred Profile:

  • Knowledge of insurance plans including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems 
  • Effective communication abilities for phone contacts with insurance payers to resolve issues 
  • Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds 
  • Knowledge of medical terminology and have experience in Medical Billing 
  • This is a full time 40hrs per week position 
  • Working Hours: 8am to 4.30pm
  • Should be able to go extra mile whenever required to meet project deliverables

Benefits:

  • At the completion of probationary period Medical/ dental and optical coverage is available
  • Paid Vacation / Holidays
  • Training
  • 5 days working

Education and Experience:

  • High school graduate

Job Category: Operations
Job Type: Full Time
Job Location: Mesa AZ

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