Remote Billing and Coding Specialist—Hammond, LA
Definition and Role
The Remote Billing and Coding Specialist works directly with the Director of Health Informatics to ensure the
coding and abstracting of documentation are conducted in an accurate, comprehensive, and efficient manner.
The Remote Billing and Specialist must be experienced in all aspects of both diagnostic and procedural
medical coding and billing. This role reports to the Assistant Director Revenue Cycle – Coding & Medical
Records up to the Director of Revenue Cycle.
Job Responsibilities and Duties
- Verify and enter patient demographic and insurance information into practice management software.
- Abstract information from medical record and assign appropriate codes, as necessary.
- Work flexed hours to ensure claims are submitted in a timely manner.
- Strive to complete your daily claims per hour goal.
- Prepare and submit claims to third party insurance carriers either electronically or by hard copy billing.
- Post charges, payments, and adjustments.
- Understand insurance benefits including copays, deductibles, and coinsurance.
- Interacts with internal providers and external facilities to procure documentation for coding claims, as
necessary. - Research rejected and denied claims.
- Understand and apply medical terminology, ICD-10, CPT-4, & HCPCS coding guidelines & payer rules.
- Work with physicians and others to ensure complete and accurate information and optimal
reimbursement based on coding. - General sorting, filing, scanning, and faxing of documents.
- Investigate the claim, verify its
- Read, interpret, and enter information into the facility’s database using medical coding protocol to
produce a statement or claim. - Conduct various audits and data reports for supervisor.
- Performs other related duties as assigned.
Qualifications & Skills
Any combination of training, education and/or experience which provide the knowledge, skills and abilities and
required conditions of employment listed below is qualifying.
- A minimum of a bachelor’s degree in a related field is preferred, or sufficient work experience in
medical billing/coding with an emphasis in clinic/hospital-based coding & billing. - Advanced principles and practices of medical terminology, anatomy, and physiology, as well as the
states, sequence, progression, and description of diseases as they apply to medical record coding and
abstraction. - Reviewing medical procedures as documented by nurse practitioners and doctors.
- Elements of ICD-10-CM, CPT, and HCPS Level II Coding systems.
- Knowledge of standard MS Office products.
- Proper phone etiquette which is necessary since phone conversations with patients and insurance
carriers will be frequent. - The operation of standard office equipment; standard business computer hardware and software.
- The business and professional relationships and ethics involved among hospitals, physicians, and
patients. - Plan and organize routine medical records technical and clerical work.
- Able to translate medical procedures into codes that can be translated by payers, other medical coders,
and other medical facilities. - Communicate clearly and concisely, both orally and in writing.
- Provide excellent public relations and courteous customer service; establish and maintain cooperative
working relationships with others including physicians, nurses, administrators, managers, vendors,
contractors, and other health care industry personnel. - Ability to work well under pressure and adapt to changes in project priorities.
- Must be able to accommodate a flexible work schedule.
Physical Requirements
The physical demands described here are representative of those that must be met by an employee to
successfully perform the essential functions of this job. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential functions.
- While performing this job the employee is frequently required to sit, talk, and hear.
- The employee is occasionally required to walk, use hands and fingers to feel, handle, or operate
objects, tools, or controls, and reach with hands and arms. - The employee must occasionally lift and/or move objects weighing up to 25 pounds.
- Specific vision abilities required by this job include close vision and the ability to adjust and focus.
