Job Details:


Ensures consistency and efficiency in CPT, HCPCS and ICD-10 coding. This position is responsible for the coordination of prospective and retrospective audits, as well as oversight of documentation review and improvement. Will work closely with the compliance department to ensure conformity with BSHSI policies, CMS and commercial payer guidelines. Makes decisions regarding the adequacy of documentation present in the record to support appropriate coding

Manages the revenue cycle workflow for assigned practices, including posting electronic and paper remittances, review and correct clearinghouse errors, respond to phone calls from patients regarding balances, post charges as needed, review unpaid claims and resolve issues with insurance companies, review overdue accounts and send to collection as needed, create and prepare documentation for refunds to insurance companies and patients.


At least five (5) years of experience in a medical office setting. Must be a Certified Professional Coder (or equivalent). Minimum of 3 or more years of hands-on coding experience with claims processing and/or experience in a medical office billing department. Specialty coding certification strongly recommended.

Requires strong skills in the following areas: Interpersonal communication skills, both verbal and written; problem identification and analysis.

Requires a high level of coding accuracy and attention to detail.

Comprehensive knowledge of the coding guidelines, regulatory requirements and payer-specific guidelines.

Past auditing experience and/or strong training background in coding and reimbursement.

Strong computer skills, including experience with Microsoft Office applications (Word, Excel, Access, PowerPoint, and Outlook) and practice management software is mandatory. Epic experience a plus.

Must be willing to travel to all BSMG practice locations as needed.

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