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Medical Coder - CPC in Overland Park, KS at Netsmart

Date Posted: 4/13/2018

Job Snapshot

Job Description

Company Overview:


Netsmart is healthcare’s largest human services and integrated care technology provider. Netsmart technology platforms and expertise are integral to the delivery of outcomes-based services and care to more than 25 million persons nationwide. Netsmart serves more than 500,000 users in more than 24,000 organizations across all 50 states. Netsmart client communities include behavioral health, addiction treatment, intellectual and developmental disabilities, child and family services, public health, home health, hospice and palliative care, private duty and vital records. 
We became the industry leader through the creation of cutting edge software solutions to meet our client’s needs. This level of creation and product evolution is only made possible by assembling a team of the best and the brightest technical talent in the industry. Do you have what it takes to join us on this journey?

We're growing and looking for a Medical Coder - CPC to join our team!  This position is responsible for timely and accurate diagnosis coding of assigned Homecare services/claims management. They are responsible for accurately assigning ICD-10-CM codes to diagnoses from care plans. The role with handle follow up with clients to obtain missing or incomplete information, and keep up to date of coding guidelines and reimbursement reporting requirements. This individual will also probe client's clinicians when code assignments are unclear or documented poorly. 


Principal Accountabilities:

  • Prepares and submits clean claims to various insurance companies either electronically or by paper.
  • Responsible for timely and accurate diagnosis coding of assigned Homecare services/claims
  • Review and identify errors and report them to supervisors or department managers
  • Denial and insurance follow-up management
  • Accurately assigns ICD-10-CM codes to diagnoses from the care plans 
  • Answers questions from clerical staff and insurance companies.
  • Identifies and resolves patient billing problems.
  • Prepares, reviews, and sends patient statements to mailing service.
  • Reviews accounts and make recommendations to the Senior Claims Billing Specialist regarding non collectible accounts.
  • Performs dialing collection actions including contacting insurance company, contacting site, correcting and resubmitting claims to third party payers.
  • Prepares and posts daily deposits received from customer site (P.O. Box) and/or lockbox remittance.
  • Processes payments and denials from insurance company either electronically or manually.
  • Participates in educational activities.
  • Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations

Job Requirements:

  • Knowledge of billing / collection practices preferred
  • Strong keyboard skills.
  • Works well in environment with firm deadlines; results oriented.
  • Perform multiple tasks effectively.
  • Able to work both independently and as part of a team.
  • Strong analytical skills required.
  • Capable of making timely, independent decisions.
  • Excellent oral, written, and interpersonal communications skill

Experience:

  • Previous medical billing experience along with knowledge of billing related reporting; 2+ years’ experience in health-care billing & collection practices
  • Experience in coding/OASIS review with a home health agency is desired 
  • ICD-10 Home Health Certification ( CPC, HCS-D or BCHH-C) mandatory, CPC Certification is desireable
  • Experience with Medicaid’s State Eligibility Systems (various states)
  • BA/BS in business administration preferred
  • Excellent organizational skills
  • Proficiency in Microsoft Office Suite

Working Conditions:

  • Office environment

Physical and Cognitive Requirements:

  • Requires full range of body motion including manual finger dexterity and eye-hand coordination

It all begins with a Spark!   At Netsmart we look for exceptional professionals who enjoy being part of a fast-paced and innovative environment. We value individual contributions in a team setting and offer a progressive set of support tools and training. We are proud to offer an excellent compensation package, which includes a complete suite of benefits for full-time associates.

Other benefits include:

  • Medical, Dental and Vision Insurance available Day 1
  • Life Insurance
  • Short/Long Term Disability
  • 401(k) Plan/EAP

Netsmart is committed to helping health and human services providers deliver effective, recovery-based care.

To learn about our culture, industry and job opportunities visit our  career site ,facebook  or  twitter  account.

Ignite your career today!

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