Reimbursement Specialist

The Coder-Reimbursement Specialist-CPC is responsible for correct coding, charge entry and reimbursement/denial follow up tasked by their team lead. This position will code Pathology, clinical and procedural CPT and ICD-10-CM diagnosis for professional charges and review charges and documentation applied by providers and medical staff to ensure they are compliant with federal and state regulations and laws as well as other insurance carrier guidelines.
This position will assist the team lead in serving as the Practice Coding Operations liaison between the assigned Departments and MCPG. Must be efficient with electronic medical records and knowledgeable of various insurance company billing policies and procedures. Reports directly to the Coder Manager. Must have ability to work with minimum-to-moderate direct supervision and as a team player with other practice staff members.

Minimum Qualifications and Preferences:

• Certified Professional Coder (CPC).
• Must be a member in good standing of the American Academy of Professional Coders and maintain biannual continuing education credits (36) to solidify up-to-date knowledge and understanding of professional medical coding.
• Certificate of ICD-10-CM Proficiency for diagnosis coding is required.