Certified Coder and Reimbursement Specialist ( Remote) - Trinity Health : Job Details

Trinity Health of New England Medical Group has an exciting opportunity to join our team as a Certified Coder and Reimbursement Specialist. This position is fully remote. The Certified Coder and Reimbursement Specialist serve as an integral part of the Revenue Cycle Team. Primary responsibilities include analyzing codes entered by providers and validating providers' documentation as well as medical claims before insurance submission to ensure accuracy of coding and billing procedures. Surgery coding experience preferred.

What will you do:

• Efficiently analyze insurance claims independently before submission; to submit claims with accurate coding to ensure optimum reimbursement and compliance
• Identify incorrect coding and compliance trends; to analyze and investigate suspected problems; and to forward problems to the attention of the Coding Supervisor in a timely manner
• Independently research and accurately resolve insurance denials in a timely fashion and with moderate supervision.
• Effectively integrate coding/billing changes
• Demonstrate excellent communication skills both verbally and written/electronic when dealing with either business or clinical staff (e.g., provider questions, coding feedback); effective listening techniques.

Requirements:

• Education: High School Diploma or Equivalent Experience.
• Experience: Minimum of 2 years coding experience within a physician practice. Epic experience preferred.
• Certification: Must possess a current AAPC CPC coding certification plus ICD-10 Proficiency certification
• Knowledge: Excellent working knowledge of anatomy, physiology and medical terminology. Proficient in the proper use of ICD10 and CPT and HCPCS codes and Medicare's National Correct Coding Initiative (NCCI) edits required.
• Skills: Excellent organizational and keyboard skills

Highlights:

• Remote Full Time
• Become a valued member of an excellent, dedicated health care team.
• Engaged leadership.
• Excellent Benefits effective on 1st Day

Trinity Health Of New England is an integrated health care delivery system comprised of world-class providers and facilities dedicated to the full spectrum of preventive, acute, and post-acute care, all delivered with the triple aim of better health, better care, and lower costs for our patient populations.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.