Job Information
Adams County Government Medical Billing and Coding Specialist-165320 in Westminster, Colorado
Medical Billing and Coding Specialist-165320
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Medical Billing and Coding Specialist-165320
Salary
$52,886.08 - $74,041.76 Annually
Location
Westminster, CO
Job Type
Regular Full-time
Job Number
06452
Department
Public Health Department
Division
Public Health Nursing
Opening Date
04/12/2024
Closing Date
5/3/2024 4:30 PM Mountain
Our Mission
At Adams County, our team members engage in top-notch opportunities to grow and expand their impact. We cultivate an inclusive and innovative culture where diversity matters! Diversity, Equity & Inclusion (DEI) is a core cultural competency at Adams County, and we actively seek and welcome applicants that bring diverse experiences and value inclusion.
Cultural Competencies/EEO
Adams County is an equal opportunity employer. We strive to have a workforce that reflects the community we serve. No person is unlawfully excluded from employment opportunities based on race, color, national origin, ancestry, religion, creed, sex, sexual orientation, gender expression, gender identity, age, disability, genetic information, veteran status,marital status or any other legally protected characteristic.
Position classification
Hybrid -- Job duties and expectations allow for onsite and remote work scheduled every week. Employees in this classification are regularly scheduled onsite one (1) to four (4) days per week based on the County needs and as determined by Department Director. Hybrid classified roles can be onsite more than the set minimum based on employee preference.
Description
Benefits
Questions
What Success Looks Like In This Job
The Medical Billing and Coding Specialist is responsible for generating and processing medical claims within the Electronic Health Record (EHR) system, implementing payment arrangements, and liaising with various payor entities. This role entails direct interaction with clients, the Colorado Department of Health Care Policy and Financing, and insurance providers to facilitate billing and secure reimbursements for healthcare services delivered. The Medical Billing and Coding Specialist is committed to delivering exceptional customer service to both internal and external stakeholders, promptly addressing billing and coding inquiries from staff and clients while safeguarding the confidentiality of sensitive information.
Pay range: $ 25.42 - $35.59
Anticipated hiring range: $25.42 - $29.23
Examples of Duties for Success
Medicaid and Colorado Health Plan Plus Billing
Primary point of contact for claim submissions, scrubbing and reconciliation of denials.
Collects, codes, and transmits patient medical information to collect Medicaid and Child Health Plan Plus (CHP+) reimbursements and other insurance plans or third-party vendors.
Creates billing policies and procedures that align with Adams County Public Health standards of service delivery.
Processes patient invoices, statements, collections, billing and write off processes as per all HIPAA guidelines, grant deliverable requirements, TITLE X requirements and any regulatory guidelines or requirements that may apply.
Audits and resolves discrepant bills, ensures accurate charges and appropriate codes and modifiers are assigned, scrubs claims, and reconciles EOBs, payments and statements sent to patients.
Monitors accounts receivable and aging and ensures payments are posted to general ledger.
Identify and analyze coding and billing concerns raised by internal and external stakeholders.
Billing Systems Maintenance
Serves as liaison with insurance providers to maintain most current fee schedules.
Provide updates to Nursing Informatics to maintain current CPT, ICD-10 reimbursement in Electronic Medical Record.
Maintains current fee schedule.
Ensure appropriate and timely coding of encounters.
Conducts quarterly chart audits.
Maintains all provider credentialing related to billing, including maintaining accuracy of codes and rates to ensure accurate quotes at time of service.
Responsible for optimization of payments and workflows, analyzing the codes and making suggestions on streamlining modifier usage.
Provides programs with notification of denials and claim status.
Creates and maintains process to gain corrections within programs and resubmit claims.
Reports trends, collection efforts and revenue by payer for budgeting purposes.
Assists with the following: preparing bank deposits, running reports, completing pre-authorizations and eligibility checks.
Perform other related duties and responsibilities as required.
Emergency Preparedness Duties:
Employee responds, as required, to support public health emergencies, incidents, and events. Employee participates in all exercises and drills on emergency preparedness, as required. Completes trainings identified as appropriate for this level employee.
Additional Duties:
Assists in the orientation and training of new employees, students, and interns. Participates in QA/QI projects as needed. Conducts ongoing EHR training for new and current staff.
Qualifications for Success
Requires a strong understanding of State, Federal and commercial health insurance coverage.
Requires a strong understanding of medical coding using ICD 10, CPT, HCPCS, and modifiers.
Requires a strong understanding of AR and Aging Analysis.
Requires a strong understanding of Revenue Cycle Management.
Must be able to maintain HIPAA client confidentiality and protect the privacy of client information.
Strong attention to detail and accuracy.
Strong communication skills, both verbal and written.
Strong computer skills, specifically with billing and electronic health record systems.
Utilize various computer programs.
Willingness to learn new systems and procedures.
Self-motivated organizational skills, with the ability to follow a priority structure.
Exceptional written and verbal communication skills.
Thrive in a hybrid work environment as part of a team and independently.
Excellent organizational skills; strong attention to detail and follow-through.
Project management-type skills; prior experience managing a high-volume workload.
Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.
Proactively identify opportunities to streamline coding and billing processes and enhance revenue cycle efficiency.
Equipment Used:
Standard office equipment including, but not limited to, personal computer and associated hardware and software, telephone, copier, calculator, and audio-visual equipment. Demonstrate proficiency in the use of PPE when client facing or as required by health safety policies.
More Qualifications for Success
Education and Experience:
High School diploma or equivalent is required.
Three years medical billing and medical coding experience.
At least one year experience in customer service.
Possession of a Medical Coder OR Medical Billing certification from a credentialing organization such as but not limited to the American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC), OR Practice Management Institute (PMI), will substitute for 2 years of medical billing & coding experience.
Preferred Education and Experience or Special Qualifications:
Associate Degree in Health Information or in healthcare related field.
Registered Health Information Technician (RHIT), OR Certified Coding Specialist (CCS) credential through American Health Information Management Association (AHIMA).
Medical coding certification.
Experience working with Medicaid, Medicare, and commercial insurances.
Experience in a medical clinic or public health environment.
Experience with electronic health record software and proficiency in using Microsoft office products.
Working Conditions and Physical Requirements:
Spends 90% of the time sitting and 10% of the time either standing or walking.
Occasionally lifts, carries, pulls, or pushes up to 20 lbs.
Occasionally uses cart, dolly, or other equipment to carry in excess of 20 lbs.
Occasionally climbs, stoops, kneels, balances, reaches, crawls and crouches while performing office or work duties.
Verbal and auditory capacity enabling constant interpersonal communication through automated devices, such as telephones, radios, and similar; and in public meetings and personal interactions.
Constant use of eye, hand and finger coordination enabling the use of automated office machinery or equipment.
Visual capacity enabling constant use of computer or other work-related equipment.
Must pass criminal background check
Adams County provides a comprehensive benefits package to employees that goes above and beyond what is offered at most organizations.
Clickhere (https://youtu.be/ILAvllPaGb4) to watch our video about why Adams County is an Employer of Choice!
Benefits You Expect:
AFLAC Supplemental Medical Insurance
Basic Term Life & Optional Term Life Insurance
Deferred Compensation Plan
Dental/Vision/Medical Plans
Generous Vacation/Sick leave
Long-Term Disability
Retirement Plan
Short-Term Disability
Plus some you might not expect:
Employee Assistance Program
Employee Fitness Center
Employee Health Clinics
Flexible Work Schedules
Recreation Center Discounts
Training & Tuition Reimbursement Programs
Wellness programs
Lactation friendly certified workplace
01
Please be aware that your cover letter and resume will not be accessed in the initial screening process, so you must complete your application and supplemental questions with as much detail as possible. Any personally identifiable information (PII) such as name and address will be redacted from applications that meet the minimum screening requirements and are forwarded to the hiring manager. If the hiring manager selects you to advance in the hiring process, your cover letter and resume will then be accessible to the hiring team. Information provided on the application is used to determine if a candidate meets minimum qualifications. Only information provided at the time of the application being completed will be considered and additional information that is not listed on the application will not be considered when deciding if a candidate meets or does not meet the qualifications. Applicants are STRONGLY encouraged to include all information and details on their application. I understand and agree that only information provided at the time of my application will be used to determine if I meet the minimum requirements for this position.
Yes, I understand and agree
Yes, I understand but disagree.
02
A requirement of this position is that you must possess at least a high school diploma or GED. Do you meet this requirement?
Yes
No
03
Please indicate how you meet the minimum experience qualifications for this position.
Three years medical billing and medical coding experience AND at least one year experience in customer service.
Possession of a Medical Coder OR Medical Billing certification from a credentialing organization AND one year of medical billing and medical coding experience AND At least one year experience in customer service
None of the above
Required Question
Agency
Adams County
Address
4430 S. Adams County Parkway, Suite C4000BBrighton, Colorado, 80601-8213
Website
http://www.adcogov.org/current-career-opportunities
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