Qualifications:

High School Diploma/GED.
CPC-Certified Professional Coder Certification through the AAPC-American Academy of
Professional Coders.
Minimum of 2 years of relevant experience in medical coding, with a focus on Pain Management
and Radiology.
Excellent communication, customer service, and training skills.
In-depth knowledge of CPT, HCPCS codes and ICD-10 codes used for billing Pain Management,
Anesthesia, and Radiology claims.
Knowledge and understanding of insurance benefit plans, payer rules, and explanation of
benefits.
Current knowledge of regulatory requirements with payer mixes such as CMS and Medicaid.
Excellent interpersonal skills to work collaboratively with clinical and administrative staff.
Critical and analytical thinking, organization, and problem-solving skills.
Ability to utilize various software applications and information systems to perform work
processes.
The ability to ability to adapt to changes in the healthcare industry and remain up to date on
relevant regulations and guidelines.
Responsibilities:

Monday - Friday hybrid 8-hour shift during normal business hours
Dynamic Full Revenue Cycle Management Team that specializes in billing, collections,
identifying patient reimbursement issues, ensuring that claims, denials, and appeals are
efficiently processed, and resolving billing-related issues.
100% Abstracting from the providers documentation.
You should also be able to code diagnoses and procedures correctly.
Perform Evaluation and Management (E&M) coding and review and audit Pain Management,
Anesthesia, and Radiology claims.
Perform Pain Management, Anesthesia, and Radiology coding.
Assign and sequence codes for diagnosis, procedures, professional services, facility services
and other services as needed utilizing the applicable coding conventions per regulatory
requirements.
Work in collaboration with the Revenue Cycle Team, Operations, and Finance.
Conduct audits of medical records to ensure documentation supports the assigned