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Billing and Coding Coordinator

Familycarecenter Internal
Posted 4 hours ago
🇺🇸United States🏠Remote📁Healthcare/Clinical
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Description IT’S MORE THAN A JOB. IT’S A CALLING . At Family Care Center, we are on a mission to transform lives by elevating behavioral health care. Our journey began in 2016 when two U.S. Army Veterans founded Family Care Center to help service members, Veterans and their families. We continue that tradition today, caring for people of all ages across a broad range of conditions with nearly 30 outpatient clinics in communities across Arizona, Colorado, Florida, Tennessee and Texas. If you'd like to work for one of the nation's fastest-growing behavioral health providers, collaborating with other committed team members and making a positive impact on your community, we look forward to hearing from you. Transforming lives is our life’s work. CARING & SUPPORTIVE CULTURE: We support you so you can support our patients. Our positive environment is complemented by an engaging wellness program, volunteer events, team activities and more. UNPARALLELED GROWTH OPPORTUNITIES: We offer clear paths for career advancement at every level, fostering your professional development and personal growth. BALANCED LIFESTYLE: Achieve professional fulfillment while nurturing a healthy work-life balance, free from weekend or evening hours. We understand the importance of both professional fulfillment and personal well-being. COLLABORATIVE TEAM: Join forces with a diverse team of top-notch behavioral health professionals, support staff and empowering leadership. Together, we work towards transforming the lives of our patients. IMPRESSIVE RETENTION RATES: Our compassionate, welcoming approach has helped us earn a higher-than-average provider retention rate of 88%. COMPREHENSIVE BENEFITS: We prioritize your overall well-being and financial security. Enjoy a full suite of competitive benefits, including medical, dental, fertility, retirement, wellness, profit sharing and more. Hourly C ompensation: $ 1 8 .00 - $ 20 .00 Depending on Experience Position Overview: The Billing and Coding Coordinator is responsible for posting charges to patient accounts, preparing, verifying, and submitting electronic and paper claims to third-party payers. This role function highly with conducting coding reviews to ensure compliance with billing regulations, verifying documentation accuracy, and collaborating with providers to resolve coding discrepancies. Additionally, the Billing and Coding Coordinator will research incomplete, incorrect, or outstanding claims and manage claim resubmissions, with a thorough understanding of all insurance plans and contractual arrangements affecting payments. Essential Responsibilities: Submit clean electronic and paper claims to payers. Conduct coding reviews to ensure compliant CPT, CID-10 and HCPCS coding in alignment with payer guidelines and regulatory requirements. Audit Software Oversight- Auditing claims with audit software to identify trends, discrepancies, and opportunities for revenue optimization Identify and correct coding errors prior to claim submission to reduce denials, errors and rejections. Investigate and resolve claims submission problems with third-party payers and review new and existing third-party claims processing information. Analyze and respond to claim denials related to coding and documentation issues, working with providers and clinical staff to obtain necessary corrections. Review, adjust, and edit insurance coverage, bills, and statements to ensure accuracy. Stay up to date with coding and billing regulation changes to maintain compliance with CMS and commercial payer guidelines. Take phone calls from internal and external customers, answering questions, taking payments, and resolving billing and coding-related issues. Assist in training and educating providers and staff on coding and documentation best practices. Maintain accurate records of billing and coding activities, including tracking and reporting trends in claim denials and rejections. Supervisory or Managerial Responsibility: None Other Duties : Other duties as assigned by management. Minimum Qualifications: High school diploma or equivalent required. Associate degree preferred. Two years progressively responsible clerical experience in a healthcare setting required . Experience with payer portals, clearinghouses or other healthcare systems preferred. Experience with Microsoft Office Suite required . Certified Professional Coder (CPC) preferred. Location: Remote Family Care Center is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law . All employment is decided on the basis of qualifications, merit, and business need. #LI-GM1

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