RCM Coder

Job Details

Atlantic Medical Management is currently hiring a professional Medical Coding Specialist who is goal oriented, revenue driven, highly accurate and motivated. This position includes collecting reimbursements by gathering, coding, and transmitting patient care information; resolving discrepancies; adjusting patient bills; working AR and preparing reports. Must have Pro Fee coding and billing experience. This is a remote position and candidates must be located in North Carolina.

• Post medical charges into Next Gen software in a timely manner to meet daily and monthly goals.
• Reviews and verifies documentation supports diagnoses, procedures, and treatment results.
• Identifies diagnostic and procedural information and assigns codes for reimbursements.
• Ability to navigate around CPT, ICD-10, and HCPCS.
• Work with providers to correct the diagnosis or procedure codes so that the claim can be processed.
• Identify coding or billing problems from EOBs and work to correct the errors in a timely manner.
• Maintain in depth knowledge of all payers.
• Coordinate with clinics to ensure all outstanding superbills are collected prior to month end close.
• Update patient demographic and insurance.
• Transfer open balances to correct insurance.
• Work with patients and guarantors to secure payment.
• Resolves disputed claims by gathering, verifying, and providing additional information.
• Identify problem accounts and elevate the appropriate staff member as needed.
• Write appeals and include supporting documentation.
• Run appropriate reports and contact insurance companies to resolve unpaid claims.
• Meet set department metrics and thresholds set forth by manager.
• Assist with special projects and other job-related duties as needed.

• High School Diploma.
• 2 years of professional coding/billing experience.
• AAPC certification preferred.
• Experience with Medicare, Medicaid and other commercial and private payers.
• Demonstrated well‑developed interpersonal skills to interact in sensitive and/or complex situations with a variety of people.
• Excellent customer service and professionalism.
• Maintains patient confidentiality.
• Proficient computer skills.
• Organized and efficient.
• Self‑motivated to meet objectives.

• 401(k)
• Health, Dental and Vision insurance
• Employee assistance program
• AFLAC
• Paid time off