Coding and Reimbursement Specialist (remote)

Kelsey-Seybold Clinic, a Houston tradition in patient-centered care, is a multispecialty clinic with 40 locations and is comprised of more than 700 physicians providing primary and specialty care in a collaborative manner.

With more than 65 different clinical and non-clinical specialties, you can design a career path at Kelsey-Seybold Clinic that allows you to grow your future in a completely new direction.

Ensures accurate coding and reimbursement of claims submitted to third-party payors. Ability to perform analysis of patient account and review chart notes to validate accuracy of CPT, ICD10 & HCPCS codes. Ability to abstract information from the patient chart and update provider procedural and diagnosis coding as needed. Work with Accounts Receivable team to analyze denials, interpret medical policies and assist with preparation of appeals. Apply analytical skills to daily work to identify and improve processes. Perform in-depth research and review of denial trends with solutions to mitigate future claim rejections. Provide coding support to multiple departments within the Business Office. Able to communicate clearly with physicians and administrative staff. Attend seminars and maintain certification. Multi-specialty coding experience is desired. Ability to analyze, audit and reconcile an account is critical to this position.

Requirements:

• Associates degree in Business Administration or related field or 2 years of equivalent experience.
• 3-4 years ICD 10 CPT coding/abstracting and healthcare billing and collections experience.
• Diversified understanding of rules and regulations of Commercial Insurance, Part B Medicare and TDH.
• Working knowledge of, commercial insurance, Medicare Part B and TDH Medicaid Programs
• Certified Professional Coder (CPC) or Certified Coding Specialist-Physician Based (CCS-P) Certified Coding Associate (CCA)
• Understanding of EOB’s, strong PC skills.
• Must be able to retain composure, meet deadlines, and appropriately analyze, research, and resolve problems in a stressful environment with constant work-related interruptions.
• Must demonstrate dependability and an ability to work independently.
• Presentation skills.
• Excellent written and verbal communication skills.

Consider Kelsey-Seybold Clinic

• Medical, Vision, and Dental
• Tuition Reimbursement
• Company Matching 401K
• Employee Reward and Recognition Program
• Paid time off for vacation, sick, and holidays
• Employee Assistance Program
• Continuing Medical Education allowance
• Free Parking
• Monday-Friday, 8a-5p

If you want a satisfying career and a rich, rewarding personal life, don’t choose between them.

Achieve them both at Kelsey-Seybold Clinic.

Kelsey-Seybold Clinic strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by organizational policy or by federal, state, or local laws unless such distinction is required by law. Kelsey-Seybold is a VEVRAA Federal Contractor and desires priority referrals of protected veterans.

Job Type: Full-time

Pay: $53,123.00 - $65,624.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Professional development assistance
• Referral program
• Retirement plan
• Tuition reimbursement
• Vision insurance

Schedule:

• Monday to Friday

Education:

• High school or equivalent (Preferred)

Experience:

• healthcare billing and collections: 2 years (Required)
• commercial insurance, Medicare Part B and TDH Medicaid: 2 years (Required)
• ICD 10 CPT coding/abstracting: 3 years (Required)

License/Certification:

• CCP, CCS-P or CCA (Required)

Work Location: Remote