Job Description
Insight Global is seeking a REMOTE RCM Specialist with expertise in skin graft, or more specifically, Allograft billing solutions, to work remotely with it's RCM solutions client. It is a salaried opportunity that will consist of building an end-to-end billing solution for a family medicine customer. Initially, the role will be concentrated on production as there is a year's worth of backlog within the customers old billing solution. After that, you can expect to customize a more sustainable solution and map that solution to past, and future coding.
The responsibilities will include but are not limited to:
* Specialized Coding: Proficiently assign accurate CPT, ICD-10, and HCPCS codes for medical procedures, diagnoses, and services related to wound care and graft applications.
* Documentation Review: Collaborate with healthcare providers to ensure comprehensive and precise documentation that supports coding accuracy and compliance.
* Billing and Reimbursement: Generate and submit claims for wound care and graft services promptly. Verify billing information, follow up on claims, and address any denials or discrepancies in a timely manner.
* Compliance: Stay updated on coding guidelines, regulations, and changes in the healthcare industry, ensuring compliance with all relevant laws and standards.
* Audit Assistance: Collaborate with internal and external auditors to facilitate coding and billing audits. Implement corrective actions based on audit findings to enhance accuracy and compliance.
* Education and Training: Provide training to healthcare professionals on coding and documentation practices related to wound care and allografts, promoting a culture of accuracy and compliance.
* Communication: Maintain effective communication with healthcare providers, insurance companies, and internal staff to address coding and billing inquiries and facilitate efficient processes.
Required Skills & Experience
- 4+ years in medical coding
- 2+ years of specific experience building billing solutions for skin grafts (amniotic fluid grafts, allografts, etc.)
- In-depth knowledge of CPT, ICD-10, and HCPCS coding systems
- Certified Professional Coder (CPC), or other relevant coding certification
Nice to Have Skills & Experience
- Master's degree in accounting, finance, healthcare management, or a related field
Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.