Twin Cities Orthopedics

Compensation

Full Description

Be the primary partner between the Coding and PFS team to ensure coding denials are reduced and worked in a timely manner. This is a full-time position working Monday - Friday from 8:00 AM - 4:30 PM with flexibility. This position will be primarily remote, in office would be in at our Bloomington location and be a part of the billing team (not the coding team). Revo Health is a professional services company that partners with multiple healthcare groups to deliver exceptional patient care. This position will be employed by Revo Health, working closely with Infinite Health Collaborative (i-Health) and its operating divisions. Essential functions: • Monitor and manage edits software to optimize clean claims rate and minimize denials. • Manage coding denial queues. • Partner with Coders and PFS Specialists to reduce number of touches required to collect accounts receivable. • Perform analysis of denied claims to identify trends impacting revenue • Assist PFS Specialists in submitting appeal and successful • Effectively communicate claim trends to aid in finalizing outstanding • Investigate and correspond with insurance companies or other third-party payors to understand denied claims and required efforts toward • Research changes in payer requirements and communicate new or changing requirements to Revenue Cycle Leadership. • Act as subject matter expert for i-Health practice claim denials. • Any and all other duties as assigned Education and Experience Requirements: • High School diploma/GED or equivalent • Minimum of 5 years’ experience in billing operations preferred • Minimum of 5 years’ experience in coding preferred • Minimum of 2 years’ experience in RCx Rules or other edits software • CPC preferred Benefits & Compensation: • Actual starting pay will vary based on education, skills, and experience. • We offer a comprehensive Medical, Dental & Vision Plan, Maternity Bundle, 401K with Profit Sharing, Tuition Reimbursement, Gym & Car Rental Discounts - to learn more clickhere. Essential Requirements: Ability to: • Comply with company policies, procedures, practices and business ethics • Complete job required • Comply with all applicable laws and regulations, (e.g. HIPAA, Stark, OSHA, employment laws, ) • Maintain prompt and reliable attendance • Work in the clinic, office or surgery center during business hours • Travel independently throughout the clinic, office or surgery center (which may include movement from floor to floor); frequent bending, lifting, stooping or sitting for long periods of time may be required • Work at an efficient and productive pace, handle interruptions appropriately and meet deadlines • Converse in a respectful and professional manner • Prioritize workload while being flexible to meet the expectations of the daily operations • Apply principles of logical thinking to define problems, establish facts, and draw valid conclusions • Understand and execute a variety of instructions • Effectively operate equipment and communicate on and operate the phone system • Work independently with minimal supervision • Travel to other work locations, if required Performance Expectations – Revo’s Core Values: • Integrity - Do the right thing and take responsibility for what you do and say • Service - Consistently contribute to deliver an exceptional experience • Quality - Act with high purpose, committed effort, and skillful execution to exceed expectations • Innovation - Identify progressive solutions that improve service, teamwork, efficiency, and/or effectiveness • Teamwork - Be a part of the whole; support each other positively Environmental Conditions: • Normal clinic/office setting Notes: • Revo Health is an Equal Opportunity/Affirmative Action Employer and will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990 and the ADA Amendments Act of 2008. • We participate in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees • This position description will be reviewed periodically as duties and responsibilities change. Essential and Additional Job Functions are subject to modification.