Coding Specialist - Eagle Business Services

Job Description

Job Description

Join Our Team at Eagle Physicians & Associates!

Are you looking for a position where you can apply your analytical skills while continuing to learn and grow? Do you thrive in a dynamic, fast-paced environment where problem-solving and innovation are valued? If so, Eagle Physicians & Associates is looking for you!

We are seeking a detail-oriented and self-motivated BIlling Specialist to join our team in Greensboro, NC. This role is responsible for designing, producing, and analyzing reporting data to support business operations, quality initiatives, and strategic decision-making across the organization.

The ideal candidate will possess strong analytical and critical thinking skills, experience working with large datasets, and proficiency in data visualization tools. Prior clinical knowledge is strongly preferred.

Schedule

• Monday–Friday
• 8:00 AM–5:00 PM, Schedule subject to change as indicated by manager.
• Onsite position

Qualifications

• Qualified applicants will have a minimum of 1 year prior experience in medical billing for primary care physicians.
• Good understanding of medical diagnosis and procedural coding requirements.
• Good knowledge of medical insurance billing requirements and above average computer skills.
• Knowledge of eClinical Works preferred.

Why Eagle?

Our employees love working at Eagle! For three consecutive years, our staff has consistently rated Eagle highly in our annual Employee Engagement Surveys. An impressive 92.8% of Eagle employees report that they see themselves working at Eagle a year from now and would recommend Eagle as a great place to work.

Join Us and Thrive!

Support staff hired at 0.50 FTE or greater on or after April 1, 2024, are eligible for our structured retention bonus program:

• $750 after 6 months
• $750 after 12 months
• $1,000 after 18 months
• $1,000 after 24 months

Additional Benefits

Paid Maternity/Paternity Leave

After one year of employment and 1,250 hours worked, Eagle provides up to two weeks of paid maternity/paternity leave for the birth or adoption of a child. Leave is prorated based on FTE status.

Influenza Vaccine Requirement

As a condition of employment, an annual influenza vaccine is required. Please contact Eagle Human Resources with any questions.

Eagle Physicians & Associates is proud to be an Equal Opportunity Employer.

Key Responsibilities

Work all assigned claims within specified time period.
• Review all assigned claims for correct assignment of ICD-10, CPT, HCPCS codes and modifiers.
• Follow protocol when billing selected services and performing specific claim functions.
• Maintain knowledge of insurance carrier specific billing requirements and apply to claims as needed.
• Maintain knowledge of Correct Coding Initiative (CCI) and familiarity with all major coding resources
• Correct all identified errors on claims prior to submitting.
• Correct all returned claim denials assigned to you in a timely manner.
• Assist EDI, Insurance, and Customer Service Representatives in resolving claims issues.
• Communicate with site administration or providers as needed.
• Writes legibly and with correct grammar and sentence structure.
• Participates in professional development activities and maintains professional affiliations.
• Shows respect, courtesy and advocacy in all dealings with all people, including, but not limited to patients, coworkers, and visitors.
• Displays a positive attitude, and team-oriented spirit, indicated by a willingness to assist where and whenever needed.
• Attends meetings as required.
• Follows HIPAA guidelines for patient confidentiality and maintains security of Protected Health Information (PHI) and business information.
• Does not exhibit, divulge, copy or remove the contents of any record or report except to fulfill work assignments.
• Participates in professional organizations as indicated.
• Upholds and exemplifies through daily actions, activities and behaviors Eagle’s Diversity, Equity, and Inclusion values.
• Upholds and exemplifies through daily actions, activities and behaviors Eagle’s Vision, Mission and Values:
o Vision: Eagle Physicians will be seen as the healthcare organization of choice by patients, staff and the community.
o Mission: Eagle Physicians will provide patient-centered healthcare for our community with a team committed to high-quality, supportive and compassionate care.
o Values: Integrity, Compassion, Trust, Professionalism and Respect.
• Performs additional duties as required.