Radiology Billing and Coding Specialist - Facility - Premier Medical Resources

Premier Medical Resources is a healthcare management company headquartered in Northwest Houston, Texas. At Premier Medical Resources, our goal is to leverage and combine the expertise and skillset of our employees to drive quality in all we do. Our goal is to create career pathways for our employees just starting their professional career, and to those who seek to bring their expertise and leadership as we strive to combine best practices and industry excellence. Come join our team at Premier Medical Resources where passion and career meet.

Premier Medical Resources (77040) is hiring for a Full-Time Radiology Billing and Coding Specialist is responsible for analyzing and coding patient records based on ICD-10 and CPT codes. Additionally, ensure all charges are reflected on the patient account and communicate with inter-departments regarding any type of discrepancy for corrections.

ESSENTIAL FUNCTIONS:

• Reviews medical record documentation to ensure pertinent diagnoses are coded
• Utilizes ICD 10, CPT, radiology reports, code diagnosis and modifiers according to coding guidelines
• Communicates effectively with all appropriate parties regarding missing information to ensure proper billing
submission
• Prepares and submit electronic and paper claims to insurance carriers and gov payers
• Manages the status of accounts and identify inconsistencies
• Resolves denials and rejections daily
• Handles electronic medical records (EMR) with proficiency and maintains accurate patient records
• Performs other related duties as assigned

KNOWLEDGE, SKILLS, AND ABILITIES:

• Demonstrates ability to use basic computer functions, technology and Microsoft office (excel, word)
• Knowledge of workers compensation, insurance verification, patient responsibility and prior authorization process
• Knowledge of interpreting explanation of benefits (EOBs) and coordination of benefits (COB's) processing
• Knowledge of ICD-10 and CPT codes and procedures and basic business math
• Proficient in medical coding guidelines and regulations
• Proficient in electronic billing as well as the UB04 claim form
• Demonstrates task-oriented and organizational skills
• Ability to adapt with flexibility
• Strong attention to detail, being careful about detail and thorough in completing work tasks
• Ability to work independently by guiding oneself with little or no supervision
• Ability to communicate professionally with outside parties
• Knowledge of PC and ability to use Microsoft office suite (PowerPoint, word, excel)

EDUCATION AND EXPERIENCE:

• High School Diploma or GED
• One (1) year of experience with medical claims/billing, medical billing cert in lieu of experience

BENEFITS:

• 3 Medical Plans
• 2 Dental Plans
• 2 Vision Plans
• Employee Assistant Program
• Short- and Long-Term Disability Insurance
• Accidental Death & Dismemberment Plan
• 401(k) with a 2-year vesting
• PTO + Holidays

Please visit our website for more information:

www.pmr-healthcare.com

Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data.