Coding & Compliance Specialist

Infinity Behavioral is seeking a Coding & Compliance Specialist to review, research, analyze and act upon insurance claim rejections.

Ft. Lauderdale, FL

Job Summary 

Under general supervision performs work of considerable difficulty in assisting with the administration of the billing department. The position has the responsibility for reviewing, researching, analyzing and acting upon all claim rejections received from Medicaid, Medicare, private insurance and all other revenue sources. Analyze the appropriateness of the medical codes that are used to generate the medical billing to all funding sources. Ensures accurate records are kept for all billing activity to ensure the agency complies with all appropriate regulations as required. Has a good understanding of electronic billing systems and file maintenance set up requirements so can initiates patient management reports as needed. Assists with other billing projects as needed.

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  A solid understanding of numbers and math are a necessity. Any experience with accounting or posting is highly encouraged. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

Required Skills 

Education and/or Other Requirements:
Completion of a high school diploma or G.E.D. certificate. A certificate in medical coding is preferred.

Five years experience in a medical billing setting and at least one year experience reviewing medical codes. Preferably in behavioral health and/or laboratory services.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to sit; use hands and reach with hands and arms.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is generally very low.