Experity is the leading software and services company for on-demand healthcare in the U.S. We provide software solutions that remove complexities and simplify operations for 5700 urgent care clinics across the country. We create, maintain, and support products to facilitate the complete on-demand healthcare experience: from patients finding clinics and making appointments, to checking in, to clinical documentation, and to the final bill paid by the patient. Our team is committed to changing healthcare for the better by innovating and revolutionizing on-demand healthcare for millions of patients across the country.Experity offers the following:Benefits – Comprehensive coverage starts first day of employment and includes Medical, Dental/Orthodontia, and Vision.Ownership - All Team Members are eligible for synthetic ownership in Experity upon one year of employment with real financial rewards when the company is successfulEmployee Assistance Program - This robust program includes counseling, legal resolution, financial education, pet adoption assistance, identity theft and fraud resolution, and so much more.Flexibility – Experity is committed to helping team members face the demands of juggling work, family and life-related issues by offering flexible work scheduling to manage your work-life balance.Paid Time Off (PTO) - Experity offers a generous PTO plan and increases with milestones to ensure our Team Members have time to recharge, relax, and spend time with loved ones.Career Development – Experity maintains a learning program foundation for the company that allows Team Members to explore their potential and achieve their career goals.Team Building – We bring our Team Members together when we can to strengthen the team, build relationships, and have fun We even have a family company picnic and a holiday party.Total Compensation - Competitive pay, quarterly bonuses and a 401(k) retirement plan with an employer match to help you save for your future and ensure that you can retire with financial security.Hybrid: Experity offers Team Members the opportunity to work remotely or in an office. While this position allows remote work, we require Team Members to live within a commutable distance from one of our locations to ensure you are available to come into the office as needed.Job Type: Full timeCompensation: Starting between $21.50 and $26.25 dependent upon years of applicable experience. Responsibilities: Verify and ensure the accuracy, completeness and appropriateness of diagnosis and procedure codes based on services rendered.Review medical record information to identify all appropriate coding.Review provider medical records to ensure compliance with established CMS/AMA documentation requirements for CPT and NCCI edits.Review insurance denials for possible coding correction and claim resubmission.Review clearinghouse rejections for possible coding errors.Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies.Responsible for duties related to billing including, follow-up activities, and providing related assistance as requested.Communicate coding and billing specific deficiencies to various clinical staff.Educate and guide clinical staff on proper documentation and any trends that could cause delay of claim submission.Act as a liaison between coding staff and clinic staff for any coding related issues or questions.Complete appropriate paperwork/documentation/system entry regarding claim/encounter information.Review physician documentation to ensure compliance with third party and regulatory guidelines.Review and resolve Coding and Compliance salesforce tickets regarding coding and billing issues, questions and requests from clients and internal team members.Other duties as assigned. Education and Experience: Associates degree or equivalent combination of education and experience.Two years of medical billing/coding/insurance experience.Knowledgeable in medical insurance billing regulations.Knowledge of medical terminology and anatomy.Proficient in Windows based applications, and MS Office software products. Preferred: Prior billing/coding experience in an Urgent Care environment.Certified Professional Coder certification. Every team member exhibits our core values:Team FirstLift Others UpShare OpenlySet and Crush GoalsDelight the ClientLI-HYRBID Salary: . Date posted: 11/21/2024