*ETSU Physicians is currently seeking a Laboratory Denial Coding Specialist to join our Healthcare Team.
*
*ETSU Physicians is a multi-specialty practice group located in Northeast Tennessee, and is affiliated with ETSU Health, Quillen College of Medicine, East Tennessee State University.
We offer* *a competitive compensation package with salary based on education and experience.
Our comprehensive benefits package includes: health, dental, vision, disability, life insurance and more.
18 days paid personal time off and 10.
5 paid holidays annually, and, a paid retirement plan with an employer matching program.
*
*JOB SUMMARY:* Under supervision of the Laboratory Director, the Denial Coding Specialist is responsible for researching and rebilling patient accounts whose lab charges have been denied by their insurance carriers.
*\*ESSENTIAL DUTIES AND RESPONSIBILITIES\** include the following.
Other duties may be assigned.
* Review insurance denials to insure accuracy of information and appropriate attachments.
* Communicates with insurance company, either verbal or written, concerning patient’s account.
* Review Explanation of Benefits (EOBs) to ensure appropriate reimbursement.
* Reconcile disputed and delinquent accounts and make necessary corrections and adjustments.
* Research patient accounts to determine that claims have been paid or denied appropriately before forwarding to collector if appropriate.
* Review ICD-10 coding to determine medical necessity.
* Research procedure/operative notes to determine if coding is appropriate.
* Review Provider documentation to determine appropriate level and type of service (i.
e.
new patient, established patient, consult, etc.
)
*EDUCATION AND/OR EXPERIENCE: *High school diploma or general education degree (GED) required.
CPC or CCS required and a minimum of two years’ experience working insurance claim denials.
*Please apply online at etsuhealth.
org/employment*
*EOE / AA/M/F/Disability/Vet*
*ETSU Physicians participates in E-verify*
Job Type: Full-time
Benefits:
* Dental insurance
* Disability insurance
* Employee assistance program
* Health insurance
* Life insurance
* Paid time off
* Vision insurance
Schedule:
* Day shift
* Monday to Friday
Work setting:
* Medical office
Education:
* High school or equivalent (Preferred)
Experience:
* Medical Coding: 3 years (Preferred)
* Insurance Claim Denials: 2 years (Preferred)
License/Certification:
* CPC or CCS certification (Preferred)
Work Location: In person
Whatsapp
