Responsibilities

Under the supervision of the Business Office Supervisor or Business Office Manager, ensures the efficient operation and effective reimbursement of third party account receivables by researching accounts, correcting provider coding as needed, abstracting information from the medical chart, and refilling or appealing claims denied for coding-related reasons, submitting additional medical documentation and tracking account status by monitoring and analyzing assigned unresolved third party accounts. Specialists will initiate contacts and negotiate appropriate resolution (internal and external) as well as receive and resolve inquiries and correspondence from third parties and patients. The ability to analyze, audit and reconcile an account is critical to this position.  

 

Job Title: Coding and Reimbursement Specialist

Location: Remote

Department: Business Office - Reimbursement Coding

Job Type: Full Time 

Salary Range: $55,268 - $68,272 (Pay is based on several factors including but not limited to education, work experience, certifications, etc.)

 

Qualifications

Education

Required: Associates degree in Business Administration or related field or 2 years of equivalent experience.

Preferred: N/A

Experience

Required: 2-4 years ICD 10 CPT coding/abstracting and healthcare billing and collections experience. 

 

Diversified understanding of rules and regulations of Commercial Insurance, Part B Medicare and TDH. 

 

Working knowledge of, commercial insurance, Medicare Part B and TDH Medicaid Programs.

Preferred: 5-6 years of experience in health care billing and collection.  Knowledge of secondary or 

 

supplemental insurance claim filing (COB) is a plus.  Experience with EPIC

License(s)

Required: Certified Professional Coder (CPC) or Certified Coding Specialist –Physician Based (CCS-P) 

 

Certified Coding Associate (CCA)

Preferred: N/A

Special Skills

Required: Understanding of EOB’s, strong PC skills.  Presentation skills. Excellent written and verbal 

 

communication skills.

 

Preferred: N/A

Other 

Required: Displays professionalism and courtesy when communicating with patients, provider and external 

 

contacts, primarily by telephone, displaying an attitude of proven, committed customer service as well. Must 

 

be able to retain composure, meet deadlines, and appropriately analyze, research, and resolve problems in a 

 

stressful environment with constant work-related interruptions.  Must demonstrate dependability and an 

 

ability to work independently

Preferred: N/A

 

Working Environment: Office

 

About Us

Start your career journey and become a part of a community of renowned Healthcare professionals.  Kelsey-Seybold Clinic is Houston’s fastest growing, multispecialty organization with more than 40 premier locations and over 65 specialties.  Our clinics are comprised of more than 600 physicians and as we continue to grow, our focus is providing quality patient care by adding to our team of clinical and non-clinical professionals that work together in a convenient, coordinated, and collaborative manner.  Enjoy the rewards of a successful career while maintaining a work/life balance by joining our team today and changing the way health cares. 

 

Why Kelsey-Seybold Clinic?

Medical, Vision, and Dental Tuition Reimbursement Company Matching 401K Employee Reward and Recognition Program Paid time off for vacation, sick, and holidays Employee Assistance Program Continuing Medical Education allowance