Job highlights
Identified by Google from the original job post
Qualifications
Fluency in both English and Spanish is required for this position
Must have experience in medical records, scanning and sending releases to other agencies
Must be able to speak, read and write in both English and Spanish
High School diploma or GED plus five (5) years full-time data entry experience in claims processing, accounting, analysis and adjudication of Medical and/or Behavioral environment
Must have experience in medical records, scanning and sending releases to other agencies
Experience with ICD10, CPT, HCPCS, and Inpatient coding and billing and knowledge of HIPAA regulations
Knowledge of Microsoft Excel and 10-key by touch
Knowledge of and experience working with Electronic Health Records system(s)
Ability to translate customer needs to technical and/or business process solutions
Ability to effectively work with internal teams across numerous functions and levels
Ability to quickly learn complex business processes and understand the underlying transactional systems
Strong customer service skills and abilities
Exceptional communication skills, including strong customer-facing presentation and facilitation skills
Ability to work on multiple projects
Strong attention to detail and follow-through skills
Experience working in a team-oriented, collaborative environment
Strong analytical and problem-solving abilities
Comply with all policies, procedures and contractual/regulatory requirements
Within one month of hire, complete new-employee orientation
Keywords: Tucson AZ Jobs, Bilingual Medical Coder, English, Spanish, ICD10, CPT, HCPCS, HIPAA Regulations, In-Patient Coding, In-Patient Billing, Electronic Health Records, EHR, Excel, Data Entry, Claims Processing, Claims Examiner, Medical, Healthcare, Arizona Recruiters, Information Technology Jobs, IT Jobs, Arizona Recruiting
Responsibilities
The responsibilities of the Bilingual Medical Coder consist of processing claims data and adjudicating medical and inpatient claims received from all provider types and lines of business, reviewing and resolving rejected and/or denied claims, conducting research and analysis of claims and facilitating resolution of specific claims issues
The Bilingual Claims Examiner is also responsible for monitoring copays, deductibles, insurance verification, and authorizations, analyzing incoming and outgoing revenue sources and measuring different financial cycles on behalf of EHR software customers, as well as maximizing reimbursements and developing effective policies for billing and claim processing
Submit claims and encounters in a timely manner
Review and resolve rejected, pended, and/or denied claims within expected timeframes
Coordinate claim adjustments with the customer
Identify revenue cycle issues and implement solutions to improve systems and processes
Respond to calls on claims issues and provide information and resolution in a timely manner
Provide education and technical support to Claims Examiners and customers regarding claims-related issues through on-line training and in person training
Produce scheduled reports for leadership and customers
Prepare written inter-departmental and external correspondence
Develop and publish formal written guidance for customers to process claims
Analyze encounter-processing data using statistical methodologies
Update and maintain electronic billing manual and distribute updates as directed
Compare business operations and coordinate technical analysis support for upcoming collection of accounts
Complete and provide all trainings as directed
Provide documentation related to formal education, training, and compliance with general and physical requirements as requested
Demonstrate ethical behavior
Demonstrate dependability by reporting to work on-time and working required hours/days
Achieve monthly goals developed with the supervisor
Job description
Dice is the leading career destination for tech experts at every stage of their careers. Our client, Next Step Systems, is seeking the following. Apply via Dice today!

Bilingual Medical Coder, English and Spanish, Tucson, AZ

The responsibilities of the Bilingual Medical Coder consist of processing claims data and adjudicating medical and inpatient claims received from all provider types and lines of business, reviewing and resolving rejected and/or denied claims, conducting research and analysis of claims and facilitating resolution of specific claims issues. The Bilingual Claims Examiner is also responsible for monitoring copays, deductibles, insurance verification, and authorizations, analyzing incoming and outgoing revenue sources and measuring different financial cycles on behalf of EHR software customers, as well as maximizing reimbursements and developing effective policies for billing and claim processing. Fluency in both English and Spanish is required for this position. This position is 100% Onsite. Must have experience in medical records, scanning and sending releases to other agencies.

Bilingual Medical Coder Responsibilities:
• Submit claims and encounters in a timely manner.
• Review and resolve rejected, pended, and/or denied claims within expected timeframes.
• Coordinate claim adjustments with the customer.
• Identify revenue cycle issues and implement solutions to improve systems and processes.
• Respond to calls on claims issues and provide information and resolution in a timely manner.
• Provide education and technical support to Claims Examiners and customers regarding claims-related issues through on-line training and in person training.
• Produce scheduled reports for leadership and customers.
• Prepare written inter-departmental and external correspondence.
• Develop and publish formal written guidance for customers to process claims.
• Analyze encounter-processing data using statistical methodologies.
• Update and maintain electronic billing manual and distribute updates as directed.
• Compare business operations and coordinate technical analysis support for upcoming collection of accounts.

Bilingual Medical Coder Qualifications:
• Must be able to speak, read and write in both English and Spanish.
• High School diploma or GED plus five (5) years full-time data entry experience in claims processing, accounting, analysis and adjudication of Medical and/or Behavioral environment.
• Must have experience in medical records, scanning and sending releases to other agencies.
• Experience with ICD10, CPT, HCPCS, and Inpatient coding and billing and knowledge of HIPAA regulations.
• Knowledge of Microsoft Excel and 10-key by touch.
• Knowledge of and experience working with Electronic Health Records system(s).
• Ability to translate customer needs to technical and/or business process solutions.
• Ability to effectively work with internal teams across numerous functions and levels.
• Ability to quickly learn complex business processes and understand the underlying transactional systems.
• Strong customer service skills and abilities.
• Exceptional communication skills, including strong customer-facing presentation and facilitation skills.
• Ability to work on multiple projects.
• Strong attention to detail and follow-through skills.
• Experience working in a team-oriented, collaborative environment.
• Strong analytical and problem-solving abilities.
• Comply with all policies, procedures and contractual/regulatory requirements.
• Within one month of hire, complete new-employee orientation.
• Complete and provide all trainings as directed.
• Provide documentation related to formal education, training, and compliance with general and physical requirements as requested.
• Demonstrate ethical behavior.
• Demonstrate dependability by reporting to work on-time and working required hours/days.
• Achieve monthly goals developed with the supervisor.

Keywords: Tucson AZ Jobs, Bilingual Medical Coder, English, Spanish, ICD10, CPT, HCPCS, HIPAA Regulations, In-Patient Coding, In-Patient Billing, Electronic Health Records, EHR, Excel, Data Entry, Claims Processing, Claims Examiner, Medical, Healthcare, Arizona Recruiters, Information Technology Jobs, IT Jobs, Arizona Recruiting

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