at Teksystems in Rockford, Illinois, United States
Job Description
Description:
JOB DESCRIPTION:
- Day to day duties:
- Making payment determinations. For example, parties have gone back and forth and haven’t settled on a proper claim payout based on the CPT code. This person would say this is the right party, here is why, etc. They will be deciding payment determinations for claims. They must have their CPC or CPC-A, but they will not be doing any coding in this role.
- Will be working on/reviewing a lot of emergency services, ambulance services, air ambulance and non air ambulance so a lot of emergency providers. If they have knowledge/experience that is helpful but not required
- Doing validation/verification of the data and then picking a side – not actual coding.
- Volume – Currently working through figuring out how many charts/files this person will be expected to complete per hour. TBD.
- Will be working in their internal database/system that houses all the claims and cases.
HOURS:
- M-F 8am – 4:30 CST
Skills:
Coding, cpc, CPC-A, claims, payment determination, cpt code, billing, Electronic health record, ambulatory
Top Skills Details:
Coding,cpc,CPC-A,claims,payment determination,cpt code,billing,Electronic health record,ambulatory
Additional Skills & Qualifications:
QUALIFICATIONS:
- CPC or CPC-A certification – must be active/update to date
- Experience coding/billing emergency services, ambulance services, air ambulance and non air ambulance helpful but not required
- NSA (No Surprises Act) experience/knowledge is helpful but not required
- Would look at Billers with their CPC-A who want to get into coding with working knowledge to understand the codes and the insurance parameters
- Open to experience in either the professional services or facilities side
- Adaptability – this is a new team they are building
Experience Level:
Intermediate Level
About TEKsystems:We’re partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That’s the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
