PB Coder Job at Tandym Group, Naperville, IL

dE9xMXVNUmtzRXBXMW5yd2lqT25EK3ptNlE9PQ==
  • Tandym Group
  • Naperville, IL

Job Description

Tandym Group has several immediate contract opportunities for PB Coders. These are fully remote roles that will be focused on helping a client clear their large backlog in Ophthalmology where they are billing globally. The ideal resource will be fluid in both coding and Epic. They will understand specialty professional coding, have the ability to code, and will have strong experience with Epic, Epic PB Charge Review WQs, NCCI edits, and bundling/unbundling.

Key Responsibilities:

  • Review and resolve claims that have been flagged due to edits or modifier issues.
  • Bundling/unbundling
  • Maintain up-to-date knowledge of coding guidelines and CPT.
  • Utilize Epic PB
  • Actively working through a designated Epic work queue, reviewing flagged accounts for potential coding errors, and taking corrective action as needed.
  • Handling the PB Charge Review WQ.
  • Identifying and resolving coding edits within the Epic system, such as NCCI edits, modifier issues, or incorrect code assignments.
  • Identify trends and make recommendations for process improvements to enhance coding and/or claim-resolution efficiency.

Required Experience

  • Coding certification required (CPC or equivalent).
  • Minimum of 4 years of medical coding and auditing experience.
  • Understands specialty professional coding.
  • Advanced knowledge of CPT/HCPCS/Revenue Code procedure coding and ICD-10 coding principles
  • Ability to code from scratch as well as perform edits, audits.
  • Experience in bundling/unbundling.
  • Strong experience with CCI edits.
  • Minimum of 4 years of recent, strong Epic PB experience
  • Need to be able to work down Charge Review WQ's in Epic PB system.
  • Working knowledge of CPT & HCPCs coding guidelines.
  • In-depth knowledge of coding information systems

Preferred Experience

  • Exposure to OB, Ophthalmology, General Surgery, Lab, Rad specialties.
  • Any additional Revenue Cycle certifications

Job Tags

Contract work, Immediate start, Remote job,

Similar Jobs

SGS Consulting

Medical Writer II Job at SGS Consulting

 ...digital copy for websites, email campaigns, social media, and other promotional channels. Adapt content from existing commercial and medical assets, ensuring clarity and alignment with brand messaging. Familiarity with MLR (Medical, Legal, Regulatory) compliance and... 

Alpha Dental Center

Dental Assistant Job at Alpha Dental Center

 ...Join Our Team at Alpha Dental Franklin Dental Assistant Wanted! What Youll Do Assist the dentist during a variety of treatment procedures Prepare treatment rooms, sterilize instruments, and maintain clinical standards Take digital X-rays and impressions (experience... 

Spartan Floor Coatings

Franchise Performance Coach Job at Spartan Floor Coatings

 ...every new owner launches successfully, grows profitably, and scales confidently. About the Role The Franchise Performance Coach is a strategic leadership role focused on franchisee success, sales growth, and operational performance. Your role is to guide franchisees... 

HRI Hospitality

Executive Chef Job at HRI Hospitality

Job Title: Executive Chef Department: Food and Beverage Supervision Exercised: F&B Department Supervision Received: General Manager, VP: Food and Beverage JOB SUMMARY Supervision and Execution of Food & Beverage team, and Kitchen team. The Executive...

Medix™

Certified Nursing Assistant (CNA) - Inpatient - 249021 Job at Medix™

 ...Job Opportunity: Certified Nursing Assistant (CNA) Inpatient Location: Charleston, SC (Ralph H. Johnson VA Health Care System) Employment Type: Full-Time / Federal Contract Setting: Inpatient (Med/Surg and Psychiatric Units) We are hiring Certified...