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

Youdo English

Online English Teacher (RMB250/hour) Job at Youdo English

We are now looking for part-time experienced business English teacher to help improve our students' ability of using English in a practical...  ...group: age 24+ young professionals Length: 1h each session Teaching style: 1-1 online communication via wechat or zoom

Nanova Biomaterials Inc.

Production Planner and Shipping Specialist Job at Nanova Biomaterials Inc.

 ...NBIs operation takes place in our facilities in Columbia, Missouri.OVERVIEW Under general supervision, the production planner and shipping specialist will be responsible for providing short and long-term plans for production lines and also working on shipment... 

Pride Health

Phlebotomist Job at Pride Health

 ...3-$25.28/HR Join one of the most respected names in diagnostics! Were looking for a dedicated and skilled Phlebotomist II to provide excellent patient care, accurate specimen collection, and manual data entry support across multiple Patient Service Centers in the... 

Golden Shift

Event Assistant - Entry Level Job at Golden Shift

Company Description At Golden Shift, we believe that people's core is shaped by their habits and need for connection. We specialize in creating personable experiences that bridge clients and the public through experiential marketing. Our goal is to seamlessly blend client...

Hammitt

Seasonal Keyholder Job at Hammitt

Hammitt - Seasonal Keyholder, Sales Leader - Century City Join the Hammitt Crew Hammitt Los Angeles designs luxury leather goods meant to be worn, felt and loved for a lifetime. With flagship stores across Southern California, a buzzing online presence, and a passionate...