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

Medasource

Learning Management Consultant Job at Medasource

 ...Job Title: Learning Management Consultant Location: Pleasanton, CA Contract Type: 6-month contract-to-hire About the Role We are seeking a detail-oriented Learning Management Consultant to support clinical trial education and professional development initiatives... 

INTREN, LLC

Testing Technician Job at INTREN, LLC

 ...Job Title: Testing Technician FLSA Status: Non- Exempt SUMMARY OF POSITION: The Testing Technician is responsible for supporting dielectric testing processes with a focus on product safety, regulatory compliance, and risk management. This part-time role requires... 

Pink Lily

Photographer / Editor Job at Pink Lily

About Us: Were a fast-growing womens online boutique, passionate about delivering on trend, affordable fashion to our customers. From chic everyday essentials to statement pieces, we take pride in creating beautiful, inspiring content that connects with our community...

PriceSmart

Corporate Communications Manager Job at PriceSmart

 ...Hello, potential PriceSmart candidate. Were on a mission to hire the very best, and are committed to creating exceptional employee...  ...equal opportunity. We realize the greatest contributions to the company can come from anywhere in the organization, and we know that the... 

St Cloud School District 742

Kitchen helper Job at St Cloud School District 742

 ...related experience Preferred Bilingual Basic cashiering skills Knowledge of customer service principles POSITION SUMMARY: The Kitchen Helper is responsible for performing routine kitchen duties, such as the preparation and serving of breakfast and/or lunch to students and...