Join Our Team
Aspirational Health Is Hiring
Position:
Credentialing, Coding, and Billing Professional.
Overview:
As a Credentialing, Coding, and Billing Professional, you will play a vital role in ensuring the accuracy and efficiency of our medical practice’s billing and coding processes. You will be responsible for managing all aspects of credentialing, coding, and billing operations to optimize revenue cycle management and ensure compliance with regulatory requirements.
Key Responsibilities:
- Perform credentialing activities for healthcare providers, including initial credentialing, re-credentialing, and maintaining provider enrollment with insurance companies and other relevant organizations.
- Review and accurately assign medical codes to diagnoses and procedures using current ICD and CPT code sets.
- Conduct thorough billing audits to identify and rectify coding errors, compliance issues, and billing discrepancies.
- Generate and submit clean claims to insurance companies and follow up on claim status to ensure timely reimbursement.
- Collaborate with healthcare providers and administrative staff to resolve coding and billing-related inquiries and concerns.
- Stay updated on changes in healthcare regulations, coding guidelines, and reimbursement policies to ensure compliance and optimize revenue capture.
- Maintain comprehensive documentation of credentialing, coding, and billing activities and outcomes.
Qualifications:
- Bachelor’s degree in healthcare administration, business administration, or a related field preferred.
- Certified Professional Coder (CPC) certification or equivalent required.
- Minimum of 2 years of experience in medical billing, coding, and credentialing in a healthcare setting.
- Proficiency in medical coding systems, including ICD-10, CPT, and HCPCS.
- Strong understanding of healthcare reimbursement methodologies, including Medicare, Medicaid, and commercial insurance.
- Excellent attention to detail and accuracy in coding and billing processes.
- Exceptional communication skills and the ability to collaborate effectively with multidisciplinary teams.
- Knowledge of healthcare compliance regulations and privacy laws, such as HIPAA.
- Proficiency in using billing and practice management software (e.g., Epic, Medisoft, or similar platforms).
If you are a motivated and detail-oriented professional with a passion for healthcare administration and revenue cycle management, we encourage you to apply for this exciting opportunity to join our team at Aspirational Health. Please submit your resume and cover letter detailing your relevant experience and qualifications to welcome@aspirationalhealthandwellness.com
Aspirational Health is an equal opportunity employer committed to diversity and inclusion in the workplace. We celebrate and support the diversity of our employees, patients, and communities we serve.
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Please forward your resume to Welcome@aspirationalhealthandwellness.com