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Full-Time

Medical Coder

Confirmed live in the last 24 hours

Seneca Nation Group

Seneca Nation Group

201-500 employees

Provides services for federal government missions

Consulting
Financial Services
Aerospace

Mid, Senior

Remote in USA

US Top Secret Clearance Required

Category
Healthcare Administration & Support
Medical, Clinical & Veterinary
Required Skills
PowerPoint/Keynote/Slides
Requirements
  • Requires a Bachelor’s degree in a clinical or healthcare-related field. An Associate’s degree combined with an additional five (5) years of Revenue Cycle experience may be substituted for the Bachelor’s degree.
  • Can achieve a Favorable Suitability Adjudication, based on a T1 background investigation.
  • Experience with ICD-10, ICD-10 PCS, CPT, HCPCS Level II coding, LCDs, and NCDs.
  • Knowledge of MHS, UB-04, HCFA 1500 billing, both professional and facility billing, coding policy reports and regulations.
  • Expertise in determining medical necessity based on documentation.
  • Ability to abstract and code from documentation all diagnoses, procedures, inpatient and outpatient services accurately.
  • Understanding of coding bundling rules and regulations.
  • Knowledge and a working understanding of Revenue Cycle concepts, business processes, and/or operations within the healthcare industry.
  • Ability to collaborate and communicate effectively with team members, clients, business partners, and other various stakeholders involved in the Revenue Cycle.
  • Microsoft Office 365 proficiency (Excel, Word, PowerPoint).
  • Excellent oral, written, and interpersonal skills.
Responsibilities
  • Support the DHA-project with extensive SME (Subject Matter Expert) knowledge in Military Health System (MHS) GENESIS Revenue Cycle billing and coding regulations and payer guidelines.
  • Maintain knowledge of various healthcare insurance programs (MEDICARE, commercial carriers etc.).
  • Review and resolve claims with coding/billing errors (e.g., coding mistakes, medical necessity issues).
  • Analyze clinical documentation to ensure accurate coding (ICD-10, CPT, HCPCS).
  • Analyze and reconcile Discharged Not Final Billed (DNFB) and various types of suspended charges.
  • Apply principles and practices in Revenue Cycle management, such as charge capture, coding, billing, reimbursement, denial management, and compliance.
  • Training support/collaboration on end user training materials and workflow collateral.

The Seneca Nation Group is renowned for its commitment to fulfilling the crucial needs of Federal Civilian, Defense, and Intelligence Community sectors. As a group embracing companies in the Small Business Administration 8(a) program, it provides a unique environment for addressing government missions effectively. This firm not only supports significant federal initiatives but also fosters a culture dedicated to service excellence and adaptive solutions in a highly specialized industry.

Company Stage

N/A

Total Funding

N/A

Headquarters

, New York

Founded

262

Growth & Insights
Headcount

6 month growth

3%

1 year growth

15%

2 year growth

41%