Title: Medical Billing and Coding Associate II – Temporary
Location: 685 3rd Ave New York, NY 10017 in-office
Employment Type: Temporary, 3 months
Schedule: Monday – Friday, 9:00 a.m. – 5:30 p.m.
Pay Range: $27 – $32 per hour (based on experience)
About DocGo:
DocGo is leading the proactive healthcare revolution with an innovative care delivery platform that includes mobile health services, population health, remote patient monitoring, and ambulance services. DocGo disrupts the traditional four-wall healthcare system by providing high quality, highly affordable care to patients where and when they need it. DocGo's proprietary, AI-powered technology, logistics network, and dedicated field staff of over 5,000 certified health professionals elevate the quality of patient care and drive efficiencies for municipalities, hospital networks, and health insurance providers. With Mobile Health, DocGo empowers the full promise and potential of telehealth by facilitating healthcare treatment, in tandem with a remote physician, in the comfort of a patient's home or workplace. Together with DocGo's integrated Ambulnz medical transport services, DocGo is bridging the gap between physical and virtual care.
Position Overview:
We are seeking a skilled and detail-oriented Medical Billing and Coding Associate II with a primary focus on medical billing and coding to join our team. The ideal candidate will possess expertise in medical coding, including ICD-10, CPT, and HCPCS coding systems, and will play a vital role in ensuring accurate coding and billing practices.
Responsibilities:
Medical Coding
- Assign appropriate ICD-10, CPT, and HCPCS codes to diagnoses, procedures, and services rendered by healthcare providers.
- Review medical records and documentation to accurately assign codes and ensure compliance with coding guidelines and regulations.
- Conduct regular audits to identify coding errors and discrepancies and implement corrective measures as needed.
Documentation Improvement:
- Provide feedback and education to healthcare providers and staff on documentation improvement opportunities to support accurate coding and billing practices.
- Stay updated on changes in coding guidelines, regulations, and reimbursement policies and communicate updates to relevant stakeholders.
Quality Assurance:
- Perform quality assurance reviews of coded medical records to ensure compliance with coding standards and accuracy in code assignment.
- Collaborate with compliance and auditing teams to address coding-related issues and implement best practices for quality improvement.
- Contact payers to verify claim status via phone or web and follow up on unpaid claims.
- Process appeals on aged insurance claims/denials.
- Ability to analyze, identify and resolve issues which may cause payer payment delays.
- Identify and resolve claim edits through understanding of billing guidelines and payer requirements.
- Reconcile commercial and government accounts, ensuring CPT and diagnostic codes are accurate.
- Interpret terms for Managed Care, Commercial, Medicare, Medicaid when applicable.
- Review all EOBs for correct payment, deductible, adjustments, and denials.
- Determining the status of claims with the insurance company, if the claim meets contractual agreements or needs adjustment.
- Reconcile account balances, and verify payments are applied correctly.
- Maintain well aged accounts, promptly resolve and resubmit denied unpaid claims in a timely and efficient manner.
- Follow up on appeals/corrected submitted claims.
- Review and correct billing errors, which require a strong knowledge of CPT and ICD-10 coding.
- Review and audit customer service account inquiries.
Other:
- Other tasks as assigned
Qualifications:
- Minimum of 2 years of experience in medical coding, with a focus on ICD-10, CPT, and HCPCS coding systems.
- Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or equivalent coding certification preferred.
- Proficiency in medical terminology, anatomy, and physiology.
- Strong understanding of healthcare reimbursement methodologies and regulatory requirements.
- Excellent attention to detail and accuracy in code assignment.
- Effective communication and interpersonal skills, with the ability to collaborate with multidisciplinary teams.
- Proficiency in coding software and electronic health record (EHR) systems.
EEO/AAP Statement: DocGo is an equal opportunity employer. We acknowledge and honor the fundamental value and dignity of all individuals. We pledge ourselves to crafting and maintaining an environment that respects diverse traditions, heritages, and experiences. DocGo is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
The above-noted job description is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give the applicant a general sense of the responsibilities and expectations of this position. As the nature of business demands change so, too, may the essential functions of the position.
