Coding Specialist

At Sheakley Group of Companies, Inc. our coding team is essential in facilitating correct coding and billing of our client's injured worker claims. As a valued member of our team you will receive:

• Competitive Pay
• The ability to work remotely or in our corporate
• Advancement & promotion opportunities internally
• Health, dental, vision, and life insurance
• Contributions to your HSA. $1100 for Individual, $2200 for family
• Additional insurance options: Critical Illness, Long Term, Short Term Disability, Accidental Death and Dismemberment, Employee Assistance Program, Legal Shield
• 401(k) savings plan with match after 1 year
• Continuous professional training and development
• 8 Paid Holidays
• Paid Vacation and PTO available
• Employee focused culture with appreciation events all year
• Employee referral bonus

Sheakley is a family owned, outsourced human resources specialty firm dedicated to recognizing and meeting the growing needs of employers. Serving employers since 1963, we've evolved beyond our industry leading workers' comp and unemployment claims management programs to become one of the most respected and trusted providers of comprehensive payroll, time and labor management, and HR solutions and services. We proudly represent more than 50,000 clients.

QUALIFICATIONS

• Knowledge and skills at a level normally acquired through the completion of a High School education or comparable work experience
• Working knowledge of Bureau of Workers Compensation policies and Procedures as they relate to bill payment
• Working knowledge of ICD and CPT codes as they relate to Workers Compensation Injuries
• Certified Coding Credentials from one of the following: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Associate (CCA), Certified Coding Specialist Physician-based (CCS-P), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Professional Coder-Payer (CPC-P), Certified Inpatient Coder (CIC), or Certified Outpatient Coder (COC).
• Working knowledge of Miller criteria (State, ex rel. Miller v. Industrial Commission, 1994, 71 Ohio St. 3d 229
• Excellent written and communication skills
• Excellent customer service skills
• Experience with various computer programs and data entry

ROLE AND RESPONSIBILITIES

• Reports directly to the Billing Team Leader
• Process incoming bills/invoices that are received by fax, mail or electronically within the timeframes as set by the Bureau of Workers Compensation
• Assist team members with coding questions
• Assist RN Clinical Liaisons with reviews as to payment determination for non- allowed, related conditions
• Monitors, reviews and analyzes bill coding to assist in the appropriate processing of bills
• Maintain communication between the billing department and other areas of the Managed Care Organization to resolve billing issues
• Provide excellent customer service for bill related calls from Providers, Attorneys, Injured Workers and Ohio Bureau of Workers'
• Assist with other departments as needed to facilitate the Managed Care Organization's work flow
• Demonstrates Sheakley Core Values
• All other duties as assigned

Current Openings for Coding Specialist Jobs at DO NOT USE Sheakley Group, Inc DO NOT USE