Care Center Biller (CPC Preferred) at Privia Health

The Coding and Billing Specialist (Care Center Biller) is responsible for complete accurate and timely processing of all designated claims reviewing and responding to daily correspondence from physician practices in a timely manner and providing information as requested or properly authorized. This person has strong follow up skills attention to detail a solutions focused mindset and a driving work ethic. This position works collaboratively with the staff in our physician practices as well as team members at Privia Headquarters.Primary Job Duties:Work directly with physicians and practice administrators on a daily basis to ensure optimal revenue cycle functionalityUnderstand and explain various health plan options and requirementsUnderstand and work with revenue cycle from point of scheduling to processing of claimsWork back end edits and denials and submit corrected claims and appealsCreate claims and work front-end edits and denials in EHR systemReview provider documentation and code for services as necessary to ensure proper charge capture following all payer and coding guidelines including those set forth by the AMA in the CPT ICD-10 and HCPCS code books CMS and other regulatory bodiesQuery providers as necessary regarding any questions that may arise in relation to the documentation providedWork with other team members to ensure that all of the teams assigned work is completed correctly and in a timely manner helping other team members as neededQualifications : Education: High School GraduateExperience: 3 years experience in a medical billing officeCharge entry experience requiredPreference for experience with athenaHealths suite of toolsStrong preference for coding experience and knowledge of CCI editsCPC or CPC-A preferredMust comply with all HIPAA rules and regulationsInterpersonal skills & attributesExcellent written and verbal communicationWillingness to train and mentor other team membersGreat time management skillsExcellent critical thinking skillsAbility to work independently and multi-task in a fast paced environmentTechnically capable and savvyThe hourly range for this role is $21/hr to $24/hr in hourly base pay and exclusive of any bonuses or benefits (medical dental vision life and pet insurance 401K paid time off and other wellness programs). This role is also eligible for an annual bonus targeted at 10%. The base pay offered will be determined based on relevant factors such as experience education and geographic location. Additional Information : All your information will be kept confidential according to EEO guidelines.Technical Requirements (for remote workers only not applicable for onsite/in office work):In order to successfully work remotely supporting our patients and providers we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost.Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that healthcare is local and we are better when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age color national origin physical or mental (dis)ability race religion gender sex gender identity and/or expression marital status veteran status or any other characteristic protected by federal state or local law.  Remote Work : YesEmployment Type : Full-time Key Skills EMR Systems,Medical Collection,Athenahealth,eClinicalWorks,ICD-10,Medical Coding,Medical office experience,ICD-9,Medical Billing,Medical Terminology,CPT Coding,Medicare Experience: years Vacancy: 1