Fast Pace Health strives to provide a best in class patient experience in every interaction. We are seeking a highly-skilled, experience Coding Claim Escalation Specialist to join our growing team. Our ideal candidate will be deeply committed to nurturing our Fast Pace mission of teamwork, communication, empowerment and quality care in a friendly and encouraging environment.

Fast Pace Health aims to push for a new vision of healthcare in rural communities that will consist of an array of different services. We are changing the delivery of healthcare in these rural areas by integrating excellent patient care, education, accessibility, and community service, in a way that puts the patient’s needs first and improves the health status of our communities.

Fast Pace Health is a growing company! You will have the support and mentoring you need to become the best Coding Claim Escalation Specialistt you can be! We will help you grow your professional goals, and can offer you a rewarding career path. We work as a dynamic team to surpass our business goals by ensuring our patients receive the best care possible in a positive environment. 

-We offer competitive compensation and benefits such as holiday pay, PTO, medical, dental, vision and Work-Life balance, to name a few. 

- As a Fast Pace Health employee you will have the opportunity to participate in community events and outreach programs. This includes, but is not limited to, seasonal parades, book drives, festivals, trunk or treating, fun runs, and more. We dress up for holidays and celebrate with pot lucks. At Fast Pace, our community is our family, and we are a family first community.

Below, we have provided a high level view of what the role entails, with the complete job description discussed in detail during our interviewing process.

1. Works independently on collecting and managing of outstanding accounts, to include following up with insurance companies, reconciling accounts, filing corrected claims, appealing claims (when appropriate), and following up on all denials to ensure processing/reprocessing, and payments.
2. Will research charts and resolve billing errors for Coding related denials and will work with the Coding Manager to help support the Revenue Services support staff.
3. Collaborates with the Coding Manager, to report coding denial trends to ensure proper claim resolution.
4. Collaborates with patients, vendors, and internal departments to resolve conflicts on accounts related to coding denials and resolves any outstanding coding denied claims for unapplied/unidentified invoices.
5. Ensures accuracy in claims escalation (coding denials management) while adhering to all Company, State, and Federal regulations.
6. Participates with the team to implement and adhere to policies, procedures, and systems to ensure timely resolution of claims in current Practice Management system.
7. Ensures adherence to objectives, operating policies and procedures, and strategic action plans for achieving goals.
8. Collaborates with Coding Manager to create new processes and procedures as needed to improve overall coding process.
9. Performs a variety of administrative duties including, but not limited to: answering phones, faxing and filing.
10. Maintains up-to-date knowledge of regulatory changes affecting coding requirements.
11. Understands, and communicates nuances of unique coding requirements for all major payers where Fast Pace is currently located to the Coding Manager.
12. Demonstrates a knowledge of medical terminology, International Classification of diseases (ICD) and Current Procedural Terminology (CPT) coding,
13. Responsible for learning the aspects of compliance in the company by completing all mandatory compliance training.
14. The ability to maintain friendly, cordial relations with fellow coworkers.
15. The ability to build and maintain confidence and credibility with fellow coworkers.
16. The ability to maintain friendly, cordial relations with all clients and employees; maintain a positive work atmosphere by acting and communicating in a manner that results in a positive work relationship with customers, co-workers and managers.
17. The ability to perform the physical, use of senses, cognitive, and environmental functions of the position, as specified on the physical demands.
18. Ability to comply with Company standards of operations.
19. Ability to adhere to the Core Values of the Company, of teamwork, communication, empowerment, quality of care, and friendliness.
20. The ability to promote and maintain a respectful culture of employee, employer and business confidentiality.
21. Perform other duties as assigned by management.

• 3+ years in in Claims Escalation (AR Denials) in a healthcare setting and/or 2+ years in Claims Escalation (AR Denials) and 1+Years in Coding in a Physician Health Care settting.

• CPC (Certified Professional Coder), or CCS –P (Certified Coding Specialist – Physician), or CPB (Certified Professional Biller) Required.

Fast Pace Health is committed to the principle of equal employment and creating an inclusive environment for the benefit of our employees, our patients, and our communities. We are an equal opportunity employer and welcome job applications from qualified individuals without regard to race, creed, color, ancestry, religion, sex, sexual orientation, gender identity, pregnancy, national origin, age, disability, veteran status, marital status, parental status, genetic information or any other legally protected characteristics or conduct.
Please refer to the links below for information regarding your rights under certain federal laws:
https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/fmlaen.pdf
https://www.dol.gov/whd/regs/compliance/posters/eppac.pdf
Mississippi Residents Only:
In Mississippi, Fast Pace requires pre-employment/drug/alcohol testing as a condition of employment. The law requires that Fast Pace notify applicants, in writing, upon application and prior to the collection of the specimen for drug and alcohol test, that they may be tested for “the presence of drugs [or alcohol] in their metabolites.” Miss. Code. Ann. § 71-7-3(5).

Applicants are limited to individuals from states, excluding the following:  California, Colorado, Hawaii, Illinois, New Jersey, New York, Rhode Island, Washington, and the District of Columbia.