Medical Billing Coding Specialist
Medical Billing Coding Specialist
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
MEDICAL BILLING CODING SPECIALIST
We encourage Military Veterans and Military Spouses to apply
SITE OF SERVICE:
DOJ (Department of Justice Prison) Butner NC (Onsite at DOJ)
Federal Correctional Complex (FCC) located in Butner North Carolina at Old NC Highway 75 Butner NC 27509.
QUALIFICATIONS:
Experience: Possess 2 years of experience in a healthcare or insurance environment
Certification: Must have one of the following certifications:
Registered Health Information Administrator (RHIA)
Registered Health Information Technician (RHIT)
Certified Coding Specialist (CCS)
Certified Coding Assistant (CCA)
Certified Professional Coder (CPC)
CORE RESPONSIBILITIES:
Requires strong analytical organizational and customer service skills. Strong oral and written communication skills. Proficient in database software.
Selected applicant must have a thorough knowledge of Medicare payment principles to include but not be limited to:
oMedicare Inpatient Prospective Payment System
oMedicare Outpatient Prospective Payment System
oMedicare Ambulatory Surgical Center Payment Rates
oMedicare Part B Physician Fee Schedule
oMedicare Anesthesia Physician Services
oMedicare Clinical Laboratory Fee Schedule
oMedicare Drugs and Biological Payment Amounts
Utilizing automated records of ingress and egress for each facility at the FCC the contractor shall verify time worked for other contract staff providing services at the FCC.
Utilizing Medicare National Correct Coding Initiative (NCCI) coding principles the selected applicant shall verify that invoices for medical care to inmates provided by contracted medical services providers are coded appropriately based upon the care documented in the inmates medical records.
Utilizing Medicare Part A and Part B payment regulations and payment recommendations from a third party adjudicator the selected applicant shall verify that invoices for the provision of medical care to inmates which have been determined to have been properly coded are also billed appropriately in accordance with the contracted terms and conditions of the contract under which the medical services were provided.
Utilizing contracted rates provided by the Government the selected applicant shall verify that invoices for services performed at the FCC by other contracted medical services providers are accurately billed based upon the inclusion of approved/verified time sheets the application of correct unit prices to the number of hours billed and the overall total calculation.
Utilizing knowledge of Medicare coding and billing standards and procedures selected applicant shall investigate all inconsistencies in invoices identified by third party adjudicator.
Other duties will include but are not limited to filing composing memoranda maintaining suspense files data entry and preparation of cost analysis financial obligations reconciliations budget and expenditures tracking.
HOURS:
The work schedule will be 30 hours per week Monday through Friday excluding federal holidays. The schedule will include a hour unpaid lunch break.
SPECIAL REQUIREMENTS/SKILL
Must be comfortable in a fastpaced dynamic be able and willing to reprioritize on short notice and work on multiple simultaneous and able to work with various work skills required. Time management skills required. The ability to meet deadlines in a deadline intensive environment is essential. High level of adaptability and willingness to embrace change in a fastpaced demanding environment.
MEDICAL BILLING CODING SPECIALIST
SITE OF SERVICE:
DOJ (Department of Justice Prison) Butner NC (Onsite at DOJ)
Federal Correctional Complex (FCC) located in Butner North Carolina at Old NC Highway 75 Butner NC 27509.
QUALIFICATIONS:
Experience: Possess 2 years of experience in a healthcare or insurance environment
Certification: Must have one of the following certifications:
Registered Health Information Administrator (RHIA)
Registered Health Information Technician (RHIT)
Certified Coding Specialist (CCS)
Certified Coding Assistant (CCA)
Certified Professional Coder (CPC)
CORE RESPONSIBILITIES:
Requires strong analytical organizational and customer service skills. Strong oral and written communication skills. Proficient in database software.
Selected applicant must have a thorough knowledge of Medicare payment principles to include but not be limited to:
Medicare Inpatient Prospective Payment System
Medicare Outpatient Prospective Payment System
Medicare Ambulatory Surgical Center Payment Rates
Medicare Part B Physician Fee Schedule
Medicare Anesthesia Physician Services
Medicare Clinical Laboratory Fee Schedule
Medicare Drugs and Biological Payment Amounts
Utilizing automated records of ingress and egress for each facility at the FCC the contractor shall verify time worked for other contract staff providing services at the FCC.
Utilizing Medicare National Correct Coding Initiative (NCCI) coding principles the selected applicant shall verify that invoices for medical care to inmates provided by contracted medical services providers are coded appropriately based upon the care documented in the inmates medical records.
Utilizing Medicare Part A and Part B payment regulations and payment recommendations from a third party adjudicator the selected applicant shall verify that invoices for the provision of medical care to inmates which have been determined to have been properly coded are also billed appropriately in accordance with the contracted terms and conditions of the contract under which the medical services were provided.
Utilizing contracted rates provided by the Government the selected applicant shall verify that invoices for services performed at the FCC by other contracted medical services providers are accurately billed based upon the inclusion of approved/verified time sheets the application of correct unit prices to the number of hours billed and the overall total calculation.
Utilizing knowledge of Medicare coding and billing standards and procedures selected applicant shall investigate all inconsistencies in invoices identified by third party adjudicator.
Other duties will include but are not limited to filing composing memoranda maintaining suspense files data entry and preparation of cost analysis financial obligations reconciliations budget and expenditures tracking.
HOURS:
The work schedule will be 30 hours per week Monday through Friday excluding federal holidays. The schedule will include a hour unpaid lunch break.
SPECIAL REQUIREMENTS/SKILL
Must be comfortable in a fastpaced dynamic be able and willing to reprioritize on short notice and work on multiple simultaneous and able to work with various work skills required. Time management skills required. The ability to meet deadlines in a deadline intensive environment is essential. High level of adaptability and willingness to embrace change in a fastpaced demanding environment.
LUKE is an Equal Opportunity employer.
Links:
To learn more about LUKE please visit our website at:
Required Experience:
Manager
Employment Type
Full-Time
