Billing Specialist
Billing Specialist
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Job Description
Review Medical charts and documentation within but not limited to the facility EMR Epic to ensure that all Physician charges are captured in a timely and complaint with the Faculty Practice Group Compliance Manager and Administrator to ensue all FPG revenue is captured.
Responsibilities
Maintains a working knowledge of CPT and ICD-9/10CM coding principles governmental regulations protocols and third party requirements regarding coding and billing documentation.
Review and code patient encounters in EPIC with appropriate CPT ICD-9CM ICD-10CM and HCPCS codes for a multi-specialty group practice. Services include inpatient outpatient Emergency and ambulatory surgery for both E & M encounters and procedures.
Utilizes the Correct Coding Initiative (CCI) edits for accurate assigning of code and make use of the Local Coverage Determinations for medical necessity.
Identify any areas for improvement in documentation as related to compliance and billing. Query and/or meet with physicians regarding documentation and deficiencies.
Review edits denials and requests for additional information from the accounts receivable team to ensure the time processing of claims and all revenue is captured.
Maintains daily logs of coded work.
Assures that operative reports and other third party regulatory information are pertinent to coding requirements.
Works with management and the billing vendor daily on edit list and/or requests for additional information as to reduce denials and accounts receivable.
Attends various classes seminars or trainings to keeping current with CPC certification.
Reviews modifies and recommends changes to policies and procedures to improve coding.
Performs other related duties as assigned.
Qualifications
Requires a level of understanding that is obtained or acquired through the completion of a High School Diploma.
Knowledge of Medical Terminology ICD-9CM ICD-10CM and CPT 4 coding certification obtained by completion of a certificate course with CPC / CCS-P credentials.
At least six months coding experience preferred.
Certified Professional Coder/AAPC.
Ability to use computer. Average dexterity and knowledge of software applications such as Microsoft Excel etc.
Ability to work independently with minimal supervision at a high level of productivity.
Ability to examine scanned documents such as operative reports to determine accuracy of coding.
Ability to prioritize own work and proceed with minimum supervision.
Ability to maintain strictest confidentiality according to HIPAA regulations.
Ability to work effectively with others as well as physicians.
Be able to perform effectively with various commercial and hospital computer applications.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
