Offer summary

Qualifications:

High school diploma or equivalent., No prior experience necessary., Knowledge of medical coding and billing processes is beneficial., Ability to use web-based tools and coding resources..

Key responsibilities:

Review and verify medical codes and procedures for accuracy.

Contact physicians for clarification of clinical information.

Enter and verify demographic and billing information into the system.

Assist with audits and ensure timely, accurate data entry.

Job description

Essential Functions/Competencies:

Reviews and verifies assigned codes and sequences diagnosis and procedures according to regulations (e.g., ICD9CM, CPT, HCPCS, UHDDS, and HIPPA coding guidelines) and abstracts accurate clinical information to obtain the most specific code possible to ensure an accurate health information database.
Contacts physicians for clarification of clinical information as appropriate for account type as necessary
Maintains up-to-date knowledge of coding and regulatory requirements to accurately assign codes for appropriate reimbursement of healthcare services. Continue to strive to meet continuing education requirements for certification or to maintain working knowledge of on-going changes to CPT, HCPS, and ICD codes
Utilize web-based tools, coding books, and other available resources to facilitate providing insurance companies with required information.
Utilize multiple information systems to accurately select the correct patient account in order to appropriately review and verify patient billable charges.
Participate in and assist with audits to capture lost charges and determine the accuracy of billing as necessary.
Gathers demographic, insurance, and health care encounter information from a variety of sources for the purpose of billing medical provider professional fees.
Enter and verify the appropriate demographic information, charges, and comments into the computerized billing system.
Perform manual charge entry by gathering demographic, insurance, and healthcare encounter information from a variety of sources in order to accurately bill medical provider professional fees.
Ensure information entered in the system is done in an accurate and timely manner. Verifying charges on accounts as needed and providing detailed and accurate comments for future reference.
When necessary, create a registration in the appropriate system (EPIC) from documentation provided to accurately record encounter and accurately bill the appropriate stakeholders.
Responds to inquiries from provider offices and various internal departments in a timely and accurate professional manner.

Educational Requirements:

High school diploma or its equivalent.

Experience Requirements:

No experience necessary.

Required profile