Key Facts

Remote From:

Full time

English

Hard Skills

ICD 503 Cppunit Documentation Generation Revenue Management Digital File Management Billing Medical Coding Provider Network Management Patent Applications Medical Billing Medical Practice Management Software Performance Metric Escalation Procedures

Other Skills

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Professionalism
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Communication
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Time Management
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Teamwork
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Detail Oriented
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Punctuality
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Social Skills

Roles & Responsibilities

Strong knowledge of ICD-10 and CPT coding, including modifier usage.
Familiarity with NCCI edits and their application to coding and billing.
Ability to review clinical documentation to ensure clean claim submissions.
Excellent communication skills to interact with providers and medical office staff within the MSO.

Requirements:

Ensure accurate billing by assigning correct ICD-10 and CPT codes, modifiers, and applying NCCI edits.
Review documentation to maintain high-quality, clean claim submissions.
Review pending missing billing slips and perform follow-up to ensure timely billing.
Review DME reports daily and coordinate with medical staff to escalate issues as needed.

Job description

Division/Department – MSO

Reports to – Revenue Cycle Manager

GENERAL JOB DESCRIPTION

Reports directly to the Revenue Cycle Manager and is responsible for ensuring all patient visits are entered into the Practice Management System with appropriate and accurate ICD-10 and CPT codes. The charge capture specialist will be the immediate liaison for documentation improvement and optimization for revenue and compliance purposes. They will also have interactions with providers and their medical office staff within the MSO. Other responsibilities as defined below.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

Ensures accurate billing of services provided by OLS providers, including assigning the correct ICD-10 and CPT codes, modifier usage, and knowledge of NCCI edits.
Review documentation thoroughly in order to maintain high-quality results for submission of clean claims.
Reviews pending missing billing slips and ensures appropriate follow-up as necessary for timely billing.
Review DME reports daily to ensure appropriate billing. Correspond and coordinate with medical staff to escalate any issues.
Able to maintain quantity and quality goals for metrics in place.
Attends regular staff meetings, as requested.
Promote and adhere to OrthoLoneStar’s mission, core values, and vision.
Maintain satisfactory attendance in accordance with policy.
Other duties as assigned.