BMC Software

Medical Biller The Medical Biller serves as the department expert in regards to all billing that is processed for the assigned area. The Medical Biller resolves unsettled items and assists in the recovery of underpayments and denials relative to patients' accounts and third party payers. Works with billing staff to ensure informational data is accurate and timely, optimizing revenue and maximum cash flow benefit to the clinics. Duties also may include: ensuring charge entry and coding is correct, verifying insurance coverage, managing Workques of charges, edits and follow up in Epic. Manages consent forms for services billed to Masshealth. Position: Billing Assistant-U Department: OB-GYN Administration Schedule: Full Time Essential Responsibilities / Duties: Responds to billing company requests for additional information; includes correcting missing/invalid modifiers, diagnosis codes, or other elements to enable submission of billing to payers through Epic Workques....

Inpatient Lead Coder Assigns appropriate codes to reflect all diagnoses and procedures extrapolated from physician and appropriate nursing documentation during a patient encounter according to the most current coding methodologies, including ICD-10-CM/PCS, resulting in appropriate reimbursement. Abstracts required data to input into the Medical Center's computerized data base. Converts all patient visits and encounters into appropriate DRG (Diagnosis Related Group) assignments in order to correctly submit the optimal reimbursement for each patient encounter coded. Assists the IP Coding Manager in administrative duties such as assignment of coding work, analysis of the unbilled report, and other duties as assigned. Essential Responsibilities / Duties: Assists IP Coding Manager with assignment of work to Coders, analysis of the daily unbilled report, and follow-up on unanswered physician queries and missing documentation. Assists PFS in researching unbilled accounts and...

Physician Practice Coder Conducts CPT and ICD-10 coding reviews by detailed examination of each line item in the physician medical record and charge session. Performs chart audits to ensure correct coding and charge capture have been applied appropriately. Works closely with key revenue cycle stakeholders to understand reasons for denials, root cause analysis, and feedback to providers. Schedule: 40 hours Essential Responsibilities / Duties Reviews patient medical records and abstracts medical data that identifies all diagnoses and procedures. Codes diagnoses, procedures, and appropriate modifiers from the medical record documentation using ICD-10-CM, CPT4/HCPCS classification systems. Refers to a computerized encoding system, written coding aids and other reference materials to ensure accurate coding for billing. Sequences diagnoses, procedures and complications by following ICD-10-CM, CPT-4, and the Uniform Hospital Discharge Data Set (UHDDS); adheres to the Official...