This position is responsible to code conditions and procedures as documented by clinics using the appropriate classification system as well as deal with patients and/or relatives regarding the nonmedical aspect of hospitalization related to payment for care and treatment. Employees of this class perform a wide variety of duties in maintaining cooperative relationships with patients and their families and in facilitating payment for hospital care and services. Typical Work Activities Codes and submits claims, ensuring codes are accurate and sequenced correctly in accordance with government and insurance regulations; Follow up with providers on any documentation that is insufficient or unclear and communicate with the other clerical staff regarding documentation; Search for information in cases where coding is complex or unusual; Review the previous days batch of patient notes for evaluation and coding; Ensure that all codes are current and active; Contacts self-pay patients during hospitalization to answer questions regarding costs and billing and discuss financial arrangements for treatment and care; Arranges for payment by self-pay patients in accordance with established guidelines; Advises patients and their families regarding available financial benefits and resources available; Collects on delinquent accounts by establishing payment arrangements with patients; monitoring payments and following up with patients when payment lapses occur; Submits claims electronically and/or paper to the patients insurance carrier for both primary and secondary claims; Accesses various internet websites to determine claim eligibility status, third party regulations, updates, newsletters, etc.; MINIMUM QUALIFICATIONS: Graduation from high school or possession of an equivalency diploma and either: Certification through the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC) and one year clinic coding experience; Two years of full-time paid experience in the preparation and maintenance of medical records in a healthcare setting which involved coding and indexing of medical procedures; filing and maintenance of health facility medical records; analysis and evaluation of medical records; and electronic health facility medical records use; or An equivalent combination of training and experience as defined by the limits of (A) and (B) above. #J-18808-Ljbffr