Borinquen Medical Centers is based in Miami, Florida and is seeking to hire a Certified Billing Coder Specialist to join our team. The CBC Specialist will be performing all duties and responsibilities pertaining to medical billing and collections at the specialist level.
TASKS AND RESPONSIBILITIES
Reviews medical record documentation to abstract and assign diagnoses, procedures, and modifiers for statistical classification and reimbursement purposes.
Performs various coding assignments under the direction of the Billing Manager.
Provides feedback regarding documentation and coding issues.
Utilizes software applications and coding references, including electronic, to perform coding related tasks. Assists with the training of Coders Level I.
Responsible to assess and review all charges related to the assigned department/s.
Review the medical practice management billing system and effectively obtain necessary information for claims billing, coding and collections processes.
Review the self-pay SFS accounts for proper monies allocations; transfer monies from misapplied credit to the account balance as needed.
Work as a team member when answering patient billing questions, which includes billing hotline, patient phone calls, or written communications such as billing statements or notes from patients; Notify and request assistance from supervisor or manager when encountering difficult billing issues/matters related to insurance, patient billing, or clinical department requests or inquiries.
Abstract pertinent information in order to assign all ICD-10-CM diagnosis codes, E/M codes, procedure codes, HCPCS/CPT codes, modifiers, etc. as per documentation.
Performance of physician queries as required for clarification of documentation prior to final code assignment. Queries will be performed when information contained within the record is conflicting and/or ambiguous and requires clarification from the physician.
REQUIREMENTS High School Diploma.
Coding Certification by the American Health Information Management Association (AHIMA) or American Association Professional Coders (AAPC) required.
Knowledge of Communication Programs such as MS Word, Excel, Outlook.
Excellent Customer Service skills are required.
Minimum two years or more of Medical Billing, Coding and Collections experience.
BENEFITS Medical/Dental/Vision/Short Term Disability
Company paid long term disability
Life insurance
401K Plan
Standard Paid Holiday's
Vacation and Sick Time
Amazing Team & Atmosphere