Position Description
About Harris County Public Health:
Harris County Public Health (HCPH) includes a network of more than 700 public health professionals working together to improve health outcomes for the third most populous county in the United States. HCPH provides a multitude of services such as medical and dental services, community programming, and health education for the approximately 2.3 million people in unincorporated Harris County. Through its core values of innovation, engagement, and health equity, HCPH strives to bring meaningful solutions to public health issues while keeping Harris County healthy and vibrant.
Medical Billing Coding Specialist Position Overview:
The Medical Billing Coding Specialist is responsible for billing and analyzing procedures and modifiers to troubleshoot and resolve billing issues, rejections, denials, and appeals. The Specialist will work as part of a cross-functional team to ensure all services provided by the Refugee program are billed in a timely and accurate manner and responsible for remaining up to date on billing guidelines. The individual handles sensitive and confidential information appropriately and in compliance with HIPAA regulations.
Duties & Responsibilities:
- Analyze billing procedures and modifiers to resolve billing issues, rejections, denials, and appeals.
- Work with Medicaid and all other governmental and commercial insurance carriers to resolve claim errors.
- Review billing charges and other data for accuracy and potential reimbursement enhancement.
- Obtain from applicable providers, clinic, and support staff complete diagnosis information to ensure proper assignment of codes.
- Respond to questions from staff, insurance carriers, and clients.
- Run, review, and summarize reports for billing, reimbursement, and accounts receivable.
- Work collaboratively with clinical and health information systems staff regarding billing/coding revisions in the electronic billing system.
- Work as part of a cross-functional team to ensure all services provided are coded and billed in a timely and accurate manner.
- Provide feedback on operational improvements to enhance the efficiency of charge capture to reduce denials and optimize overall reimbursement.
- Other duties as assigned
Harris County is an Equal Opportunity Employer
https://hrrm.harriscountytx.gov/Pages/EqualEmploymentOpportunityPlan.aspx
If you need special services or accommodations, please call (713) 274-5445 or email ADACoordinator@bmd.hctx.net .
This position is subject to a criminal history check. Only relevant convictions will be considered and, even when considered, may not automatically disqualify the candidate.
Requirements
Education
- High School diploma or GED equivalency
Experience:
- One (1) year of medical billing & coding denial resolution experience
Licensure:
- Current Billing and Coding Certificate such as Certified Professional Coder (CPC), Certified Coding Specialist (CCS) or Certified Medical Coder (CMC)
- Valid Driver’s License (Texas upon hire)
Knowledge, Skills & Abilities:
- Proficient in MS Office Suite (Word, Excel, PowerPoint, Outlook)
- Excellent communication skills (verbal & written)
- Ability to establish and maintain effective working relationships and foster teamwork in a diverse environment
- Ability to maintain confidentiality when dealing with sensitive information
- Ability to work well with public and staff members
- Knowledge of medical insurance billing procedures, third-party reimbursement and medical terminology
- Must use your personal mobile device for our Multifactor Authentication process
Core Competencies:
Organizational Leadership
- Understands the organizational mission
- Understands ethics and public good; is concerned with public trust
- Demonstrates respect for the opinions and beliefs of others
Collaboration
- Contributes to an inclusive workplace where equity, diversity, inclusion, and individual differences are valued and leveraged to achieve the vision and mission
- Demonstrates a sense of responsibility for the success of the group
- Collaborates with others to improve quality and address needs
Innovation
- Ability to adapt to change
Interpersonal Abilities/Personal Characteristics
- Treats others with courtesy, sensitivity, and respect
- Behaves in an honest, fair, and ethical manner
- Assesses and recognizes own strengths and weaknesses
- Uses sound judgment
- Self-motivated
- Organizes and maintains work environment to allow for maximum productivity
Communication
- Communicates clearly and effectively, both orally and in writing
NOTE: Qualifying education, experience, knowledge, and skills must be documented on your job application. You may attach a resume to the application as supporting documentation
but ONLY information stated on the application will be used for consideration. "See Resume" will not be accepted for qualifications.
Preferences
Experience:
- Six (6) months of experience billing and coding using an Electronic Medical Records system
General Information
Position Type, and Typical Hours of Work:
- Full-Time | Grant-funded
- Monday - Friday from 8:00 am to 5:00 pm
- Other days and hours as necessary.
Work Environment:
- This job operates in a professional office environment.
- This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
Physical Demands:
- This is a largely sedentary role; however, some duties would require the ability to lift up to 20 pounds and bending & standing for periods at a time.
Work Location:
- 1111 Fannin, Houston, TX 77002
Employment may be contingent on passing a drug screen and meeting other standards.
Due to a high volume of applications positions may close prior to the advertised closing date or at the discretion of the Hiring Department.