Position Summary: Verifies and ensures the accuracy, completeness, specificity and appropriateness of diagnosis codes on services rendered. Complete appropriate paperwork/documentation/system entry regarding claim and encounter information. Support and participate in process and quality improvement initiatives. Assist with clinician billing and documentation training.
Education: Requires an associate degree from Accredited Heath Information Technology program, Bachelor's degree preferred. Coding certificate with AHIMA approval status. RHIA, RHIT, CCS or CCS-P certification status required.
Experience:
- Three (3) years' experience as a Certified Medical Biller/Coder Experience at a Federally Qualified Health Center (FQHC) preferred.
- Lab coding experience required.
Skills and Abilities:
- Strong written and verbal communication skills, strong analytical skills, organizational and time management skills .
- Knowledge and experience in a healthcare environment of billing and reimbursement of Medicaid, Medicare and other
- Knowledge of LCD/NCD coding policies regarding Laboratory Services
- Ability to devise training materials to teach staff correct
- Professional demeanor and appearance, strong ethics, team player with positive attitude.
- Strong knowledge of Microsoft XP products(Word, Excel, and PowerPoint)
Transportation Requirement: None
License(s)/Certification(s) Required: HIA, RHIT, CCS or CCS-P certification status required.
Essential Functions
- Reviews medical record documentation to identify all services provided by
- Renews appropriate CPT-4 procedure code(s) to accurately report the clinician services provided to
- Renews appropriate ICD-10 diagnosis code(s) to accurately support the need for each clinician service.
- Assists with the submission of billing
- Obtains and submits copies of medical documentation with clinician charges to support billing to third party
- Identifies clinician services provided but not adequately documented in the medical advise supervisor and clinicians of deficiencies to support charge capture of all billing services.
- Analyzes and resolves clinician claim rejects and denials from the billing system or insurance carriers related to coding
- Assists with clinician billing and documentation training in daily interactions with clinicians and other routine training
- Compiles monthly reports as
- Identifies trends/problems in medical documentation and recommends possible solutions.
- Provides training support to billing department in handling of rejections and denials of
- Correction and submission of reference lab billing requests.
- Performs other duties as assigned.
Marginal Functions
- Assists in audits.
- Codes input forms as required.
- Provides backup support to billing department.
Supervises: None
NOTE: SMOKING IS PROHIBITED IN THE WORK ENVIRONMENT
NOTE: ALL APPLICANTS MUST PROVIDE CONTACT INFORMATION FOR THREE REFERENCES
AN EQUAL OPPORTUNITY SERVICES PROVIDED ON A NON-DISCRIMINATORY BASIS