CentralizedBilling Office FT/DAYS/ 80 hours per pay Summaryof Position To assign diagnosis and procedure codesaccording to provider documentation adhering to the official coding guidelinesset forth by the AMA, ICD-10-CM, AHIM, CMS, and HCFA. Position may also require management ofaccounts receivable for timely and maximum reimbursement by adhering to companybilling and collection policies.
Natureand Scope The Coder/Medical Billing Specialist isresponsible to assign and report these more specified codes from clear andconcise provider documentation. The Coder/MedicalBilling Specialist interfaces routinely with physicians, managers, and officestaff to insure documentation is clear and consistent, to maintain a continuousflow of information processing. The Coder/MedicalBilling Specialist is responsible to insure providers are notified of addendumsto documentation as needed to insure accurate and timely processing of allthird party billing (claims). The Coder/Medical Billing Specialist's responsibilitiesmay also include all system documentation, adjustments, charge and paymententry as required until collection or final disposition of the account balanceis resolved. The Coder/Medical BillingSpecialist performs daily, monthly and special system processing requirements.
Qualifications - Minimum High School diploma orequivalency certificate
- Minimum of one year physician codingexperience in conjunction with formal education in coding, (CPC, AHIM, RMC,CPC, CCS-P); or AB, AS from accredited college in Healthcare, which includescoding, medical terminology, and medical systems), medical terminology and/oranatomy; and/or a minimum of three years demonstrated coding "from physician documentation"experience.
- A minimum of three years previoushealthcare billing, collections experience, and/or managed care experience.
- Knowledgeable about third party billingregulations and CPT/ICD coding.
- Demonstrate accurate and timely dataentry skills.
- Familiar with various computer applications(ex: Microsoft Word, Excel, and billing software systems).
- Knowledge of spreadsheet applicationspreferred.
- Proven record of dependability
- Strong people, communication anddecision making skills.
- Must pass a basic CPT and ICD codingtest prior to hire, if coder has no credentials.