Medical Biller​/Certified Coder

Overview

General

Summary:

Position is responsible all aspects of the medical billing process from generating completed medical claims submissions to a completed and paid A/R. Receive encounters from EMR or other means of encounters information and prepare the encounter for submission. Abstract clinical information from a variety of medical records charts and documents and assigns appropriate DX and/or CPT-4 codes. Work with WQ or per supervisor instructions.

Correct errors and denials from WQ or from other sources. Maintain AR processes to achieve organization’s goals.

Location: Kent Campus Hospital; Status: Full Time 80 Hours; Shift: Days; SALARY RANGE: 22.09 - 33.47 HOURLY.

• Review and analyze records to identify and correct errors.
• Prepare encounter and code correct medical billing claims generated from the EMR to bill insurance carriers or other parties.
• Submit the claims correctly from the first time.
• Determine the correct encounters code from patient records. Codes data from patient records. Manage detailed, specifically coded information. When needed, abstracts data from patients’ medical records to maintain full diagnosis coding and charges capture.
• Interact with physicians and assistants to ensure accuracy. As needed, responds to physician inquiries that concern the proper documentation of diagnostic procedural information and questions regarding coding assignments.
• Track patient data over multiple visits.
• Maintain line of communication with your providers, auditing and providing training as needed.
• Identifies and verifies documentation and coding complacencies.
• Inform the responsible channels of all issues that create loss of reimbursement, constant errors and other issues pertaining to management issues.
• Maintain A/R goals and daily A/R functions. Responsible for any revenue cycle issues due to medical billing issues.
• Correct error and denials from designated WQ.
• Participate in department meetings. Participate in training sessions or webinars per supervisor request.
• All other duties as assigned, within the scope and range of job responsibilities.

• Education:
  
  High School Diploma or GED
• Credential(s):
  Certified Professional Coder;
  Or equivalent (Certified Coding Specialist certification, Registered Health Information Technician, or Registered Health Information Administrator)
• Experience:
  
  Required:
  
  2 years’ experience in medical billing at EMR and PM environment from billing to A/R

• Education:
• Credential(s):
• Experience:
  
  Preferred: 3-6 years’ experience with full medical billing functions