The main purpose of this position is to support Solutions Healthcare Management’s mission, vision, core values and customer service philosophy.
Continuously interact with physicians, office management billing staff to educate and keep SHM and clients compliant with CMS and industry standards.
? Accountable for outstanding customer service to all external and internal customers.
? Develops and maintains effective relationships through effective and timely communication.
? Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner.
PRINCIPAL RESPONSIBILITIES & DUTIES:
? Code and enter provider charges received on a daily basis for multi-specialty providers.
? Post various types of charges within 2 days of receipt. Scan batch immediately following application, if needed.
? Extract surgical procedures from Operative Reports or other documentation. Monitors and reviews coding work queues.
? Enter all charges by end of month with at least 95% accuracy
? Review charges of providers (physicians, nurse practitioners, physician assistants) regarding patients when a procedure/office visit is charged.
? Supports provider education regarding coding practices.
? Assist office staff with questions about accounts, referrals, ICD.9/ ICD.10 and CPT coding. Reviews charts and applies CPT guidelines for global surgeries and use of modifiers.
? Remains current on ICD-10-CM, CPT and HCPCS manuals for new and revised codes. Determines obsolete or poorly utilized codes.
? Demonstrate proficiency in assigning accurate codes for diagnoses, procedures, supplies and services.
? Assist offices with Electronic Medical Record coding assignments / errors.
? Determine payor rules and apply accordingly.
? Complete weekly tasks to Director of weekly progress.
? Other duties as assigned.
PHYSICAL DEMANDS & WORKING CONDITIONS:
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Majority of work is done while sitting with intermittent standing and walking. Handles light materials in a sitting position. Occasionally lifts, carries, pushes, or pulls lightweight materials. This position requires sustained visual attention as well as concentration. Verbal and hearing skills required for communication. Manual skills required for computer and typewriter keyboards, telephones, documents and document preparation.
? High School Diploma or equivalent is required.
? Associates Degree or higher in Medical Billing and Coding or related field is preferred. Degree is not required if candidate has a minimum of 2 years experience in physician practice billing.
EXPERIENCE & REQUIRED SKILLS:
? 1-2 years of experience required
? CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist Physician) is required
? Candidate must understand government and managed care payment methodologies and demonstrate knowledge of terms such as contractual adjustment, allowed amount, coinsurance, denial and denial processes.
? Extensive knowledge in CMS Guidelines is a must.
? Knowledge of business office procedures is required with strong attention to detail.
? Strong personal computer skills, particularly with Excel, Word, and Power Point required
? Skill in operating a copier and fax
? Ability to establish and maintain effective working relationships with patients, employees and co-workers
? Candidates must be able to interact with physician office staff and providers on a professional level and with the utmost confidence.
? Ability to meet deadlines and report to work on time
? Verbal and written and communication skills
Internal Contacts: Solutions’ Billing Department
External Contacts: Solutions’ Billing Clients
Job Type: Full-time
- Medical Coding: 1 year (Required)
- Health insurance
- Dental insurance
- Vision insurance
- Retirement plan
- Paid time off
- Flexible schedule
- Monday to Friday
- No weekends
- Day shift
- 8 hour shift
- Waiting period may apply
- Only full-time employees eligible