General
Summary:
Under
general supervision, follow established physician billing procedures to ensure
clean insurance claim generation leading to prompt payment of claims.
PRINCIPLE
DUTIES AND RESPONSIBILITIES:
1)
Comply
with all legal requirements regarding coding procedures and practices
2)
Conduct
audits and coding reviews to ensure all documentation is accurate and precise
3)
Assign
and sequence all codes for services rendered
4)
Contact
physicians and other health care professionals with questions about treatments
or diagnostic tests given to patients with regard to coding procedures
5)
Follows
all HIPAA (Health Insurance Portability and Accountability Act) rules and
regulations.
6)
Interacts
courteously and compassionately with other associates.
7)
Communications
with patients, visitors, and clients are friendly and professional.
8)
Maintains
a professional appearance.
9)
Projects
a positive image in the community.
10) Other duties as assigned.
SPECIAL
SKILLS AND ABILITIES REQUIRED:
1) Analytical/clerical
ability to review medical records, prepare appeal letters, correct claims and
provide support documentation as needed.
2) The interpersonal
and communication skills necessary to interact with Physicians, nurse
practitioners, office and hospital personnel
KNOWLEDGE,
PRACTICAL EXPERIENCE AND LICENSURE/REGISTRATION REQUIRED:
1) The level of
knowledge equivalent to completion of high school or GED.
2) 1-2 Years coding
experience preferred
3) Knowledge of CPT
and ICD-9 codes necessary
4) Certification
preferred prior to hire date
5) Knowledge of HIPAA
rules and regulations and the ability to apply these regulations on a daily
basis.
WORKING CONDITIONS:
1) Normal sedentary
office environment
The
above statements are intended to describe the general nature and level of the
work being performed by people assigned this job. They are not exhaustive lists
of all duties, responsibilities, knowledge, skills, abilities, and working
conditions.