Employer: | Genevive |
Type: | PER DIEM, FULL TIME |
Skills: | Coding,Revenue Cycle,Billing |
Specialties: | Primary Care, Geriatrics |
Preferred Certifications: | CMC,CPC,CCS |
Required Experience: | 3 to 4 years |
Preferred Experience: | 5 to 7 years |
Location: | ,Minneapolis 55413, MN, US |
Date Posted: | 7/16/2019 |
Position Summary: The Medical Coding Insurance Specialist utilizes knowledge of insurance regulations, health insurance contracts, medical coding, and bookkeeping to perform a variety of revenue cycle support activities. These include but are not limited to: medical coding, ensuring the accuracy of the information housed in the practice management system, submitting accurate claims, and following up on accounts.
Supervision Received: Director of Business Operations
Supervision Exercised: n/a
Hours per Pay Period: 80 Classification: 1 Full-Time 0 Exempt
Education and Qualifications:
Required:
• High School Diploma, GED, or suitable equivalent
• Coding Certification from APPC or AHIMA
• Minimum of one (1) year work experience as a Medical Coder
Strongly Preferred:
• Minimum five (5) years medical coding work experience working in healthcare; two (2) years medical coding work experience with geriatric populations
• Knowledge of general accounting principles, revenue cycle processes, medical insurance, and associated regulations
• High degree of accuracy and attention to detail
• Ability to manage multiple tasks/projects, and deadlines simultaneously and to identify and resolve exceptions and to interpret data; proficient in data entry
• Customer service orientation and negotiation skills, including the ability to interface with third party payers
• Excellent communication skills, both verbal and written
• Proficient computer skills, including Microsoft Office applications
Essential Job Functions:
• Medical Coder Responsibilities:
o Extracts relevant information from patient records
o Liaisons with providers and other parties to clarify information
o Examines documents for missing information; corrects information as needed
o Assigns CPT, HCPCS, ICD-10-CM, and DRG codes
o Ensures documents are grammatically correct and free from typing errors
o Preforms chart audits
o Answers questions, advises, and trains providers and staff on medical coding
o Informs supervisor of issues with equipment and computer program
o Ensures compliance with medical coding policies and guidelines; understands the application of each code set
o Maintains current knowledge regarding coding and diagnostic procedures
o Works towards compliance in all aspects of coding, participates in compliance activities as requested, and conducts/participates in provider coding reviews, as requested
• Insurance Specialist Responsibilities:
o Maintains practice management system by entering new patient data, billing information, Carrier correspondence, EOBs, and payments received into the system
o Responsible for entering, reviewing, verifying, and maintaining all patient information in the practice management system, including verifying patient insurance information
o Completes Claims Center daily tasks including charge review and claims inspector; creates and maintains custom claim edits
o Reviews RCM weekly and monthly reports and takes action steps as necessary
o Provide productivity and financial reports as directed
• Follows HIPAA guidelines when accessing and sharing patient information
• Maintains patient and business confidentiality
• Supports additional coding, billing, and practice management projects as needed
• All other duties as assigned