Billing Analyst FT ROC

UHS • Edinburg, TX

5d • Onsite

About The Position

Performs as the CBO liaison for STHS, DHL & FDRMC between ATCBO and Ancillary departments for issues related to billing, coding, medical necessity edits and documentation for all facilities. Reviews unbilled accounts to resolve all Outpatient Code Editor (OCE), National Corrective Coding Initiative (NCCI), Local Medical Review Policies (LRMP) and other edits. Assist the auditing team and participates in monthly charge auditing duties. Assists with review of denials for possible coding or modifier issues. Monitors and maintains appropriate reports as needed.

Requirements

• Excellent customer service skills required
• Clinical, Health Information Management, or Patient Financial experience
• Advance proficient in Microsoft Office applications and other data mining software
• Knowledge of Medical billing, collection practices, CPT, HCPCS and ICD10 Coding
• Understand Medicare & Medical assistance regulations as needed
• Good verbal communication skills in English/Spanish
• Must demonstrate commitment and adherence to STHS’s Compliance Program and Code of Conduct through compliance with all policies and procedures, the Code of Conduct, attendance at required training and immediately reporting suspected compliance issue(s) to the Compliance Officer.

Responsibilities

• Acts as the CBO liaison for STHS, DHL & FDRMC between ATCBO and Ancillary departments for issues related to billing, coding, medical necessity edits and documentation for all facilities.
• Reviews unbilled accounts to resolve all Outpatient Code Editor (OCE), National Corrective Coding Initiative (NCCI), Local Medical Review Policies (LRMP) and other edits.
• Assists the auditing team and participates in monthly charge auditing duties.
• Assists with review of denials for possible coding or modifier issues.
• Monitors and maintains appropriate reports as needed.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree