Billing Coordinator

USPI•The Woodlands, TX

About The Position

USPI Memorial Hermann Surgery Center Pinecroft is hiring a Billing Coordinator. The center has six operating rooms and two treatment rooms and performs outpatient procedures in General, GI, ENT, Neurosurgery, Orthopedic, Pain, Plastic, Podiatry, Spine, and Urology. The position is weekdays only, with no holidays, weekends, or call. Some early mornings and later evenings may be required; the schedule may change based on the surgical schedule and daily workflow. The Billing Coordinator identifies procedures and principal diagnoses, codes procedures, prepares and closes daily batches, submits and rebills patient charges to the appropriate payers, and maintains coding and billing records. The role also supports medical record assembly and completion, chart confidentiality, implant tracking and charges, form and charge-master updates, operative report follow-up, transcription service coordination, incoming calls, and Accounts Receivable coverage as needed. The coordinator follows applicable employee health, safety, personnel, and staffing policies and informs the Business Office Manager of relevant day-to-day situations.

Requirements

High school diploma or GED.
One year of experience in ambulatory surgery center billing, collections, and medical records.
Demonstrated proficiency in current coding conventions for ambulatory surgery medical records.
Knowledge of third-party billing, including Medicare, managed care, commercial, and workers’ compensation.
Ability to operate a 10-key calculator and demonstrated computer skills.

Nice To Haves

RHIT or ART credential preferred.

Responsibilities

Identify procedures and principal diagnoses performed for each patient and properly code each procedure.
Prepare batches for dates of service; post, balance, and close them for the day.
Participate in the USPI EDGE program.
Work with the Medical Records Specialist to assemble completed medical charts, review charts for completeness, and obtain missing signatures or documents promptly.
Prepare charts for doctors’ signatures, maintain medical record files, and protect their confidentiality.
Obtain and file reports generated by outside vendors.
Submit patient account charges to the correct payer based on verified insurance information; rebill insurance payers and patients as needed and provide additional information when requested.
Maintain and check the implant tracking log and charge for implants or supplies not included in the procedure fee.
Update and maintain the master copy of current forms used at the center.
Update the charge master for new or deleted procedure or diagnosis codes.
Obtain surgeon signatures on operative reports and complete the medical record.
Maintain a log of outstanding operative reports and prepare a report for the MEC.
Ensure new physicians have a transcription number and information, and resolve transcription service problems.
Stay knowledgeable about current coding conventions and applicable state and federal laws related to billing, coding, and consents.
Back up the Accounts Receivable representative as needed.
Receive, screen, and route incoming calls professionally by the third ring.
Inform the Business Office Manager of applicable day-to-day situations.
Follow employee health, safety, personnel, and staffing policies.