Maintains expertise in the current procedure and diagnosis master file to ensure staff are utilizing accurate codes in order to reduce denial rates within the Office of Public Health (OPH), Bureau of Sanitarian Services (BSS). Maintains visibility on any Electronic Health Record (EHR) system updates and incorporates any revisions required of the Front Office Manual to reflect changes in the SHR. Processes accurate and timely medical charge entries for diagnoses, procedures, and services for Public Health Units (PHUs). Reviews diagnosis codes and charges for accuracy. Follows up on any incomplete/inaccurate charges and promptly makes necessary corrections. Resolves claim denials related to incorrect charges, insurance information, and patient demographic information. Maintains knowledge of medical coding rules and regulations including compliance and reimbursement. Runs daily reports to ensure daily end of day process is completed by clerical staff. Communicates with directors and administrators to address issues with staff and continues to provide ongoing training to identified staff to improve coding accuracy. Works with Billing Contractor, PHUs, and specialty clinic staff to resolve denials for the assigned regions. Assist Statewide Revenue Manager, and Billing Contractor with reporting and maintaining the current collection accounts receivable. Collects mail and payments daily and inputs payment information into DHD. Prints and mails Permits to operate to the various businesses and establishments. Corrects and communicates with Sanitarians regarding inaccurate applications in accordance with Permit Unit policy and procedures. Answers phones and helps route calls to proper staff as needed. Processes establishment closures daily in a timely manner. Other tasks as assigned.
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Job Type
Full-time
Career Level
Entry Level