Billing and Coding (Medical)

Sports Medicine Associates of San Antonio•San Antonio, TX

6d•Hybrid

About The Position

Orthopedic sports medicine physician practice looking for a highly motivated individual to join our team as a Certified Medical Biller and Coder (Medical).

Requirements

High School diploma or GED required
Experience with electronic scheduling system and electronic medical records (EMR) - required.
Minimum of 1+ year experience as a medical biller/coder, surgical, orthopedics.
Must demonstrate strong leadership and effective communication skills.
Excellent planning, organization and managements skills.
Ability to multi-task, works in a fast-paced work environment, and demonstrates team cooperation.
Dependable transportation required.
Travel between locations may be required.

Nice To Haves

Certified Professional Coder (CPC) - preferred

Responsibilities

Extracts relevant information from patient records and acts as liaison with providers and other parties to clarify information
Examines documents for missing information; corrects information as needed
Assigns CPT, HCPCS, ICD-10-CM codes
Performs patient chart audits and provides coding feedback and education to clinical team as needed
Answers questions, advises, and trains providers and staff on medical coding
Ensures compliance with medical coding policies and guidelines; understands the application of each code set
Maintains current knowledge regarding coding and diagnostic procedures
Works towards compliance in all aspects of coding, participates in compliance activities as requested, and conducts/participates in provider coding reviews and education, as requested
Maintains practice management system by entering accurate data, verifying and updating insurance, and claims information
Key/collect, post and manage patient account payments
Investigates rejected claims to see why denials were issued and correct claims.
Completes Claims Center daily tasks including charge review and claims inspector; creates and maintains custom claim edits and works the client action worklist
Reviews and provides RCM weekly and monthly reports including productivity and financial reports as directed and completes action steps as necessary
Follows HIPAA guidelines when accessing and sharing patient information
Maintains patient and business confidentiality
Provides timely and professional customer service, verify discrepancies by and resolve patient billing issues, answer questions from patients, facility staff, and third-party vendors
Supports additional coding, billing, and practice management projects as needed
Regular attendance required
Performs other related duties as assigned or requested.
The company reserves the right to add or change duties at any time.