Coding Specialist I

Urology America, MSO•Austin, TX

10d•Remote

About The Position

At Urology Austin , our mission is committed to improving the lives of patients and their families through compassionate, quality, and ethical care. In choosing a career with Urology Austin, you are choosing to improve the lives of patients and their families through a collaborative team-driven approach in an innovative, quality-driven, community-based setting. Better Medicine. Better Care. Position Summary: This is a remote position that performs various duties to accurately interpret and bill physician charges for physician services. Enters in the Billing System appropriate CPT and ICD-10 codes and bills charges. JOB RELATIONSHIPS Works in conjunction with providers, other front office staff, and billing staff to ensure complete and accurate billing.

Requirements

Coding Certification through AAPC (CPC) or AHIMA (CCS) required. Specialty Certification is desirable.
High school diploma required; Associates degree of formal billing education preferred.
Minimum three (2) years of billing/collections experience within a clinic or physician practice.
Strong working knowledge of insurance plans, including Medicare and Medicaid.
Strong working knowledge of ICD-10 and CPT coding.
Proficiency in computer software use, including Microsoft Office, EMR and Practice Management systems.
Effective time management and the ability to prioritize work.
Excellent communication skills and the ability to interact with all levels of management, staff, and physicians.
Knowledge of medical billing/collections practices.
Knowledge of ICD-10 and CPT Coding and third-party operating procedures and practices
Understanding of medical terminology.
Interpersonal and communication both with internal staff and external customers.
Skill in gathering and reporting insurance claim information.
Skill in reading medical chart terminology.
Time Management
Ability to communicate effectively with patients, staff, and external contacts via phone and through electronic mail.
Elicit appropriate information for patients to clinic staff.
Ability to read and understand information and ideas presented in writing.
Ability to apply general rules to specific problems to produce answers that make sense – deductive reasoning.

Nice To Haves

Specialty Certification is desirable.
Associates degree of formal billing education preferred.

Responsibilities

Performs initial charge review to determine appropriate ICD-10 and CPT codes to be used to report physician services to third party payers.
Assists in entering data from inpatient facesheets including but not limited to demographics, insurance plans, etc.
Interprets progress notes, operative reports, discharge summaries, and charge documents to determine services provided and accurately assign CPT and ICD-10 coding to these services.
Enters appropriate data into AllScripts PM by selecting the appropriate codes, diagnosis, modifiers, pathology, and provider information to complete the process.
Contacts physicians through EMR regarding procedures and other services billed to ensure proper coding.
Responsible for reviewing patient logs and other reports of clinical activity to ensure billing is captured for all patients.
Monitors and follows up to ensure all services that can be billed are captured and coded for billing.
Responsible for ensuring the batch processes for all coded charges.
Reviews all physician documentation to ensure compliance with third party and regulatory guidelines.
Works in conjunction with the Reimbursement staff to answer all inquiries regarding coding and billing for physicians.
Works in coordination with other members of the Central Billing Office as necessary.
Actively participates in problem identification and resolution and coordinates resolutions between appropriate parties.
Responsible for scrubbing claims to submit compliant, truthful, and correct coding based on payer rules.
Performs other related duties as required and assigned.