Medical Billing Charge Review

ProMedica•Toledo, OH

About The Position

Reviews physician office charges in the electronic medical record for diagnosis accuracy and completion of documentation in accordance with ICD-10 and CPT billing guidelines. Corrects billing edits in the billing software and notifies the supervisor of inconsistencies. Occasionally contacts staff or providers to obtain updates or clarification of missing medical-record information. Compiles reports of lost revenue resulting from missing documentation. The summary describes the general nature and level of work and is not exhaustive.

Requirements

  • High school diploma or equivalent.
  • Two years of medical billing experience.

Nice To Haves

  • Strong CPT and ICD-10 knowledge.
  • Cardiology background.
  • Epic experience.
  • Coding or billing certification.

Responsibilities

  • Review physician office charges in the electronic medical record for diagnosis accuracy and documentation completion according to ICD-10 and CPT billing guidelines.
  • Correct billing edits in the billing software.
  • Notify the supervisor of inconsistencies.
  • Occasionally contact staff or providers to update or clarify missing information in the medical record.
  • Compile reports of lost revenue due to missing medical-record documentation.

Benefits

  • Flexible benefits, including compensation and programs to support employees’ families, finances, and personal well-being.
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