Medical Billing/Coding Specialist

Center for Neurosciences • AZ

124d

About The Position

A nonexempt position responsible for reviewing codes submitted by physicians/providers to assure accurate assignment of HCPCS, ICD 10 and CPT codes for inpatient/outpatient professional charges submitted via encounters, superbills and/or reports. Review encounters, superbills, reports and medical records to assign appropriate billing and diagnosis codes for provider services.

Requirements

• High school diploma or equivalent. Some college preferred.
• Minimum two years of recent medical billing and coding experience or any equivalent combination of experience, training and/or education approved by the Medical Billing Manager and/or Human Resources.

Responsibilities

• Keys charge information into entry program and produces billing.
• Reviews physicians’ notes and charts for accuracy.
• Obtains any necessary clarification of information on the notes and charts.
• Ensures that all medical records have been signed by the appropriate parties.
• Assigns appropriate medical codes to all diagnoses or services.
• Identifies and optimizes revenue opportunities.
• Enters and organizes codes into management software.
• Reviews charge correction requests.
• Performs related duties as assigned by Coding Manager.
• Maintains compliance with Federal, State and payer regulations.
• Maintains compliance with all company policies and procedures.
• Works claims and claim denials to ensure maximum reimbursement for services provided.
• Processes insurance claims including Medicare/Medicaid, managed care and other commercial plans.
• Researches all information needed to complete billing process including getting charge information from physicians.
• Works with other staff to follow-up on accounts until zero balance.
• Assists in error resolution and claim status.
• Assists with payment posting and collections to ensure patient accounts are current as assigned.
• Identifies patient accounts due for refunds as assigned.
• Participates in educational activities, trainings or seminars.
• Other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED
• Number of Employees: 11-50 employees