Medical Charge Entry Representative

Orthopaedic Specialty Institute Medical Group of Orange County•Orange, CA

10d

About The Position

General Summary of the Job: This position is responsible for entering charges for all services rendered to the patient. The position is a Full-Time Non-Exempt position. Essential Job Functions: · Responsible for accurate posting of charges/payments from the data fee tickets · Ensure that the charges entered are correct as well as make corrections, as required · Accurate and appropriate medical necessity linkage of reported diagnoses · Interpret medical records to assign/verify appropriate diagnostic and procedure codes · Run and analyze payment balancing report to ensure accurate posting · Perform other duties and projects as assigned · Expert ability to add specific data such as modifiers, payer specific information, including authorization criteria, CPT, ICD-10-CM and HCPCS codes · Knowledgeable to append modifiers based on payer specifics, insurance and authorization requirements and referring physicians' unique attributes Expectations · Maintain confidentiality; adheres to all HIPPA guidelines/regulations · Demonstrate understanding of EPM/EHR system · Participate in Professional development activities to keep current with health care trends · Maintain work operation by following Policies and Procedures · Reliable with excellent attendance record Education and Experience · High School Diploma or GED. · 2 plus years of Orthopaedic coding and billing experience preferred Performance Requirements: Knowledge: · Knowledge of basic medical terminology and clinic processes · Knowledge of Orthopaedic coding preferred · Comprehensive understanding of coding, compliance and reimbursement policies Skills: Strong written, oral and interpersonal communication skills Good organizational skills Skill in establishing and maintaining cooperative working relationships with other employees Experience with EMR billing system Abilities: Ability to interact easily and effectively with others Ability to handle multiple tasks simultaneously Ability to plan, analyze and problem solve, organize and prioritize work Ability to work cohesively in a team atmosphere Ability to take the initiative, make sound judgment and strong work ethic Equipment Operated · Standard office equipment including computers, fax machines, copiers, printers, telephones, etc. Work Environment While performing the duties of this job, the employee is occasionally exposed to work near moving, mechanical parts; fumes or airborne particles; toxic or caustic chemicals and risk of electrical shock. The noise level in the work environment is usually moderate. There is a combination of office and clinical settings. Mental/Physical Requirements While performing the duties of this job, the employee is regularly required to stand; walk, use hands to finger, handle or feel; reach with hands and arms above shoulder level and talk or hear. The employee is frequently required to stoop, kneel or crouch. The employee is occasionally required to sit; climb; or balance. The employee must regularly lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, color vision, depth perception and ability to adjust focus. Requires working under stressful conditions. Some travel to satellite offices and meetings is required.

Requirements

High School Diploma or GED.
Knowledge of basic medical terminology and clinic processes
Strong written, oral and interpersonal communication skills
Good organizational skills
Skill in establishing and maintaining cooperative working relationships with other employees
Experience with EMR billing system
Ability to interact easily and effectively with others
Ability to handle multiple tasks simultaneously
Ability to plan, analyze and problem solve, organize and prioritize work
Ability to work cohesively in a team atmosphere
Ability to take the initiative, make sound judgment and strong work ethic
ICD-10: 1 year (Required)

Nice To Haves

2 plus years of Orthopaedic coding and billing experience preferred
Knowledge of Orthopaedic coding preferred
Comprehensive understanding of coding, compliance and reimbursement policies

Responsibilities

Responsible for accurate posting of charges/payments from the data fee tickets
Ensure that the charges entered are correct as well as make corrections, as required
Accurate and appropriate medical necessity linkage of reported diagnoses
Interpret medical records to assign/verify appropriate diagnostic and procedure codes
Run and analyze payment balancing report to ensure accurate posting
Perform other duties and projects as assigned
Expert ability to add specific data such as modifiers, payer specific information, including authorization criteria, CPT, ICD-10-CM and HCPCS codes
Knowledgeable to append modifiers based on payer specifics, insurance and authorization requirements and referring physicians' unique attributes
Maintain confidentiality; adheres to all HIPPA guidelines/regulations
Demonstrate understanding of EPM/EHR system
Participate in Professional development activities to keep current with health care trends
Maintain work operation by following Policies and Procedures
Reliable with excellent attendance record