Medical Coder/Biller (On-Site Opportunity)

Surgery Partners•Wilmington, NC

7d•Onsite

About The Position

The Coder/Biller will determine the appropriate CPT codes and Diagnosis codes for all surgical procedures performed in a Multiple Specialty Ambulatory Surgery Center. Candidate should be able to issue claims via electronic and/or paper billing to facilitate timely billing and days in AR benchmarks; track and correct electronic claims submission rejections/errors; provide operative reports and any medically necessary information to include surgeon's office notes, pathology reports, etc. Have an extensive understanding of all Payers to include Medicare, Medicaid, Commercial Carriers and private Carriers. Coder will follow Medicare Rules and regulations and will update billing procedures to accommodate these changes and keep current with insurance contract rates and all billing policy changes. Work directly with Collectors and Accounts Receivable to timely and accurately submit all insurance claims. In addition, this individual will help assign self-pay and cosmetic facility charges based on company policy. This staff member will also assist with Insurance Verification to ensure that Authorizations and Approvals for procedures performed are approved prior to the Date of Service. This individual must have a minimum of 2-5 years prior business office experience relating to surgery centers, hospitals and/or physicians' office and is proficient in the Business Office Functions listed below: Patient Accounting Systems Certified or Non-Certified Medical Billing specialist Extensive knowledge of CPT/ICD-9 and Diagnosis coding Ability to read and interpret EOB's Stays current on all Medicare Rules and Regulations Extensive knowledge of AR Management (billing, coding, and collections) Payor Contract Management Issue claims via electronic and/or paper billing to facilitate timely billing and days in AR benchmarks Maintain continuing education based on the different carriers coding guidelines, rules, and regulations Complies with required timelines to close the period in the automated billing system. Has fundamental knowledge related to medical accounting - billing & contractual. Has ability to deal effectively and harmoniously with various professional and clerical groups and individuals; and demonstrates good interpersonal relations. Has ability to communicate articulately, comprehend written and verbal communications; and must be able to function efficiently in stressful work environment. Is proficient with patient accounting systems and Microsoft Office products. Will work directly with Collection and Insurance Verification departments to ensure that collection policies are being followed. Will conduct themselves in accordance with Surgery Partners Code of Conduct Has demonstrated professional growth and achievement. Will maintain regular attendance habits. Is proactive not reactive. Other duties as assigned. Requires sitting and standing associated with normal office environment. Normal busy surgical office environment. Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization. This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.

Requirements

2-5 years prior business office experience relating to surgery centers, hospitals and/or physicians' office
proficient in Patient Accounting Systems
Certified or Non-Certified Medical Billing specialist
Extensive knowledge of CPT/ICD-9 and Diagnosis coding
Ability to read and interpret EOB's
Stays current on all Medicare Rules and Regulations
Extensive knowledge of AR Management (billing, coding, and collections)
Payor Contract Management
Issue claims via electronic and/or paper billing to facilitate timely billing and days in AR benchmarks
Maintain continuing education based on the different carriers coding guidelines, rules, and regulations
Complies with required timelines to close the period in the automated billing system
fundamental knowledge related to medical accounting - billing & contractual
ability to deal effectively and harmoniously with various professional and clerical groups and individuals
ability to communicate articulately, comprehend written and verbal communications
must be able to function efficiently in stressful work environment
proficient with patient accounting systems and Microsoft Office products
demonstrated professional growth and achievement
maintain regular attendance habits
proactive not reactive

Responsibilities

determine the appropriate CPT codes and Diagnosis codes for all surgical procedures
issue claims via electronic and/or paper billing
track and correct electronic claims submission rejections/errors
provide operative reports and any medically necessary information
follow Medicare Rules and regulations and will update billing procedures
Work directly with Collectors and Accounts Receivable to timely and accurately submit all insurance claims
assign self-pay and cosmetic facility charges based on company policy
assist with Insurance Verification