Medical Coding & Billing Specialist for Physician Services

CHSGa•Gray, GA

About The Position

Join us at GA Med Group – a place where you’ll be valued, recognized and rewarded for the vital work you do each day. We’ll surround you with a strong team and leadership that supports every aspect of your life – both inside and outside of our centers. And you’ll get to practice your passion in a non-profit, mission-driven organization that’s known for the highest level of care in our communities ESSENTIAL DUTIES AND RESPONSIBILITIES Processes medical insurance claims, including submitting claims electronically and following up on denied or outstanding claims. Develops and implements processes that support accurate use of medical codes used by the practice and compliance with industry standards and regulations. Interacts with providers and educates them about documentation and coding best practices. Maintains an up to date knowledge of key rules and common practices as it relates to reimbursement. Follows up with providers on documentation that is insufficient or unclear. Reviews patient charts and documents to ensure all codes are active and accurate. Oversees the revenue cycle of the practice, including patient registration, charge capture, and payment posting (in collaboration with Financial Services team). In coordination with the contracted billing agency, prepares and provides regular month-end reports to the practice's leadership, including accounts receivable and insurance claims reports. Manages patient billing, including issuing invoices, if applicable, following up on past-due accounts, and resolving billing disputes. Maintains accurate accounts receivable records and follows up on outstanding payments. Verifies patients' insurance coverage, including copays, deductibles, and benefit limits. Provides education and training to practice staff on billing and coding processes, as well as HIPAA and insurance regulations. Manages patient information, including demographic information, insurance information, and appointment information. Business office duties as directed by Senior Director of Practice Management for Physician Services. Collaborates with Health Informatics and Recruiting Program Director to collect data to support accurate claims billing. Identifies problematic issues and immediately reports discrepancies and provides appropriate recommendations to leadership. Promotes the image and reputation of the System by exhibiting servant leadership and providing direct and open lines of communication. Contributes to the work of committees, workgroups, project management, and other collaborative efforts of the System. Performs other duties as necessary to ensure the success of the System.

Requirements

Knowledge, experience and aptitude with all aspects of the medical practice billing cycle
Knowledge and compliance with rules and regulations governing payments from Medicare, Medicaid, and insurance companies.
Knowledge of anatomy and medical terminology
High school diploma
Minimum of 3 years of medical coding and billing experience
Strong working knowledge of ICD-9, ICD-10, CPT Codes
Prior experience with at least one EHR and revenue cycle management software

Nice To Haves

Associates degree, preferred
Certified Professional Coder certification, preferred

Responsibilities

Processes medical insurance claims, including submitting claims electronically and following up on denied or outstanding claims.
Develops and implements processes that support accurate use of medical codes used by the practice and compliance with industry standards and regulations.
Interacts with providers and educates them about documentation and coding best practices.
Maintains an up to date knowledge of key rules and common practices as it relates to reimbursement.
Follows up with providers on documentation that is insufficient or unclear.
Reviews patient charts and documents to ensure all codes are active and accurate.
Oversees the revenue cycle of the practice, including patient registration, charge capture, and payment posting (in collaboration with Financial Services team).
In coordination with the contracted billing agency, prepares and provides regular month-end reports to the practice's leadership, including accounts receivable and insurance claims reports.
Manages patient billing, including issuing invoices, if applicable, following up on past-due accounts, and resolving billing disputes.
Maintains accurate accounts receivable records and follows up on outstanding payments.
Verifies patients' insurance coverage, including copays, deductibles, and benefit limits.
Provides education and training to practice staff on billing and coding processes, as well as HIPAA and insurance regulations.
Manages patient information, including demographic information, insurance information, and appointment information.
Business office duties as directed by Senior Director of Practice Management for Physician Services.
Collaborates with Health Informatics and Recruiting Program Director to collect data to support accurate claims billing.
Identifies problematic issues and immediately reports discrepancies and provides appropriate recommendations to leadership.
Promotes the image and reputation of the System by exhibiting servant leadership and providing direct and open lines of communication.
Contributes to the work of committees, workgroups, project management, and other collaborative efforts of the System.
Performs other duties as necessary to ensure the success of the System.