Jobs in Pflugerville, TX

About The Position

Requirements

• High School Diploma
• 4 years of experience in medical coding, medical auditing, or billing, in multi-specialty outpatient/professional billing setting
• Certified Coding Specialist (CCS) through governing body AHIMA OR Certified Coding Specialist ‐ Physician (CCS‐P) through governing body AHIMA OR Certified Professional Coder ‐ (CPC) through governing body AAPC.
• Knowledge of revenue cycle, billing and collections processes and procedures.
• Demonstrated knowledge of Epic or other medical billing software.
• Demonstrated knowledge of ICD‐10, CPT and HCPCS coding.
• Demonstrated knowledge of Medicare, Medicaid, and other third-party insurers.
• Demonstrated knowledge of policies, procedures/rules, and regulations used in interpreting proper billing and coding processes and techniques.
• Attention to detail and accuracy.
• Verbal and written communication skills.
• Skill at building relationships and providing excellent customer service.
• Demonstrated proficiency and experience in the use of computer and commonly used software including but not limited to Microsoft Office Suite, electronic medical record or practice management system.
• Ability to multitask.
• Must live in the greater Austin/Travis County area.

Responsibilities

• Ensure accurate and timely billing and collection of medical claims.
• Conduct chart reviews on documentation and correct coding to ensure compliance with all governmental and contractual obligations.
• Working with Supervisor and the Compliance office, train providers in proper documentation and coding as indicated by chart review.
• Performs charge review, claim edits, and ensuring the accurate and timely CPT/ICD coding for all clinical provider charges.
• Process all charges and reviews and clear all coding edits generated by EMR/PM.
• Clears all errors and edits generated by EMR and PM system.
• Perform complex tasks relating to insurance verification, resolution of aging accounts, resolution of patient complaints and client customer service.
• Assist with process improvement to maximize patient experience and reimbursement.
• Process insurance payments, reconciling deposits, posting payments and recoupments, and managing patient accounts.
• Ensures accurate posting from remits to ensure proper work queue routing and required billing data elements to ensure an accurate accounting processed for payment and revenue reporting.
• Answer and resolve patient inquiries from internal and external sources.
• Serve as an intermediary between healthcare providers, patients, health insurance companies and other stakeholders.
• Participate in special projects and complete other duties as assigned