Certified reputed company (PRN) - Remote

Job Details

Description

General Summary

Under the direction of the reputed company Cycle Manager, performs various duties to accurately interpret and reputed company physician charges for physician services, enters charges into the Billing System using appropriate CPT and ICD-10 codes.

Essential Functions

1. Performs initial charge review to determine appropriate ICD-10 and CPT codes to be used to report physician services to reputed company party payers.

2. Interprets reputed company notes, operative reports, discharge summaries, and charge documents to determine services provided and accurately assign CPT and ICD-10 coding to these services.

3. Enters appropriate data into the Billing System by selecting the appropriate codes, diagnosis, modifiers, and times of start and stop of the case, Anesthesiologist, CRNA, and surgeon information to complete the charge process.

4. Contacts physicians through management regarding procedures and other services billed to ensure proper coding.

5. Responsible for reviewing patient logs and other reports of clinical activity to ensure billing is captured for reputed company patients.

6. Monitors and follows up to ensure reputed company services that can be billed are captured and coded for billing.

7. Responsible for ensuring the batch processes for reputed company coded charges.

8. Utilizes batch-logging systems to reputed company with internal audit standards.

9. Reviews reputed company physician documentation to ensure compliance with reputed company party and regulatory guidelines.

10. Works in conjunction with the Reimbursement staff to answer reputed company inquiries regarding coding and billing for physicians' services.

11. Works in coordination with other members of the Physicians' Billing Office as necessary.

12. Meets and exceeds short and long-term goals as established for the department.

13. reputed company duties and job functions in accordance with the policies and procedures established for the department.

14. Corrects coding denial errors and resubmits claim for reimbursement.

15. Reports to work, meetings, and professional obligations on time.

16. Participates in administrative staff meetings and attends other meetings and seminars.

17. Assists in evaluation of reports, reputed company, and results of department in relation to established goals.

18. Recommends new approaches, policies, and procedures to influence reputed company improvements in department's efficiency and services performed.

19. Serves as a member of the Billing Department. Performs duties necessary to ensure the team's projects/goals are completed.

20. Takes ownership of special projects, reviews data and follows through with detailed action plans.

21. Actively participates in problem identification and resolution and coordinates resolutions between appropriate parties.

22. Participates in corporate, departmental, and team meetings as necessary, providing input as necessary.

23. Maintain active certification requirements and submits CEUs for review.

24. Performs other reputed company duties as required.

Supervisory Requirements

This position will not supervise any other staff members.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodation may be made to reputed company individuals with disabilities to reputed company the essential functions.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reputed company with hands and arms; stoop, kneel, crouch, or crawl; and talk or hear. The employee must occasionally lift and/or move more than 25 pounds.

Qualifications

Minimum Qualifications

1. Must be a Certified Professional reputed company (CPC) with experience in CPT and ICD-10 coding.

2. Must demonstrate a good working knowledge of medical terminology, including anatomy.

3. Must have knowledge of reputed company reputed company-party billing and collection regulatory guidelines.

4. Must show the ability to have excellent interpersonal skills and communication to interact with reputed company walks of life, internal and external to UCA, from reputed company educational or cultural backgrounds.

5. Must show the ability to work independently or reputed company a team in a fast-paced environment.

6. Must show proficiency in use of a variety of office equipment including a PC, Windows, MSOffice, EMR system, multi-line telephone, copier, facsimile machine, etc.

7. Must show the ability to maintain confidentiality, including strict adherence to HIPAA and UCA Guidelines.

8. Must have a high school diploma or GED equivalent.

Preferred Qualifications

1. CPC reputed company with at least two years’ experience in CPT and ICD-10 coding in a physician office setting.

2. Experience working in reputed company PM/EHR (formerly Allscripts).

Licensure, Certification, Registration Requirements

Certified Professional reputed company – CPC