Assist department managerial and executive staff in the management of successful billing and compliance activities.
Ensure that all professional and hospital charges are posted accurately and timely, and that the department meets chart documentation, CPT and ICD-9-CM/ICD-10-CM requirements.
Review coding procedures, workflow issues, billing infrastructure, and the performance of Coders/Abstractors.
Inform department administrators, physicians and Abstractor/Coders of regulatory changes.
Assist in departmental compliance efforts by participating in training sessions, performing audits, and promoting an understanding of procedures, policies and expectations.
Prioritizes chart documentation and maintaining requirements within the department. Ensures all processes involved in accurately posting professional fees.
Has a moderate/solid understanding of coding procedures, workflow issues, billing infrastructure, and performance of Clinical Revenue staff. Informs department administrators, physicians, and Coder/Abstractors of regulatory changes.
Participates and may lead in training sessions, performing audits, and promoting an understanding of procedures, policies, and expectations in promotion of compliance efforts.
Performs other related work as needed.
Preferred Qualifications
Education:
Bachelorâ™s degree.
Experience:
4-5 years of experience in (physician) healthcare billing and coding.
Thorough working knowledge of medical terminology, anatomy and physiology.
Licenses and Certifications:
Certification through a nationally accredited body (e.g., AACP or AHIMA).
Registered Health Information Administrator [RHIA] or Registered Health Information Technician [RHIT].
Certified Coding Specialist-Physician-based [CCS-P], Certified Professional Coder [CPC], or Certified Coding Specialist [CCS]).
Preferred Competencies
Strong analytical, problem solving, interpersonal, verbal/written communication, organizational, project management and team development skills are necessary as is knowledge of health information systems and database technology.
Create coding-based curriculum and training materials, deliver effective oral presentations and prepare concise written reports for a variety of audiences and possess basic computer skills.
Interpret documents such as, but not limited to encounter forms, medical records, physician documentation, lab reports, dictated reports, operating instructions, and policy/procedure manuals.
Thorough working knowledge of federal and state regulations regarding reimbursement.
Comprehensive knowledge of third-party payer rules, procedures, and policies in all areas of billing and collection.
Expertise in decision-making and accountability.
Creativity and ability to recommend new procedures and implementation of said procedures.
PC experience which includes spreadsheets, word processing, presentations, and databases.
Working knowledge of healthcare billing and clinical systems.
Working Conditions
Office/Hybrid.
Application Documents
Resume (required)
Cover Letter (required)
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