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Under general supervision, monitors accuracy and efficiency of invoices and charges in edit and pending status; provides quarterly insurance updates to staff; maintains knowledge of Medicare compliance, billing codes, and rules and regulations; performs audits and inservices; assists with employee training and special projects; updates encounter forms in IDX and other department forms; serves as resource to faculty and staff.
Knowledge of physician billing, reimbursement, and third party regulations
Knowledge of medical terminology
Knowledge of office practices and procedures
Knowledge of ICD/CPT coding
Interpersonal/human relations skills
Ability to maintain confidentiality
Ability to respond to questions in a tactful and professional manner
Ability to remain focused with continual work interruptions
Ability to organize and prioritize job duties
Associate’s degree in Medical Record Technology or related coursework; supplemented with two (2) years related experience. Required licensure/certification: Certified Professional Coder (CPC) through American Academy of Professional Coders, or Certified Coding Specialist (CCS), Accredited Record Technician or Registered Records Administrator through American Health Information Management Association.
Assesses, processes, codes, and tracks patient billings and reimbursements; captures and generates charges for inpatient and/or outpatient visits and procedures; maintains knowledge base of Medicare compliance, correct coding practices, and registration requirements; audits medical documents and physician billing.
Supports supervisor with special reports; monitors and prepares statistical reports to track billing processes for accuracy and efficiency, and provide employee feedback; tracks invoices in edit and pending status as well as missing charges.
Assists patients, staff, and guarantors with billing and reimbursement issues; follows-up with payment denials.
Provides inservices to physicians; trains new employees; serves as resource to faculty and staff; provides backup for front end or billing areas; assists with department deposit preparation.
Provides quarterly insurance updates to staff; updates encounter forms in IDX and other department forms; serves as resource to faculty and staff; performs other duties as assigned.
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