Northern Light Eastern Maine Medical Center

Department: Cancer Care - Brewer

Position is located: Lafayette Building

Work Type: Full Time

FTE: 0.750000:

Work Schedule: No Hours Assigned

Summary :

Performs the functions relating to Medical Oncology and/or Radiation Oncology Coding for Cancer Care of Maine. The majority of this position is outpatient coding but includes inpatient charging and clinic wide problem solving and assists in various areas of the business department. Must be familiar and have the desire to understand pharmacy billing, E/M coding, behavior medicine, genetics, palliative care and pediatric oncology.

Responsibilities :

• Reviews ICD-9-CM diagnoses/procedures and CPT codes within 24 hours of visit.
• Charge for services within 48 hours of receipt of appropriate documentation.
• Verify missing fee tickets.
• Investigates billing concerns and, if indicated, issues the appropriate credit(s) and or updates the coding information and rebills the acct.
• Reconcile charges entered to charges posted.
• Verify coding revenue.
• Provides vacation coverage for other coder/billers.
• Verify billing edits.
• Assist in improving office workflow to ensure complete/timely/accurate coding & billing.
• Verify receipt of ABN's for all Medicare patients presenting for services that are non-covered by Medicare, routing ABN to Patient Accounts.

Other Information :

Competencies and Skills

• Behaves with Integrity and Builds Trust: Acts consistently in line with the core values, commitments and rules of conduct. Leads by example and tells the truth. Does what they say they will, when and how they say they will, or communicates an alternate plan.
• Cultivates Respect: Treats others fairly, embraces and values differences, and contributes to a culture of diversity, inclusion, empowerment and cooperation.
• Fosters Accountability: Creates and participates in a work environment where people hold themselves and others accountable for processes, results and behaviors. Takes appropriate ownership not only of successes but also mistakes and works to correct them in a timely manner. Demonstrates understanding that we all work as a team and the quality and timeliness of work impacts everyone involved.
• Practices Compassion: Exhibits genuine care for people and is available and ready to help; displays a deep awareness of and strong willingness to relieve the suffering of others.

Education

• Required associate degree.

Working Conditions

• Potential exposure to abusive and/or aggressive people.
• Work with computers, typing, reading or writing.
• Lifting, moving and loading 20 to 30 pounds.
• Prolonged periods of sitting.