Position Summary: Verifies and ensures the accuracy, completeness, specificity and appropriateness of diagnosis codes on services rendered. Complete appropriate paperwork/documentation/system entry regarding claim and encounter information. Support and participate in process and quality improvement initiatives. Assist with clinician billing and documentation training.

Education: Requires an associate degree from Accredited Heath Information Technology program, Bachelor's degree preferred. Coding certificate with AHIMA approval status. RHIA, RHIT, CCS or CCS-P certification status required.

Experience:

• Three (3) years' experience as a Certified Medical Biller/Coder Experience at a Federally Qualified Health Center (FQHC) preferred.
• Lab coding experience required.

Skills and Abilities:

• Strong written and verbal communication skills, strong analytical skills, organizational and time management skills .
• Knowledge and experience in a healthcare environment of billing and reimbursement of Medicaid, Medicare and other
• Knowledge of LCD/NCD coding policies regarding Laboratory Services
• Ability to devise training materials to teach staff correct
• Professional demeanor and appearance, strong ethics, team player with positive attitude.
• Strong knowledge of Microsoft XP products(Word, Excel, and PowerPoint)

Transportation Requirement: None

License(s)/Certification(s) Required: HIA, RHIT, CCS or CCS-P certification status required.

Essential Functions

• Reviews medical record documentation to identify all services provided by
• Renews appropriate CPT-4 procedure code(s) to accurately report the clinician services provided to
• Renews appropriate ICD-10 diagnosis code(s) to accurately support the need for each clinician service.
• Assists with the submission of billing
• Obtains and submits copies of medical documentation with clinician charges to support billing to third party
• Identifies clinician services provided but not adequately documented in the medical advise supervisor and clinicians of deficiencies to support charge capture of all billing services.
• Analyzes and resolves clinician claim rejects and denials from the billing system or insurance carriers related to coding
• Assists with clinician billing and documentation training in daily interactions with clinicians and other routine training
• Compiles monthly reports as
• Identifies trends/problems in medical documentation and recommends possible solutions.
• Provides training support to billing department in handling of rejections and denials of
• Correction and submission of reference lab billing requests.
• Performs other duties as assigned.

Marginal Functions

1. Assists in audits.
2. Codes input forms as required.
3. Provides backup support to billing department.

Supervises: None

NOTE: SMOKING IS PROHIBITED IN THE WORK ENVIRONMENT

NOTE: ALL APPLICANTS MUST PROVIDE CONTACT INFORMATION FOR THREE REFERENCES

AN EQUAL OPPORTUNITY SERVICES PROVIDED ON A NON-DISCRIMINATORY BASIS