What are the responsibilities and job description for the Medical Billing and Coding Specialist position at Emerald Therapy Center?
Education, Experience, and Licensing Requirements:
- High school diploma, GED, or equivalent
- University/college degree, or experience medical records, claims or billing areas is an asset.
- CCA (AHIMA) CCS (AAPC) or greater
Expectations of Role:
- Manages the Insurance billing and collections processes.
- Excellent organizational skills and attention to detail. .
- Processes, tracks claims, and ensures accuracy and timeliness in the billing process.
- Provides excellent customer service to our clients.
- Inputs patient information into the practice’s billing software.
- Submits claims to insurance companies and follows up on unpaid claims.
- Posts ERA payments, Resolves any issues that arise with claims or payments.
- Maintains accurate records of billing and collection activities
- Generates monthly reports to track billing and collection performance.
- Accounts for coding and abstracting of patient encounters, including procedural information, significant reportable elements, and complications.
- Researches and analyzes data needs for reimbursement.
- Analyzes medical records and identifies documentation deficiencies.
- Serves as resource and subject matter expert to other coding staff.
- Reviews and verifies documentation supporting diagnoses, procedures, and treatment results.
- Identifies diagnostic and procedural information.
- Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.
- Assigns codes for reimbursements, research, and compliance with regulatory requirements utilizing guidelines.
- Follows coding conventions. Serves as a coding consultant to care providers.
- Identifies discrepancies, potential quality of care, and billing issues.
- Researches, analyzes, recommends, and facilitates a plan of action to correct discrepancies and prevent future coding errors.
- Identifies reportable elements, complications, and other procedures.
- Serves as resource and subject matter expert to other coding staff.
- Assists lead or supervisor in orienting training, and mentoring staff.
- Provides ongoing training to staff as needed.
- Handles special projects as requested.
- Proficient in Excel sorting, pivots, and VLOOKUP
- This is not a Remote Postion.
Salary : $15 - $17