What are the responsibilities and job description for the Billing Coding Specialist position at First Choice Pediatrics Inc?
Job Description - Medical Billing and Coding Specialist
Come Grow With Us! If you are a team player, have leadership skills, want to work in an exciting, fast-paced environment, where you can provide meaningful contributions and make a difference in the lives of patients. We encourage you to apply!!
1. Essential Functions:
- Reviews and verifies assigned codes and sequences diagnosis and procedures according to regulations (e.g., ICD-10-CM, CPT, HCPCS coding guidelines) and abstracts accurate clinical information to obtain the most specific code possible to ensure accurate health information database.
- Research and resolve billing problems and issues
- Contacts physicians or other employees for clarification of information in the patient’s chart as necessary.
- Maintains up-to-date knowledge of coding and regulatory requirements to accurately assign codes for appropriate reimbursement of healthcare services.
- Utilize web-based tools, coding books, and other available resources to facilitate providing insurance and regulatory companies with the required information.
- Responds to inquiries from providers and various internal departments in a timely and accurate professional manner.
- Assigns charges for self-pay patients, bills patients for balances, collect payments from patients via phone.
- Reviews and updates patients’ insurance and demographic information
- Identifies past-due bills and sends for statement processing
- Answers questions regarding payments and reimbursements
- Interacts with private and government payers to facilitate the prompt payment of accounts receivable.
- Other duties as assigned.
2. Skills/Abilities:
- Must be knowledgeable of medical and insurance terminology
- Ability to multi-task and learn new procedures, solve problems effectively
- Well organized and great attention to detail
- Ability to work independently and perform assigned duties effectively and efficiently
- Flexible, team player
3. Education/Certification:
- Coding Certification through AHIMA or AAPC is required (CPC, CPC-A, CCA, CCS, CCS-P, RHIT, RHIA, etc.)
- High School Diploma required
- Associate degree preferred
4. Experience:
- Minimum two years of coding/billing experience in a medical office or a hospital environment required
- EClinicalWorks EHR software experience preferred
5. Work hours and location:
- This is a regular, full-time position based out of our business office in Winter Springs. The opportunity of limited work from home. The typical work schedule is 40 hours/week, Monday-Friday (may include occasional weekends or after-hours).
6. Benefits:
- 401(k)
- Medical, dental, and vision insurances
- Disability insurance
- Employee assistance program
- Employee discounts
- Flexible spending account
- Life insurance
- Paid time off
- Professional development assistance
- Retirement plan
- Tuition reimbursement