What are the responsibilities and job description for the CODER/MEDICAL BILLING SPEC position at Premier Health Specialists?
Centralized Billing Office
FT/ DAYS/ 80 hours per pay
Summary of Position
To assign diagnosis and procedure codes according to provider documentation adhering to the official coding guidelines set forth by the AMA, ICD-10-CM, AHIM, CMS, and HCFA. Position may also require management of accounts receivable for timely and maximum reimbursement by adhering to company billing and collection policies.
Nature and Scope
The Coder/Medical Billing Specialist is responsible to assign and report these more specified codes from clear and concise provider documentation. The Coder/Medical Billing Specialist interfaces routinely with physicians, managers, and office staff to insure documentation is clear and consistent, to maintain a continuous flow of information processing. The Coder/Medical Billing Specialist is responsible to insure providers are notified of addendums to documentation as needed to insure accurate and timely processing of all third party billing (claims). The Coder/Medical Billing Specialist’s responsibilities may also include all system documentation, adjustments, charge and payment entry as required until collection or final disposition of the account balance is resolved. The Coder/Medical Billing Specialist performs daily, monthly and special system processing requirements.
Qualifications
- Minimum High School diploma or equivalency certificate
- Minimum of one year physician coding experience in conjunction with formal education in coding, (CPC, AHIM, RMC, CPC, CCS-P); or AB, AS from accredited college in Healthcare, which includes coding, medical terminology, and medical systems), medical terminology and/or anatomy; and/or a minimum of three years demonstrated coding “from physician documentation” experience.
- A minimum of three years previous healthcare billing, collections experience, and/or managed care experience.
- Knowledgeable about third party billing regulations and CPT/ICD coding.
- Demonstrate accurate and timely data entry skills.
- Familiar with various computer applications (ex: Microsoft Word, Excel, and billing software systems).
- Knowledge of spreadsheet applications preferred.
- Proven record of dependability
- Strong people, communication and decision making skills.
- Must pass a basic CPT and ICD coding test prior to hire, if coder has no credentials.