We are seeking an experience professional medical billing and coding specialist to for a Top client in the Nashville area. This is a permanent position with excellent benefits.
Responsibilities
Responsible for: maintaining accurate medical billing record, providing medical coding for procedures and diagnoses, provide monthly reports, follow up on A/R, collections, claims followup and account reconciliation.
Dutie s :
Sending claims to insurance companies daily
Posting charges to appropriate account when needed.
Send out patient statements for balances on patient accounts
Identifies any coding issues and communicates with the staff for correction.
Follow up on unpaid and denied insurance claims
Investigate any payment issues as a result of the payer not paying per contractual agreement
Maintain knowledge of insurance companies and fee schedules
Respond to patient inquiries concerning billing.
Handles and processes patient refunds as well as insurance refunds.
Perform other duties as assigned.
ESSENTIAL FUNCTIONS
Compiles, abstracts and maintains patient medical records to document condition and treatment for surgeries.
Identifies, compiles, and codes patient data, using ICD 10 and CPT classification coding systems.
Performs regularly scheduled targeted audits to assess revenue optimization and quality of documentation.
Researches and resolves problems with patient accounts in work queues.
Assists physicians and providers on coding questions or concerns.
Using reports, audits tickets in work queue for missed charges, completeness, accurate coding, etc.
Performs charge entry functions.
Facilitates conversation and works as a liaison between CBO, Compliance, and physician to resolve documentation and billing concerns.
Supports compliance policies with government and private payer regulations.
Active participant in development and maintenance of all work queue edits.
Researches and resolves problems with patient accounts
Qualifications and Skills
Required:
High school diploma
1 year of medical billing/coding experience (with ICD-10 and CPT coding)
Experience using a PC in a Windows environment.
Knowledge, Skills and Abilities
Excellent verbal and written documentation and communication skills.
Knowledge of medical terminology,
Familiarity with procedural and diagnostic coding.
Familiarity with ICD and CPT coding methodology.
Knowledge of medical insurance
Certificate
Certification as a Certified Professional Coder