Medical Billing Specialist II--Coding Job Description

The Company:

Since 1975, Elizabeth Wende Breast Center has been serving the greater Rochester, NY area with superior breast imaging technology and patient care. As the first dedicated breast clinic in the United States, EWBC is a committed leader in the field of breast imaging and breast cancer diagnosis.

Responsible for accurately fulfilling the duties of the Billing Department, including posting/charging payments, processing claims, reviewing denials, collecting payments, and corresponding with insurance providers and patients.

Breast Imaging facility seeking a full time Posting Auditor to add to our experienced Billing Department. This position is responsible for reviewing patient’s medical records after an office visit and correctly assigning the correct CPT, HCPCS, ICD-10 codes and modifiers per coding guidelines. The position reports directly to the Billing Manager. Communication skills with coworkers and patients are vital to improve processes and maintain quality customer relations. Requires strong organizational skills, critical thinking, and the ability to produce, interpret and present detailed billing activity reports.

General Duties & Responsibilities:

· Receiving and reviewing patient’s electronic file and documents for verification and accuracy.

· Examining documents for missing information.

· Assigning and ensuring diagnosis and procedure codes, charges and modifiers are correct.

· Reviewing for NCCI edits

· Maintain a detailed knowledge of insurance regulations, billing procedures, and coding guidelines which affect insurance AR payments.

· Relate any coding updates from payors and being familiar on where to find the medical policies.

Essential Duties and Responsibilities:

· Charge entry

o Post charges for diagnostic patients

o Ensure CPT and ICD-10 codes are accurate and sequenced correctly in accordance with government and insurance guidelines.

· Claims processing

o Process all claims, ensuring diagnosis and procedure codes, charges and modifiers are correct.

o Troubleshoot and correct any problems that prevent a claim from being released for acceptance by insurance carriers.

· Perform other job duties as assigned

Skills and Qualifications:

· Certifications: CMC or CPC required

· 3 years of coding work experience. Radiology billing profession preferred

· Knowledge of Radiology CPT and ICD-10 codes helpful

· Excellent communication skills both written and verbal, and internal personal skills.

· Ability to multi-task, use critical thinking, ability to prioritize tasks, familiar with Excel/Office Suite.

· Ability to work alone on pre-determined tasks, or in pairs/group on a project. Must be flexible with tasks- no day is the same in a billing office.

Hourly rate: $24-$27

Competitive Benefit Package; Medical, Dental, Vision, Life, Disability, Retirement, PTO/Sick Pay

Please note that this job description is subject to change or modification at any time, with or without notice, at the discretion of Elizabeth Wende Breast Care, LLC

Job Type: Full-time

Pay: $24.00 - $27.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Parental leave
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work setting:

• Private practice

License/Certification:

• CMC or CPC (Required)

Ability to Relocate:

• Rochester, NY 14620: Relocate before starting work (Required)

Work Location: In person