Position Summary:
Oversee processing of clinic professional charges including updating of procedure and diagnosis codes in computer files, coordinating reports and maintaining fee ticket files. Contact patients and review medical history for disability forms.
Essential Job Functions:
· Maintain procedure and diagnosis code master file. Evaluate and develop new codes as required.
· Enter hospital surgeries and deliveries.
· Review all hospital dictation for surgeries and deliveries and code appropriately.
· Obtain and enter information regarding surgeries Providers assisted with in other practices.
· Review reimbursement from insurance companies to ensure payment through proper codes.
· Inform appropriate staff regarding changes in procedures and diagnosis codes.
· Monitor Medicare coding and reimbursements and review all Medicare claims prior to submission.
· Correct all errors for total charges, diagnosis and procedure entries.
· Complete disability form.
· Review request for records from attorneys, discuss with providers, generate bill for provider time.
· Review lab bills for accounting.
· Educate providers and staff regarding appropriate coding.
· Take calls from insurance companies.
· Participate in educational activities.
· Performs related work as required.
Position Requirements:
· High school diploma or equivalent. Completion of a course in Procedural Coding required.
· Two years of experience with accounting coding practices including one year of medical coding experience.
· Knowledge of coding policies and procedures, reimbursement practices.
· Knowledge of coding and clinic operating policies.
· Skill in using computer and calculator.
· Ability to examine documents for accuracy and completeness.
· Ability to prepare records in accordance with detailed instructions.
· Ability to work effectively with patients and co-workers.
· Ability to communicate clearly.
· Physical demands may include:
1. Prolonged, extensive or considerable amount of standing/walking, and/or
transferring patients.
2. Light lifting, carrying, pushing, pulling, or otherwise moving objects.
3. Considerable amount of reaching, stooping, bending, kneeling, and crouching.
4. Traveling to all locations when emergency coverage demands.
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