Essential Duties and Responsibilities:

 

• Travel to hospitals to pick up physician encounter data.
• Reviews hospital service data to assign ICD-10, CPT, and HCPCS codes for billing.
• Reviews patient demographic and financial information in the practice management system to ensure accurate and prompt reimbursement.
• Develops and maintains professional skills and knowledge through attendance at relevant conferences, seminars and other educational programs, participation in professional organizations and review of current literature.
• Contributes to the teamwork within and between departments and organizations that support VHS operations.
• Provides positive and effective customer service that supports departmental operations.
• May perform coding audits as assigned.
• Work insurance denials based on diagnosis code – determine charge resolution as appropriate
• Conveys a professional and positive image and attitude regarding the health center and organization.
• Develops good rapport with staff.
• Maintain compliance with the organization’s confidentiality policy in accordance to the Health Insurance Portability and Accountability Act (HIPAA).
• Maintain compliance with all company policies and procedures
• Other duties as assigned.
  
   

Education and/or Work Experience Requirements:

 

• Knowledge of medical coding and billing national standards
• Knowledge of payer medical coding and billing requirements
• Knowledge of CPT, ICD-10, HCPCS, and CDT codes and ability to accurately assign the codes
• Ability to use Microsoft Office products
• Ability to analyze information
• Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers
• Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service
• Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices
• High school diploma or GED required
• 3+ years experience in healthcare billing/coding experience
• Professional Billing Coding certification (CPC, CCS-P) required
  
   

Physical Requirements/Working Conditions:

 

• Work is repetitive in nature and requires concentration and constant technical attention to accuracy and detail for extended periods of time.
• Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards.
• Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards
• Must be able to talk, listen and speak clearly on telephone