Qualifications:
Medical Billing and Coding Experience in a Primary Care setting
Knowledge of CPT-II and ICD-10 coding
Experience with Athenahealth
Strong communication and interpersonal skills
Detail-oriented
Entrepreneurial
Key Responsibilities:
-
Prepare and submit billing data and medical claims to insurance companies.
-
Ensure the patient’s medical information is accurate and up to date.
-
Prepare bills and invoices, and documents amounts due for medical service.
-
Work closely with office management on Accounts Receivable goals.
-
Monitor and record late or held payments.
-
Follow up on missed payments; resolve financial discrepancies.
-
Examine patient bills for accuracy and request any missing information.
-
Analyzes medical record documentation to determine the principal diagnosis and procedures and the presence of co-morbid or complicating conditions associated with the primary care visit.
-
Assigns ICD9 and CPT2 codes to diagnoses and procedures according to established guidelines.
-
Assure accurate, optimal coding assignment for reimbursement.
-
Monitor the accuracy and consistency of coded clinical data by conducting ongoing internal coding audits of data, medical records, and computerized databases.
-
Identify and defines coding issues and proposes solutions.
-
Provide technical expertise to clinical and non-clinical staff to identify and resolve coding and medical record/chart documentation problems impacting the accuracy and consistency of coded data in the clinical database.
-
Other special projects as assigned.
