Top 4 Coding clerk i Jobs in Canton, Oh

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coding clerk i jobs near canton, oh

Purpose of Position:

Skills and Qualifications:

High school graduate, minimum
Comprehensive knowledge of Patient Access process, Clinical Care process and Revenue Cycle
Knowledge of medical terminology and managed care concepts preferred
Experience in CPT and ICD coding preferred
Refined communication skills, both written and oral
Ability to cope with the stress of the position and deadlines imposed
Refined organization skills with a well-developed style of diplomacy
Ability to function independently, displaying personal integrity and always maintaining confidentiality
Professional manner and appearance in accordance to the Aultman Hospital policies
Comprehensive knowledge of computer and the software systems utilized by the clinical, registration and patient financial services departments

Primary Responsibility:

Verify the payer source of all inpatient and OBV patients
- Determine eligibility and benefits
Coordinate all authorizations and pre-certifications by directly contacting payer
Mange all outpatient prior authorization requirements for all scheduled tests or procedures
Provide insurance related information to Case Management and Utilization Management staff

Communicate any changes identified in the verification process to the Utilization Management staff to assure proper reimbursement
Responsible for Patient Access related denied claims in the Denials Mgmt software system

Job Specific Requirements:

Initiate the verification and pre-certification of insurance benefits as soon as possible post admission or pre admission when possible by electronic eligibility systems, payer website or telephone
Convey required information to third party payers to meet requirements ensuring payment for services
Work cooperatively with physicians offices to obtain necessary information
Contact payers and/or phys offices to secure prior authorization for scheduled procedures
Accurately record information in MPAC system as a method of communication with PFS to facilitate correct billing of services
Communicate any issues of patient financial concerns to the Patient Outreach department
Function as a team member, working closely with the Utilization Management specialist, Case Managers and Social Workers to promote positive patient outcomes
Identify areas for inter and intradepartmental operational improvements

Location: Aultman Health Foundation · HDS PRE-REGISTRATION GROUP
Schedule: Full Time, Day Shift, 7:30am-4:00pm