Billing Coordinator - Part Time

The Billing Coordinator is responsible for coordinating the day-to-day billing operations utilizing a centralized medical information system. This position is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid Services (CMS) directives. Performs data entry of required abstracted patient information into the electronic medical record system. Queries physicians when appropriate. Responsibilities Coordinates pertinent information of a patient's medical record for submission to the physician billing service. Verifies patient's insurance and acts as a liaison with patients regarding charges, answers billing inquiries and assists with outstanding bills. Ensures proper receipt of authorization / referral and completion of all forms. Analyzes medical records and identifies documentation deficiencies. Daily monitoring of all WQ¿s for coding and billing corrections. Assigns codes to clinical services performed for use in reimbursement and data collection. Assign CPT, HCPCS and ICD-10-CM codes. Assesses clinical documentation and communicates with physicians and advanced practice providers for additional information when documentation for proper coding is missing or incomplete. Knowledge of and ability to address National Correct Coding Initiative (NCCI) and National Coverage Determinations (NCD) / Local coverage determinations (LCD) edits. Maintains required productivity and quality requirements, Complies with policies, procedures, and standards of behavior; maintains patient record Reports unusual circumstances, possible risk factors, errors, and discrepancies to management. Other duties and/or projects as assigned. Qualifications High School diploma, general equivalency diploma (GED), and/or GED equivalent programs. Minimum of 1 year of coding for professional services Strong understanding of physiology, medical terms and anatomy. Proficiency in computer skills including typing speed and accuracy. Excellent written and verbal communication skills. Proficient computer skills including but not limited to Microsoft Office and Google Suite platforms.

Created: 2024-10-29