Medical Charge Coding and Entry - Billing

Duties:

* Acquire, prepare, code and enter physician surgery charges.  Knowledge of medical coding and modifiers is essential.  Verify that the codes are appropriate for the services provided and that the codes pass billing edits.

 

* CPT and ICD-9 knowledge.* Use all necessary resources to ensure correctness and completeness of coding.

 

* Responsible for providing assistance to all business office positions as needed.  * Documents medical claims actions by completing forms, reports, logs, and records.* Resolves medical claims by approving or denying documentation; calculating benefit due; initiating payment or composing denial letter.

* Ensures legal compliance by following company policies, procedures, guidelines, as well as state and federal insurance regulations.

* Maintains quality customer services by following customer service practices; responding to customer inquiries.

* Provides legal support by assembling documentation for settlement action.

* Protects operations by keeping claims information confidential.

* Prepares reports by collecting, analyzing, and summarizing information.

* Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks.

* Accomplishes organization goals by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.

Skills/Qualifications:

Medical Coding, Claims Adjustment, Financial Software, Documentation Skills, Data Entry Skills, Analyzing Information, Problem Solving, Verbal Communication, Customer Focus, FDA Health Regulations, General Math Skills, Attention to Detail, Ability to Work Independantly as well as part of a Team.