Cycle Biller; Charge Entry Coding​/Auditing

Full Cycle Biller (Charge Entry Coding/Auditing)

JOB TITLE:

Full Cycle Biller, Charge Entry Coding/Auditing

FLSA STATUS (Exempt/Non-Exempt):
Non-Exempt

SUPERVISION RECEIVED:
Reports to Billing Manager

SUPERVISION EXERCISED: NONE

GENERAL STATEMENT OF DUTIES

Full Cycle Biller, Charge Entry Coding/Auditing supports the billing department by assisting with managing incoming and outgoing charges and payer responses while verifying and ensuring accuracy and completeness for a complete billing cycle.

Essential Functions

• Utilizes ICD.
  10, CPT, & HCPCS coding principles to review provider charges for accurate documentation and submission of billing.
• Utilizes knowledge of CPT, HCPCS & ICD.
  10 coding to assist in onboarding new services.
• Utilizes knowledge of payer medical and billing policy guidelines for coverage to ensure correct billing and coding for proper payment and reduction of claim errors and denials.
• Assists with receivables account review and reconciliation for claim rejections and denials.
• Speaks to patients as needed in a timely and professional manner.
• Identifies and reports issues or errors, such as incomplete or missing records and documentation, ambiguous or non-specific documentation, or codes that do not conform to approved coding guidelines while utilizing professional communication and documentation skills.
• Demonstrates the ability to self-report daily tasks and assignments as well as identify any billing trends that affect daily productivity.
• Other duties as assigned.

EDUCATION

• High School Diploma / GED Certification
• Certified Professional Coder

Experience

• Two years of experience in lieu of education considered
• Next Gen Office (NGO) and Advanced MD experience preferred
• Experience in Pain Management, Orthopedic surgery, Vascular and/or Anesthesia preferred

KNOWLEDGE

• Knowledge of CPT, HCPCS, ICD.
  10 and the ability to follow coding guidelines.
• Knowledge of Medical Terminology
• Billing Experience or Medical Office Experience
• Strong office and computer skills, experience with paperless workflows
• Prior use of practice management and EMR programs
• Basic understanding of Microsoft Office to include Outlook, Teams, MS Word, and Excel.
• Understanding of insurance benefits, adjustments, reviews, authorizations.

Skills

• Displays strong ability to prioritize, multi-task
• Skilled communicator and ability to work effectively in resolving problems
• Solid organizational skills
• Exceptional attention to detail.
• Work independently while maintaining a positive attitude

Abilities

• Ability to understand insurance payer guidelines.
• Ability to prioritize and solve problems in a timely manner.
• Ability to communicate effectively and professionally with insurance carriers and outside entities.
• Ability to interact with management, physicians, and teammates at all levels and effectively.
• Ability to communicate with teammates and management both in oral and written form.
• Ability to meet deadlines in a fast-paced, quickly changing environment.
• Ability to act as gatekeeper and escalate relevant information to management as needed.
• Ability to treat confidential information with appropriate discretion.

ENVIRONMENTAL WORKING CONDITIONS

• Normal office environment.

PHYSICAL/MENTAL DEMANDS

• Good visual acuity, accurate color vision.
• Requires sitting and standing associated with a normal office environment.

We are an equal opportunities employer and welcome applications from all qualified candidates.