Summary
Position Summary:
Handles, posts and resolves patient charge entry for both the clinic and all surgery locations at Bone and Joint Institute.
Position Requirements:
Formal Education / Training:
Must be a high school graduate or equivalent, have a coding certification, have physician billing experience, have PC and calculator experience, and have good communication skills to convey financial policies.
Workplace Experience:
Prior experience in a physician office setting or related area is required. Coding and charge entry experience preferred.
Equipment and Skills Training:
AthenaOne systems, Allscripts System, Phreesia System, Meditech, PC, Printers, Fax, Copier
Physical Environment:
Business Office
Physical Effort:
Requires sitting for prolonged periods of time, viewing the computer screen and using repetitive motions, and must have a clear, understandable telephone voice
Key Results:
Competently understand and work the EMR and billing systems in order to ensure accurate input of E&M and Surgery Charges.
Ensures all charges are entered in a timely manner.
Analyze and track surgical charges compared to physician logs and Coder's spreadsheets.
Provides billing reconciliation and completes monthly close timely.
Works with clinical staff to ensure diagnoses match with CPT billing.
Work missing slips to ensure all billable charges are being entered.
Work with all providers (physician, mid-levels and therapist) to ensure documentation is appropriate for billing.
Manage claim hold buckets that pertain to clinical and surgical CPT/ICD10 issues for assigned providers.
Obtain appropriate CEU's to maintain coding certification on an annual basis.
Reports concerns requiring attention to manager or director. Employee is a problems solver that brings possible solutions when presenting concerns or problems.
Maintains open line of communication with all staff members; interacts with staff/patients in a professional and constructive manner regarding all billing/coding needs.
Participates in departmental meetings/huddles/etc. and recommends improvement opportunities. Performs other duties as assigned by manager and independently seeks out job duties during down time.