Full Cycle Biller (Charge Entry CodingAuditing)

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.

Key Skills

Internal Audit,Customer,Data Structures,ABAP,Horticulture,Application Engineering

Employment Type : Full Time

Experience : years

Vacancy : 1