What are the responsibilities and job description for the Medical Charge Processor position at AMAC?
JOB FUNCTIONS
- Review charge documentation from the clinic and/or hospital
- Accurately assign diagnosis and enter procedure codes into billing system using ICD-10-CM, CPT-4, HCPCS and other appropriate coding systems
- Perform regular auditing of coding throughout the practice, communicate findings to management, and provide recommendations based on the audit findings
- Communicate effectively with physicians and staff regarding correct coding and documentation processes
- Review daily reports for coding exceptions and follow up as required
- Work with A/R team on follow up and resolution of coding related denials and rejections
- Monitor professional publications, payer publications, and websites to remain up to date on coding changes relevant to the practice and communicate as necessary
- Confirm patient demographic, insurance and referring physician information is accurately entered into medical management system
- Confirm insurance verification and authorizations, as required
- Communicate with Accounts Receivable Specialist regarding insurance authorizations
- Review daily physician schedules and evaluate office consults and office visits for appropriate complexity using CPT coding guidelines
- Enter all CPT and ICD-10 into the practice management system for charge processing
- Respond to audit findings and make applicable coding additions or corrections
- Review Medicare Local Coverage Determinations (LCDs) and Medicare bulletin updates
- Update computer system and note section in patients account with any changes made to patient information or as otherwise dictated by company policy and procedure
- Confirm all appropriate charges are received and completed each week, and meets required regulations
- Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations
- Other projects as assigned
REQUIREMENTS
- Certified Coder, e.g., CPC, CCS-P, or ROCC
- Knowledge of coding including CPT-4, HCPCS II, and ICD-10-CM
- Minimum of three years of coding experience in a healthcare setting
- Ability to understand and interpret clinical documentation and follow the department billing processes at a detailed level
- Excellent verbal and written communication skills
- Must be detail-oriented and able to meet targeted deadlines
- Experience with Microsoft Office
Preferred Experience
- Knowledge of radiation oncology coding
- Centricity Practice Solution experience preferred
EDUCATION/CERTIFICATIONS:
- High school diploma or equivalent required
- Certified Coder, e.g., CPC, CCS-P, or ROCC
