What are the responsibilities and job description for the Certified Professional Coder/ Biller position at Bone & Joint Specialists?
Responsibilities:
Review and analyze medical records and patient information to ensure accurate billing.
Previous experience in medical billing or coding is required-
Proficiency in ICD-9 and ICD-10 coding systems
Verify patient insurance coverage and process claims for reimbursement - Communicate with healthcare providers to resolve any billing discrepancies or issues
Maintain up-to-date knowledge of coding guidelines and regulations
Collaborate with other members of the billing team to ensure timely and accurate billing
Familiarity with DRG (Diagnosis Related Group) coding is preferred - Strong attention to detail and accuracy in data entry
Excellent communication skills, both written and verbal
Ability to work independently and prioritize tasks effectively
Review patient documents for accuracy to include but not limited to office visits, surgical, and non-surgical procedures.
Ensure proper coding on provider documentation.
Verify that all codes are current and active.
Report missing and/or incomplete documentation to provider and/or clinical staff.
Meet daily coding production expectations.
Perform accurate charge entries.
Understand coding and reimbursement regulations and recognize the order in which services are billed to ensure maximum reimbursement by reading various coding and insurance newsletters and websites.
Accurately post services based on global services data by applying NCCI edits, AAOC, NASS and ASSH Global Guidelines for all applicable insurance carriers.
Serve as a resource regarding insurance resolutions and coding questions.
Communicate changes and updates in coding requirements from insurance carriers to supervisor.
Post daily receipts and correct posting errors in practice management system.
Assist with external and/or internal audits as requested.
Review and make corrections based on the Missing Encounter Report.
Audit charges provided by hospitals/surgical centers to capture all charges for posting.
Other duties as assigned.
Note: This job description is intended to provide a general overview of the position. It is not an exhaustive list of all responsibilities, duties, and skills required.
You must have minimum of 1 year coding experience, orthopedic experience preferred.
Job Type: Full-time
Pay: From $20.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- Monday to Friday
Education:
- Associate (Preferred)
Experience:
- Billing and Coding: 1 year (Required)
License/Certification:
- Certified Medical Coder (Required)
Shift availability:
- Day Shift (Preferred)
Work Location: In person
Salary : $20
