What are the responsibilities and job description for the Coding/Charge Entry Clerk position at Colorado ENT and Allergy?
Our physicians and staff at Colorado ENT & Allergy are widely regarded as the best in the fields of ENT, Allergy, Asthma, Immunology, and Audiology. We have been taking care of patients in Southern Colorado since 1995. Credentialed with all three hospital systems in the greater Colorado Springs region. Colorado ENT & Allergy is your leader in the latest technology and clinical research. Colorado ENT & Allergy is known throughout Colorado as trusted experts who deliver highly skilled compassionate care.
Job Summary
The Coding / Charge Entry Clerk will be primarily responsible for auditing physician charges prior to claim submission and performing clerical tasks for supervisor. This role will be accountable for the integrity of claims that are submitted to health plans.
Primary Responsibilities
Coding of all patient encounters (CPT and ICD-10)
Audits all charges prior to claim submission per supervisor.
Accurately process charge entry, ensuring billing has successfully processed to point of insurance carrier.
Comply with all legal requirements regarding coding procedures and practices.
Conduct audits and coding reviews to ensure all documentation is accurate and precise.
Respond to patient billing inquiries.
Perform other duties as assigned.
Complies with regulatory requirements such as OSHA, HIPAA, Compliance, and other requirements that may be mandated.
Competencies
To perform the job successfully, an individual should demonstrate the following competencies :
Analytical - Collects and researches data; Uses intuition and experience to complement data.
Design - Generates creative solutions; Demonstrates attention to detail.
Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.
Technical Skills - Assesses own strengths and weaknesses; Pursues training and development opportunities; Strives to continuously build knowledge and skills; Shares expertise with others.
Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Participates in meetings.
Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Able to read and interpret written information.
Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Contributes to building a positive team spirit; Puts success of team above own interests; Supports everyone's efforts to succeed.
Visionary Leadership - Displays passion and optimism; Inspires respect and trust.
Diversity - Shows respect and sensitivity for cultural differences.
Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values.
Organizational Support - Follows policies and procedures; Completes administrative tasks correctly and on time; Supports organization's goals and values; Benefits organization through outside activities; Supports affirmative action and respects diversity.
Judgment - Displays willingness to make decisions; Exhibits sound and accurate judgment; Includes appropriate people in decision-making process; Makes timely decisions.
Motivation - Sets and achieves challenging goals; Demonstrates persistence and overcomes obstacles.
Planning / Organizing - Uses time efficiently.
Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
Quality - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.
Quantity - Meets productivity standards; Completes work in timely manner; Strives to increase productivity; Works quickly.
Safety and Security - Observes safety and security procedures; Reports potentially unsafe conditions; Uses equipment and materials properly.
Adaptability - Adapts to changes in the work environment.
Attendance / Punctuality - Is consistently at work and on time; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time.
Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Completes tasks on time or notifies appropriate person with an alternate plan.
Initiative - Volunteers readily; Seeks increased responsibilities; Asks for and offers help when needed.
Innovation - Displays original thinking and creativity; Meets challenges with resourcefulness; Generates suggestions for improving work.
Requirements
Minimum 2 years of experience in a medical billing office.
High School graduate or equivalent with formal billing training required.
Certified Professional Coder required.
A high level of insurance knowledge with the resources to correct work denials via the online, telephone, fax, or mail.
Previous customer service experience with customer accounts and billing related issues.
Previous experience with medical insurance reimbursement process, ICD10 and CPT coding.
Good working knowledge of medical terminology and anatomy required.
Knowledge of current third-party billing and collection regulatory guidelines and requirements.
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of an organization.
Ability to explain complex medical billing issues calmly and competently to patients and insurance companies.
Proactively identify and address basic billing problems to facilitate maximum reimbursement.
Efficiently direct workflow in the Billing Office based on business needs.
Accurate code operative reports.
To perform this job successfully, an individual should have knowledge of Word Processing software and EPIC & Centricity.
Work Environment
This position will be performed on site in a medical office setting.
Benefits
Health Insurance
Dental Insurance
Paid time off
Vision Insurance
Company Paid Life Insurance
Company Paid Long Term Disability
Flexible Spending Account
Employee Assistance Program
401(k)
Pay Range : $17.50-21.00
Location : Business office- 1125 Kelly Johnson Blvd. Ste. 200, Colorado Springs, 80920
Colorado ENT & Allergy is an Equal Opportunity Employer
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