What are the responsibilities and job description for the Medical Billing and Coding Coordinator position at Kalispel Tribe of Indians - KTG?
Job Description
Job Description
Hiring Preference : The Kalispel Tribe of Indians is an Equal opportunity employer. Consistent with federal law, the Kalispel Tribe of Indians applies Indian preference in employment. It is the policy of the Kalispel Tribe of Indians to give preference in hiring, promotions, and transfers into vacant positions to qualified applicants in the following order : 1) Kalispel Tribal Members; 2) Descendant or Spouse of an enrolled Kalispel Tribal Member; 3) enrolled members of other Indian Tribes; 4) all other applicants. At-Will Employment : Employment with the Kalispel Tribe of Indians is at-will and can be terminated with or without cause, and with or without notice, at any time, either at the option of the employee or the Kalispel Tribe of Indians. Drug Testing : The Kalispel Tribe of Indians is a drug free workplace. All applicants are subject to drug testing at the time of hire and at unannounced times during employment. Background Investigation : All candidates and employees may be subject to a background investigation.
Summary of Functions
Responsible for the coordination of all patients and insurance coding, billing, and credentialing for the Kalispel Tribe of Indians Camas Paths Behavioral Health, Medical and Dental Departments by performing the following duties :
Essential Duties and Responsibilities
- Responsible for coding, billing, and credentialing for Camas Path’s Medical division which includes medical, physical therapy, massage therapy, and chiropractor services.
- Responsible for coding, billing, and credentialing for Camas Path’s Dental division.
- Responsible for coding, billing, and credentialing for Camas Path’s Behavioral Health division which includes Substance use, Mental Health and EAP services.
- Reviews ICD-10 / CPT codes on all claims in preparation for processing electronic claims.
- Verifies patient’s insurance information either through the medical billing system or other online resources.
- Responsible for HIPPA compliance procedures.
- Adhere to all applicable tribal, federal, or state privacy laws and regulations, including but not limited HIPPA and 42 CFR Part 2
- Oversight and follow up with Camas Path’s accounts receivable (AR) balances.
- Provide regular status updates to the CFO on billing and collection efforts of the Camas Path AR balances.
- Responsible for updating billing rates for services provided
- Responsible for updating the sliding fee scale for services on an annual basis
- Responsible for maintaining a consistent, regular good attendance record.
- This job description does not list all the duties of this position. You may be instructed by management to perform other duties as assigned
- Duties, responsibilities, requirements, and expectations pertaining to this job are subject to change as needed.
Education
Skills
Physical Demands
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the worker is frequently subject to inside environmental conditions, which provide protection from weather conditions, but not necessarily from temperature changes. The noise level in the work environment is usually moderate.
Disclaimer : Certain Licenses and Certification requirements can be obtained once hired.
