What are the responsibilities and job description for the Clinic Coder/Biller II position at Morehouse General Hospital?
POSITION: Physician Clinic Billing/Coder
STATUS: Full-time
SHIFT: Days
DEPARTMENT: Physician Administration
ADMINISTRATIVE FUNCTIONS
1 Asist billing manager as needed with insurance credentialing for all hospital and clinic employed Providers.
2 Is proficient in computer skills. Able to operate the electronic Health record and train/troubleshoot clinic employees on the EMR.
3 Is knowledgeable in Medicare/Medicaid rules and regulations and stays current with any changes in insurance plans. Proficient at working with Medicare/Medicaid and other payor sources regarding problems.
4 Reviews chart notes for various clinics for accuracy and missing charges as needed.
5 Prepares and submits clean claims to various insurance companies, either electronically or by paper.
6 Bills the professional component of hospital rounds/procedures for all employed Providers.
7 Is able to work well with managers, auditors, providers, co-workers, etc.
8 Keeps the Clinic Manager and billing manager aware of any changes occurring in the department or of any existing problems.
9 Is able to assist patients when they have questions regarding their health insurance or bills. Collect patient payments when they come to the hospital to pay.
10 Prints EOB’s and posts payments from insurance companies and patients, when necessary.
11 Is proficient in working denied claims at clearinghouse level and remitting.
12 Reconcile clinic cash collections and prepare daily deposit, when necessary.
13 Assist clinic staff with questions regarding prior authorizations.
14 Knowledgeable in Rural Health Clinic billing guidelines and processes.
15 Assist with daily productivity reporting.
16 Assist with reconciling hospitalist charges.
17 Review and work bad debt write offs and send accounts to collections. Work credits.
18 Is proficient in ICD.10 coding. Knowledgeable in appropriate assignment of ICD -10 and CPT codes.
19 Prepares, reviews and sends patient statements, when necessary.
20 Reviews hospital reports for missing surgery charges.
21 Follows all hospital policies.
STAFF DEVELOPMENT
25 Attends and participates in in-service educational classes and on-the-job training programs as directed.
SAFETY AND SANITATION
26 Reports all unsafe/hazardous conditions, defective equipment, etc. to Plant Operations.
27 Knows where fire extinguishers and exits are and can operate an extinguisher.
EQUIPMENT AND SUPPLY FUNCTIONS
28 Ensures administrative supplies have been replenished in work areas as necessary.
CONFIDENTIALITY
29 Maintains confidentiality of all information regarding employees, patients, medical staff, etc. Adheres to HIPAA Rules and Regulations.
EDUCATIONAL REQUIREMENTS
High school diploma or equivalent required.
Certified Coder Certificate Required.
EXPERIENCE
Previous physician Billing/Credentialing experience preferred.
Job Type: Full-time
Pay: $21.00 - $27.00 per hour
Expected hours: 40 per week
Schedule:
- Monday to Friday
Work Location: In person
Salary : $21 - $27
