What are the responsibilities and job description for the Medical Billing and Coding Specialist position at Women's Specialists of New Mexico?
Women’s Specialists of New Mexico is dedicated to the health of women in all phases of their life, from teen and GYN care to motherhood and cosmetic services. WSNM has been a leading provider of healthcare to women since 1974.
We are the largest private practice OB/GYN in the State of New Mexico.
With your help, we are looking forward to continued growth and prosperity as we find new and better ways to serve our patients’ needs. We offer competitive salaries, flexible schedules, great benefits and pride in a job well done.
Women’s Specialists of New Mexico has earned the distinction for its workplace policies by Family Friendly New Mexico, a statewide project developed to recognize companies that have adopted policies that give New Mexico businesses an edge in recruiting and retaining the best employees. Come be a part of our amazing team of healthcare professionals.
View Current Job Listings at Women’s Specialists of New Mexico, Ltd.
Women’s Specialists of New Mexico currently has the following positions open. Resumes for these positions may be submitted to careers@wsnm.org.
Job Title: Medical Billing and Coding Specialist
Summary of Position Description:
A non-exempt position responsible for reviewing patient medical records, translating medical services into standardized codes, and submitting accurate insurance claims to ensure timely and appropriate reimbursement.
Primary Duties Include:
- Reviewing medical records: analyzing patient charts to accurately capture diagnoses, procedures, and other relevant medical information for patient visits (to include Primary Care, OB/GYN), surgeries, and hospital billing.
- Coding Procedures and Diagnoses: assigning appropriate medical codes (ICD-10 and CPT) based on the patient’s services.
- Data Entry: inputting patient demographics, insurance information, and verifying coded data into EMR.
- Claim Submission: generating and submitting electronic or paper insurance claims to various payers.
- Scanning into EMR: corresponding documentation to include operative reports, deliveries, pathology reports, and any other hospital visits.
- Maintain required billing records, reports, files, etc.
- Assist account techs in appealing claims denied for coding issues.
- Assist clinical staff with CPT and ICD-10 codes for office and laboratory procedures.
- Provider education/resources for CPT and ICD-10 codes as needed.
- Provide CPT and ICD-10 updates for staff and providers as they become available.
- Review documentation as needed for patients/staff who question validity of codes billed.
- Main contact with providers for coding issues.
- Assist Business Office Manager with new provider orientation meetings.
- Compliance with Regulations: staying updated on healthcare billing guidelines and regulations to ensure accurate coding and billing practices. Maintain CPC membership and CEUs.
- File and maintain Federal Sterilization Consent forms. Have available for providers as needed. Liaison for completed consent forms for hospital.
Job Qualifications:
- High School Degree or GED
- Minimum of 3 years’ experience in charge entry; Certified Professional Coder credentials
- One year knowledge of OB/GYN or other relevant coding specialty
- Knowledge of medical terminology, anatomy, CPT and ICD-10 coding
- Requires a high level of attention to detail and knowledge of medical terminology and coding systems while interacting with providers to manage billing processes.
- Strong customer service skills; good communication, decision-making and problem-solving skills. Ability to work independently, but also a team player.
Physical Requirements:
- Hearing, speaking, and visual acuity.
- Must have the ability to lift at least 20 pounds.
- Sit for long periods of time.