The Bravo Health Advanced Care Center (BHACC) is seeking a highly organized, success driven professional to serves as our Coding/Billing Specialist.
Bravo Health Advanced Care Center is looking for an experienced self starter who can efficiently multi-task in a fast-paced outpatient care clinic. This position will prepare outpatient and inpatient professional claims and review such for claim coding compliance. The position will be responsible for monitoring regulatory changes as they apply to billing and coding in outpatient & inpatient setting. The Coding/Billing Specialist will serve as a resource for data mining and coding to ensure reimbursement accuracy and to maximize revenue. The Coding/Billing Specialist will also serve as the staff educator responsible for the identification of coding/billing issues and implementation of programs to prevent future coding/billing issues. Candidates must be able to patiently interact with physicians, nurses and other Bravo Health Advanced Care Center team members while emphasizing the importance of complete and accurate coding of the diagnosis and documentation of medical conditions of all patients. Candidates must be a Certified Medical Coder (CPC or CCS) with a high degree of competence in the coding field. Proficiency in ICD-9 coding is a must. Candidates should be familiar with HCFA 1500 billing and Medicare Coding and billing requirements.Demonstrated personal initiative, team spirit, and service orientation are vital. Extensive knowledge of CPT and ICD-9 coding and experience in the medical field are required. Knowledge of the CMS Hierarchical Coding Categories is required as well. ESSENTIAL DUTIES AND RESPONSIBILITIES:Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis and procedures code documentation based on the services rendered by provider of the Bravo Health Advanced Care Center.Review medical record information to identify all appropriate coding based on the CMS HCC categories.Complete appropriate paperwork/documentation/system entry regarding billing claim/encounter information. Assure the accuracy, completeness, specificity and appropriateness of diagnosis information recorded for each patient encounter.Demonstrate analytical and problem solving ability regarding barriers to recording and validating accurate HCC information.Develop and implement provider training modules to improve the documentation of treatment, diagnoses and chronic conditions designed to improve overall HCC coding and documentation.Other duties as directed.QUALIFICATIONS:Completion of certified coding program. Prior medical billing and coding experience preferably in the outpatient medical office environment. Knowledge and experience in healthcare environment/managed care. Service-oriented attitude is necessary; must be consistently friendly and attentive.Ability to understand and communicate effectively and patiently with non-native English speakers.Strong written and verbal communication skills are essential.Willing to build productive relationships with all levels of facility staffProficiency with Microsoft Office applications (Word, Excel, Outlook, and PowerPoint)Familiarity with Electronic Medical Records is a plus.Knowledge of standard office machinery (fax machines, photocopiers, phones) necessary.Willingness and capacity to learn new software tools if necessary.