Compiles charge information, assists in coding when needed and enters charges into the Practice Management System.
DUTIES INCLUDE BUT ARE NOT LIMITED TO:1. Receives and reviews charge documents from the clinic.2. Ensures charge information provided is correct and accurate.3. Enters charges into the Practice Management System.4. Balances Charge Summary to tickets keyed before updating charges.5. Assists in charge capture by reviewing provider documentation and patient charts.6. Phones insurance payers on claim denials.7. Works in conjunction with A/R team on follow up and resolution of coding related denials and rejections.8. Abstracts CPT-4, HCPCS II and ICD-9-CM from medical records, operative notes, hospital admissions, consults, progress notes and discharges.9. Provides AR management for self pay accounts and balances.10. Coordinates with front office staff on payment/billing issues.11. Identifies quality issues with registration and scheduling activities.12. Acts as a resource for Practice Managers and Physicians with denials and coding questions.13. Keeps supervisor apprised of matters regarding charge entry.14. Practice and adhere to the Code of Conduct philosophy and Mission and Value Statement.15. All other duties as assigned.KNOWLEDGE, SKILLS, & ABILITIES This position requires the following minimal requirements:1. Knowledge of CORE systems, Microsoft Word and Excel.2. Knowledge of medical terminology.3. Knowledge of medical coding and CPT-4, HCPCS II and ICD-9-CM.4. Familiarity with third party billing requirements and payment policies.5. Skill in organization.6. Ability to read and understand an Explanation of Benefits/Remittance Advice.EDUCATION A high school diploma or GED is required; however, an associate or bachelors degree in business or related field is preferred.EXPERIENCE One to two years of CPT-4, HCPCS II and ICD-9-CM coding, billing and charge entry experience in the health care field is required.CERTIFICATE/LICENSE Certified Procedural Coder (CPC), Certified Coding Specialist Physician (CCS-P) or equivalent required.