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Job Status:
Full Time
Work Experience Required:
Up to 2 Years
Hours/Shifts:
Day (First Shift)
Education Required:
High School Diploma
Certification Required:
Unspecified
Weekends:
Not Required
Authorized to work in US:
Yes
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| Pay and Benefits |
Salary Range:
Unspecified
Benefits:
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Medical Billing/Coding Insurance Specialist
Blount County Chamber of Commerce
Description: The Ideal candidate is responsible for timely, accurate and comprehensive abstraction of physician
services from the medical chart/record, utilizing appropriate CPT-4 procedure and ICD-9
diagnosis codes.
Duties: PRINCIPAL DUTIES AND RESPONSIBILITIES:
· Reviews medical record documentation to identify all services provided by physicians.
· Assigns appropriate CPT-4 procedure code(s) to accurately report the physician services provided to patients.
· Assigns appropriate ICD-9 diagnosis code(s) to accurately support the need for each physician service.
· Assists with the submission of billing data to the Health Services Foundation.
· Obtains and submits copies of medical documentation with physician charges to support billing to third-party payors.
· Identifies physician services provided, but not adequately documented in the medical record. Advises supervisor and clinicians of deficiencies to support charge capture of all billing services.
· Analyzes and resolves physician claim rejects and denials from the billing system or insurance carriers related to coding issues.
· Assists with physician billing and documentation training in daily interactions with physicians and other routine training sessions.
· Compiles monthly reports as requested.
· Identifies trends/problems in medical documentation and department request issue and recommends possible solutions.
· Other duties as requested by supervisor.
REQUIRED QUALIFICATIONS (Knowledge, Skills & Abilities):
Education:
· High School Diploma or GED
Qualifications: Experience:
· Two years coding or clinical experience or Coding Certification with one year coding or clinical experience.
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