This position is responsible for coding, chart compliance, auditing and collections support. The ideal candidate will have coding experience in a hospital or medical office setting.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
1.Confirm patient demographic, insurance and referring physician information is accurately entered into practice management system.
2.Confirm insurance verifications and authorizations, as required.
3.Communicate with Financial Counselors regarding insurance authorizations and referrals.
4.Review daily physician schedules and evaluate office consults and office visits for appropriate complexity using CPT coding guidelines.
5.Enter all CPT and ICD-9 coding into practice management system timely and accurately for code capture.
6.Enter all word codes into practice management system per company policy and procedures.
7.Follow established check and balance systems to ensure complete and accurate code capture.
8.Respond to audit findings and make applicable coding additions or corrections.
9.Review Medicare Local Coverage Determinations (LCDs) and Medicare bulletin updates and Medicare NCCI.
10. Update practice management system patients account notes with any changes made to patient information or as otherwise dictated by company policy and procedure.
11. Confirm all documentation required for coding is complete and meets required regulations.
1.Detail oriented and possesses excellent analytical skills.
2.Excellent organizational skills.
4.Work under limited supervision with ability to understand and meet deadlines as workload necessitates.
5.Ensure applicable laws and regulations of working with confidential information are adhered to.
6.Meet department productivity standards.
7.Must be able to plan and prioritize workflow.
EDUCATION AND/OR EXPERIENCE:
1.Medical Billing/Coding Diploma or Certificate Required
2.Experience in hospital or medical office setting
3.Proficient knowledge of medical terminology, ICD-9 and CPT coding.
4.Excellent computer skills including Microsoft Office especially Word and Excel.
5.High school graduate or equivalent.
CONFIDENTIAL AND SENSITIVE INFORMATION:
Must properly control the release of proprietary and confidential information.
JOB DESCRIPTION CLAUSE:
The statements herein are intended to describe the general nature and level of work being performed by employees, and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of the employer.
21St Century Oncology