Medical Coding and Billing Specialist
Job Description
Job Description
Qualifications:
Medical Billing and Coding Experience in a Primary Care setting
Knowledge of CPT-II and ICD-10 coding
Experience with Athenahealth
Strong communication and interpersonal skills
Detail-oriented
Entrepreneurial
Key Responsibilities:
- Prepare and submit billing data and medical claims to insurance companies.
- Ensure the patient’s medical information is accurate and up to date.
- Prepare bills and invoices, and documents amounts due for medical service.
- Work closely with office management on Accounts Receivable goals.
- Monitor and record late or held payments.
- Follow up on missed payments; resolve financial discrepancies.
- Examine patient bills for accuracy and request any missing information.
- Analyzes medical record documentation to determine the principal diagnosis and procedures and the presence of co-morbid or complicating conditions associated with the primary care visit.
- Assigns ICD9 and CPT2 codes to diagnoses and procedures according to established guidelines.
- Assure accurate, optimal coding assignment for reimbursement.
- Monitor the accuracy and consistency of coded clinical data by conducting ongoing internal coding audits of data, medical records, and computerized databases.
- Identify and defines coding issues and proposes solutions.
- Provide technical expertise to clinical and non-clinical staff to identify and resolve coding and medical record/chart documentation problems impacting the accuracy and consistency of coded data in the clinical database.
- Other special projects as assigned.
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