Job Details:
High School graduate or equivalent required
ROLE SUMMARY
The Billing Clerk/Coder is responsible for the procedure and diagnostic coding of all surgery center cases and the submission of hard and electronic claims. The Billing Clerk/Coder will be cross-trained in other functions of the business office and reports directly to the Business Office Manager.
CORE RESPONSIBILITIES
1. Correct procedural and diagnostic coding of all surgical services.
2. Ensures all billable supplies are captured and submitted to insurance. Enters and posts charges for all cases performed in the Surgery Center. Generates and submits "CLEAN" paper and electronic claims. Maintains current "research" information on Medicare, Medicaid, BCBS, Tricare and covered CPT Code list. Code all ICD-9, CPT and HCPS according to NCCI standards.
3. Updates corrected patient demographic and insurance information into the medical software system. Forwards deficient charts to the Director of Nursing.
4. Makes sure all op reports are accounted for, calls transcription for any missing dictation.
5. Answer phone calls and messages to provide customer service about patient accounts. Makes phone calls to doctor offices when dictation is missing from transcription. Makes phone calls to doctor offices to follow up with billing questions.
6. Updates pricing information in Surgi Source, after such information is given by the administrator.
7. Work aged accounts on Monthly AR spreadsheet with billing/coding issues as well as any denials.
SKILLS, KNOWLEDGE, AND ABILITIES
· Ability to follow oral and written instructions.
· Ability to prioritize and complete tasks in a timely manner.
· Ability to be cross-trained in other areas of the business office.
· Experience using a medical software billing system.
· Must be familiar with Windows and Microsoft Office to include but not limited to Microsoft Word and Excel.
· Able to learn other software programs.
· Ability to perform accurate arithmetical functions involving whole numbers and percentages.
MINIMUM REQUIREMENTS
· High school diploma, GED, or equivalent.
· Demonstrated ability to type 45 wpm.
· Minimum of one year coding and billing experience, preferably in an ambulatory surgery center, business office of an acute care hospital or medical office.
· Certified coder (CPC) is preferable.
How to apply:
Cheyenne Regional Medical Center
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