Certified Medical Coding Specialist
Job Details
Job Type
Full-time
Hartford, CT
Finance
Description
POSITION SUMMARY
This position is responsible for leading the department in medical coding and billing practices. Performs a wide variety of functions as an integral leader of the billing team. Position works in tandem with the billing specialists to ensure accurate coding for efficiently processing claims. Aids in the resolution of specialized and problem claims; solving diagnosis coding issues to result in timely collections of accounts from payers. Conducts inquiries and analyses; identifies and communicates issues with Finance, Operations and Clinical to prevent recurrence. Makes recommendations for system, procedure or training revisions for prevention and improvement of revenue cycle.
Essential Position Duties
- Advises billing and finance staff as well as Providers regarding changes to CPT-4 codes and ICD-9 and 10 codes and any procedure changes from Medicare, Medicaid and private insurance carriers.
- Oversee and streamline the billing process. Monitors and reviews billing/claim queues generated by third party billing system (ECW). Makes direct contact with insurance carriers to clarify coding requirements.
- Ensures the accuracy of ECW revenue rates on all codes.
- Attends internal revenue cycle meetings.
- Leads in research and coordination of policy and procedures regarding coding requirements, practices, process then works with third party EMR billing team to implement any changes.
- Communicates with third party billing team (EMR vendor) to identify issues and solve billing problems.
- Complies with Charter Oak Health Centers Mission.
- Performs miscellaneous duties as required by management.
- Maintains appropriate attendance and positive, professional demeanor.
Requirements
Core Competencies/Skill Sets
- Proactive communicator with strong written, verbal, interpersonal and customer service skills.
- Ability to organize and prioritize workload to meet deadlines.
- Excellent computer skills with working knowledge of Microsoft Word, Excel, and billing databases.
- Strong problem skills.
- CPC (coding) and knowledge of ICD 10 coding, proficiency with Electronic Medical Records and experience with EClinical Works (ECW) a plus.
- Advanced knowledge of medical coding and third-party EMR operating procedures and practices.
- Advanced knowledge of medical coding/billing/collection practices and business office procedures.
- Ability to establish and maintain effective working relationships internally and externally - with all departments, employees and patients.
- Must be well organized and detail oriented.
- Bilingual competency and/or FQHC experience a plus.
Professional Experience/Educational Requirements
- Four years+ of medical billing experience, and strong knowledge of business process, accounting theory and methods.
- College degree preferred/ not required
Certification/Licensure
- CPC Certificationrequired
Certified Medical Coding Specialist
Job Details
Job Type
Full-time
Hartford, CT
Finance
Description
POSITION SUMMARY
This position is responsible for leading the department in medical coding and billing practices. Performs a wide variety of functions as an integral leader of the billing team. Position works in tandem with the billing specialists to ensure accurate coding for efficiently processing claims. Aids in the resolution of specialized and problem claims; solving diagnosis coding issues to result in timely collections of accounts from payers. Conducts inquiries and analyses; identifies and communicates issues with Finance, Operations and Clinical to prevent recurrence. Makes recommendations for system, procedure or train ng revisions for prevention and improvement of revenue cycle.
Essential Position Duties
Advises billing and finance staff as well as Providers regarding changes to CPT-4 codes and ICD-9 and 10 codes and any procedure changes from Medicare, Medicaid and private insurance carriers.
Oversee and streamline the billing process. Monitors and reviews billing/claim queues generated by third party billing system (ECW). Makes direct contact with insurance carriers to clarify coding requirements.
Ensures the accuracy of ECW revenue rates on all codes.
Attends internal revenue cycle meetings.
Leads in research and coordination of policy and procedures regarding coding requirements, practices, process then works with third party EMR billing team to implement any changes.
