Reviews patient records for timely completion of documentation to comply with organization policy, for the revenue cycle process, and billing. Assists with charge reconciliation process and ensures charges have supporting documentation. Acts as liaison between providers and coders pertaining to incomplete documentation.
Job Specific Duties
Reviews practitioner documentation to ensure completion including authentication and co-signature when appropriate.
Sends notification to practitioners to address pending documentation.
Resolves any patient specific pre-bill edits and failed claim edits to detect any charge related billing problems.
Assists with charge reconciliation process and ensures charges have supporting documentation.
Reviews, monitors, and updates outside coding vendor dashboard.
Assists practitioners with questions pertaining to pending tasks.
Acts as liaison between providers and coders pertaining to incomplete documentation.
Minimum Job Requirements
3-5 years of experience with physician billing, medical coding and compliance
Knowledge, Skills, and Abilities
High school education or equivalent preferred.
Completion of an accredited Coding Education program or basic medical terminology class preferred.
Certified Professional Coder (CPC) and/or Certified Coding Specialist A – Physician preferred (CCS-P) preferred.
Presentation experience preferred.
Strong communication skills.
Ability to communicate clearly and courteously (verbal and written) in English with internal and external customers.
Proficiency in Microsoft Excel, Word & PowerPoint preferred.
Outstanding analytical and organizational skills with attention to detail.
Demonstrable problem solving skills.
Ability to maintain confidentiality of sensitive information.
Ability to relate cooperatively and constructively with customers and co-workers.
Knowledge of Anatomy, Physiology and medical terminology.