MEDICAL BILLER/UNCERTIFIED CODER - BAYHEALTH MEDICAL GROUP REVENUE CYCLE ( Job at Bayhealth Medical Center
Summary:
Position is responsible all aspects of the medical billing process from generating completed medical claims submissions to a completed and paid A/R. Abstracts clinical information from a variety of medical records, and assigns appropriate ICD-10 and/or CPT-4 codes to unfinished medical claims. Maintain full cycle of medical billing from completed claims’ submission to full claim’s payments.
Detailed responsibilities:
* Code correct medical billing claims generated from the EMR and submit the claims correctly from the first time.
* When needed, abstracts data from patients’ medical records to maintain full diagnosis coding and charges capture.
* The Medical Biller reviews and analyzes records for errors and corrects them immediately.
* Identifies and verifies medical necessity from updated medical policies published by the insurance carriers.
* Inform the responsible channels of all issues that create loss of reimbursement, constant errors and other issues pertaining to management issues.
* Maintain daily A/R functions and being responsible for any revenue cycle issues due to medical billing issues.
* As needed, respond to physician inquiries that concern the proper documentation of diagnostic procedural information and questions regarding coding assignments.
* As needed, respond to patient inquiries concerning invoicing or related financial issues.
* All other duties as assigned, within the scope and range of job responsibilities.
REQUIRED MINIMUM EDUCATION AND EXPERIENCE:
Education:
*High School Diploma, GED or Equivalent Certification
*Graduate of a Medical Billing or Coding Program
Essential:
* Office Setting Experience
Preferred:
*Experience with Epic
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- Monday to Friday
Ability to commute/relocate:
- Dover, DE 19901: Reliably commute or planning to relocate before starting work (Required)
Experience:
- CPT coding: 1 year (Preferred)
Work Location: One location
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