Billing Technician

This Billing Technician position is located in the Business Offices, Administrative Office of the Whiteriver Indian Hospital, in Whiteriver, Arizona. This position is responsibility for a full range of technical services in coding, abstracting and billing functions that includes the submission of properly executed claims and re-billing or corrected billing of accounts previously submitted. This position reports to the Supervisory Health System Specialist,

• Receives and examines alternate resources claims to assure claims are complete with appropriate supporting documents.
• Verifies accuracy of health claims number that claimed amounts are authorized, and that items of services billed are allowed by appropriate regulations, decisions, directives and other controlling guides.
• Provides technical assistance with processing and maintaining CPT coding, abstraction of the complete chart (outpatient) and compliance enforcement of all regulatory requirements.
• Conducts a thorough review of all abstraction and search of records, guidelines in order to select the most accurate and descriptive codes in accordance with CPT/HCPCS coding system.
• Searches and abstracts all CPT coding, operative and therapeutic and all other pertinent data from the medical records in order to identify and document appropriate patient care and other information necessary for billing.
• Identifies inconsistencies or discrepancies in medical documentation by notifying the appropriate providers and/or all other departments within the facility for complete charge capture and abstraction.