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Billing Specialist

2 months ago

Marquette, United States UP Health System - Marquette Full time
Job Description

UP Health System - Marquette

Billing Specialist, Central Billing Office 1.0DV


Who We Are:
People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. UPHS – Marquette is a 222 bed hospital and houses the region’s only Level II Trauma Center and Neonatal Intensive Care Unit (NICU). We also provide outreach with programs like annual health and safety fairs, health screenings for the entire family and more to keep our community healthy


Where We Are:
In Marquette our fascinating history, rural landscape, abundant recreational opportunities, and welcoming people make the Upper Peninsula someplace special. From a thriving culinary scene to charming shops to historic lighthouses and museums, there is something for everyone in this beautiful lakeside gem. 


Why Choose Us:
Health (Medical, Dental, Vision) and 401K Benefits for full-time employees
Competitive Paid Time Off / Extended Illness Bank package for full-time employees
Employee Assistance Program – mental, physical, and financial wellness assistance
Tuition Reimbursement/Assistance for qualified applicants
Opportunities for education and training through partnership with Duke LifePoint Healthcare
And much more…


Position Summary:

Codes and posts all patient charges received, identifies discrepancies and analyzes issues to ensure all charges are posted timely. 

Reports to: Manager

FLSA:  Non-exempt  
  
EEO: □ 01 Officials and Managers □ 02 Professionals □ 03 Technicians □ 04 Sales Workers X 05 Administrative Support Workers □ 06 Craft Workers □ 07 Operatives □ 08 Laborers and Helpers □ 09 Service Workers

ESSENTIAL FUNCTIONS:

Provides education regarding documentation requirements to improve coding quality and ensure accurate and complete capture of maximum revenue.Reviews and interprets various regulatory billing and coding updates, to remain compliant and accurate and to minimize misbillings.Resolves issues that arise from information submitted and revenue cycle issues.Provides validation reviews, audits, documentation and training for the area of knowledge, sharing information with Finance, Medical Records and other revenue producing areas or departments.

Minimum Qualifications:

Minimum Education
High school diploma or equivalent
*Years of relevant experience may be substituted for required education.Required Skills
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.Must have thorough understanding of ICD-10 Official Coding Guidelines for Coding and Reporting; HCPCS/CPT coding systems and CPT Assistant and Coding Clinic for HCPCS guidelines.Certifications:
Medical Coding or Billing Certification from AAPCMinimum Work Experience
1 year related experience


EEOC Statement:
UP Health System – Marquette is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.


Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran