Biller/Coder
3 months ago
Full time: An Anesthesia Coder Biller is a specialized healthcare professional responsible for accurately coding and billing anesthesia services provided to patients during surgical procedures. They play a crucial role in ensuring proper reimbursement for anesthesia providers and facilities.
Key Responsibilities
- Review Anesthesia Records: Carefully analyze anesthesia records, operative reports, and other relevant documentation to understand the specific services rendered, including type of anesthesia, time spent, medications used, and any complications.
- Assign Accurate Codes: Utilize established medical coding systems (e.g., CPT, HCPCS, ICD-10-CM) to assign appropriate codes for the anesthesia services provided. This includes identifying the correct base units, time units, and modifiers.
- Prepare and Submit Claims: Generate accurate and complete billing claims for submission to insurance companies, government payers, or patients. This involves verifying patient demographics, insurance coverage, and coding accuracy.
- Resolve Claim Denials: Address claim denials or rejections by identifying the root cause, providing additional documentation, or appealing decisions as necessary.
- Maintain Compliance: Stay up-to-date with the latest coding guidelines, regulations, and payer requirements to ensure compliance and maximize reimbursement.
- Collaborate with Anesthesia Providers: Communicate effectively with anesthesia providers to clarify documentation, resolve coding discrepancies, and optimize billing processes.
- Utilize Billing Software: Proficiently use billing software to manage claims, track payments, and generate reports.
Qualifications
Education: Typically requires a high school diploma or equivalent. Additional certifications in medical coding (e.g., CPC, CCS-P,) and anesthesia-specific coding (e.g., CANPC) are highly preferred.
Experience: Prior experience in medical billing and coding, preferably in anesthesia.
Skills: Strong attention to detail, analytical skills, knowledge of medical terminology, coding systems, and billing procedures. Proficiency in medical billing software is essential. Excellent communication and interpersonal skills are also important.