Billing Systems Support Representative

4 weeks ago

Charlotte, United States OrthoCarolina Full time

At OrthoCarolina, our team is our greatest asset and the foundation of our success; we share a common passion for making lives better. We are a diverse group of individuals, accountable to each other through the backbone of our beliefs: trust, honesty and mutual respect; ensuring our voice is heard. Our positive environment supports individual growth and a sense of belonging. Our employees work together to uphold the standards of excellence and promote and environment of teamwork throughout the organization.

If these attributes align with the job culture you are seeking - then OrthoCarolina might be the right fit for you

OrthoCarolina is currently seeking a Billing Systems Support Representative to join its OrthoCarolina Business Office in Charlotte.

This position is a hybrid schedule with rotating days in the office depending on department needs.

The Billing Systems Support Representative will be responsible for working electronic charge edits and maintaining edit volumes at an acceptable level as defined by management. Also, involved in reviewing and correcting electronic edit and eCommerce rejections. Works closely with all members of the business office, coders, cashiers, and Practice Administrators to ensure proper understanding of coding polices and protocols.

Duties will include:

* Providing accurate answers to office's coding and/or billing questions in a timely manner.
* Assuring that all services documented in the patient's record are properly coded with the appropriate CPT-4, ICD-10CM codes, place of service, correct provider, etc. When services are not documented appropriately, seeks to attain proper documentation in a timely matter or alert the appropriate staff member(s).
* Identifies need for new electronic edits and makes recommendations.
* Remains up-to-date on billing protocols, pricing methodologies, proper utilization of global edits, Medicare LCDs, and the CCI. Remains current with federal legislative changes that effect coding and reimbursement.
* Reviews, modifies and recommends changes to policies and procedures to improve workflow efficiencies.

A career at OrthoCarolina will provide you with opportunities for career advancement, dedicated peer support, and continuing education. Our company is committed to providing our employees with the utmost positive work environment. Benefits offered include:

* Competitive salary package
* Health, Dental, and Vision insurance
* Health Savings Account
* Life insurance
* Short/Long term disability insurance
* Tuition Reimbursement
* 401(k) retirement plan
* Profit sharing plan

OrthoCarolina is one of the nation's leading independent academic orthopedics practices serving North and South Carolina and the Southeast since 1922. OrthoCarolina provides compassionate and comprehensive musculoskeletal care including operative and non-operative care, diagnostic imaging and rehabilitative therapy. Widely known for musculoskeletal research and training, OrthoCarolina physicians have specialized expertise in foot and ankle, hip and knee, shoulder and elbow, spine, sports medicine, hand, pediatric orthopedics, and physical medicine and rehabilitation. We commit to improving the lives of all we serve, by providing premier patient care and compassionate, personalized service. Over 300 OrthoCarolina providers see more than one million patient visits throughout western North Carolina each year.

Qualifications and Education Requirements:

* High School Diploma or G.E.D. Some college or degree preferred.
* Minimum of two years' experience in a surgical office, hospital or other health-related setting.
* Working knowledge of ICD 10, required.
* American Academy of Professional Coders Certification preferred, but not required. AAPC is highly recommended.
* Strong understanding of coding guidelines and working knowledge of Insurance background preferred.

Employee Type

Regular

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