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Clinical Data Analyst

2 months ago


Westport, Connecticut, United States Virtual Firm LLC Full time

Job Summary:

Virtual Firm LLC is seeking a highly skilled Medical Data Entry Specialist to join our team. As a key member of our healthcare operations, you will be responsible for reviewing and verifying assigned codes and sequences diagnosis and procedures according to regulations and abstracting accurate clinical information to obtain the most specific code possible to ensure an accurate health information database.

Key Responsibilities:

  • Review and verify assigned codes and sequences diagnosis and procedures according to regulations (e.g., ICD9CM, CPT, HCPCS, UHDDS, and HIPAA coding guidelines) and abstract accurate clinical information to obtain the most specific code possible to ensure an accurate health information database.
  • Contact physicians for clarification of clinical information as necessary.
  • Maintain up-to-date knowledge of coding and regulatory requirements to accurately assign codes for appropriate reimbursement of healthcare services.
  • Utilize web-based tools, coding books, and other available resources to facilitate providing insurance companies with required information.
  • Utilize multiple information systems to accurately select the correct patient account in order to appropriately review and verify patient billable charges.
  • Participate in and assist with audits to capture lost charges and determine the accuracy of billing as necessary.
  • Gather demographic, insurance, and healthcare encounter information from a variety of sources for the purpose of billing medical provider professional fees.
  • Enter and verify the appropriate demographic information, charges, and comments into the computerized billing system.
  • Perform manual charge entry by gathering demographic, insurance, and healthcare encounter information from a variety of sources in order to accurately bill medical provider professional fees.
  • Ensure information entered in the system is done in an accurate and timely manner. Verifying charges on accounts as needed and providing detailed and accurate comments for future reference.
  • When necessary, create a registration in the appropriate system (EPIC) from documentation provided to accurately record encounter and accurately bill the appropriate stakeholders.
  • Respond to inquiries from provider offices and various internal departments in a timely and accurate professional manner.

Requirements:

  • High school diploma or its equivalent.
  • No experience necessary.