Ambulatory Billing Specialist
4 weeks ago
Evaluate patient records to ensure accurate charges and assign appropriate diagnoses and procedure codes in compliance with HIPAA regulations. Abstract relevant data from clinical records and review records for reimbursement purposes to ensure quality control.
Responsibilities- Read and interpret outpatient, series, and ED medical record entries to identify diagnoses and surgical procedures.
- Assign ICD-10, ICD-9-CM, and CPT-4 codes in compliance with recognized coding principles and department policies.
- Determine diagnostic and procedural sequencing in compliance with UHDDS guidelines.
- Utilize APCpro features of 3M with encoder and grouper software to identify modifiers, make changes to charges, and prepare accounts for billing.
- Enter abstracted and coded data into the computer system accurately and timely.
- Comply with HCFA's Medicare code edits.
- Ensure quality and accuracy of records for reimbursement.
- Verify and correct data discrepancies by communicating with physicians and other hospital personnel.
- Participate in the Coding Hotline by providing coding advice and referring callers to higher-level coding skills.
The employee must possess knowledge and skills necessary to provide developmentally appropriate assessment, treatment, or care as defined by the department's identified patient ages. Specifically, the employee must be able to demonstrate competency in: 1) ability to obtain and interpret information in terms of patient needs; 2) knowledge of growth and development; and 3) understanding of the range of treatment needed by patients.
Common Duties and Responsibilities- Maintain and document required education.
- Demonstrate positive customer service and co-worker relations.
- Comply with the company's attendance policy.
- Participate in continuous quality improvement activities.
- Perform work in a cost-effective manner.
- Perform work in accordance with departmental pay practices and scheduling policies.
- Follow organizational and departmental policies and procedures.
- Perform related duties as assigned.
High School Diploma or GED required. No experience necessary.
CredentialsNo certification, competency, or license required.
Work ScheduleDays
StatusFull Time Regular 1.0
LocationBeckley-275 Dry Hill Road
Talent Acquisition SpecialistTamara B. Young
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