DescriptionResponsible for correct coding and charge entry of all in- patient encounters including surgeries, procedures and physician visits. Performs a variety of reception/clerical duties in a physician practice/Clinic front office outlined in the PAI Clerical job description. Attends required meetings and participates effectively in groups as requested. Completes annual mandatory requirements. Effectively participates in departmental quality improvement initiatives.Conforms to the personnel policies, safety, work and compliance practices that govern the position. Assigns appropriate ICD-9 codes if physician hasn't previously assigned. Investigates physicians activitiy in Experior/EPIC system to ensure dates match what has been submitted. Register patient in flowcast system. Assign MRN number to patient demographic sheet.Enter Patient encounters into the EPIC system. Works closely with CBO to solve charge entry problems. Research and submit charge corrections to CBO. Gathers information necessary for charge entry, i.e.: hospital patient demographics, testing, surgeries, transcription, etc. Requires frequent interaction with physicians to clarify diagnosis issues. Researches all information needed to complete billing processes. This includes but is not limited to interaction with clinic/clerical support staff, physicians, insurance companies and federal and state agencies. Answers telephone, responds to patient requests, takes messages, answers billing questions when necessary, routes complaints. Identifies when possible, potential assistance cases, and routes to the proper individual. Prints batch and balances all charge entry. Submits batch proofs and billing slips to CBO. Files face sheets and batch proof in office for future reference. Scans all information into EMR. Maintains knowledge of insurance issues that effect the region. Attends required educational seminars. Performs other duties as assigned.
Completion of high school diploma or its equivalent
Advanced knowledge of CPT, ICD-9 and HCPCs required. Experience in coding and billing required.
Basic Windows skills required. Additional software (EPIC) training as necessary.
Demonstrates an understanding of the link between effective team work and the Mission, Vision and Values of the organization. Offers help and encouragement to other employees. Treats others with courtesy and offers assistance appropriately.
Demonstrates good organizational skills in coordinating services with co-workers and other departments/services.
Responds to stressful situations in a calm and rational manner, and cooperates with all to facilitate integration of services.
Respects the confidentiality rights of patients/employees/guests.
Discusses confidential information only in appropriate settings and only when necessary.
Demonstrates an understanding of "need to know" with respect to confidential and private information.
EQUAL OPPORTUNITY EMPLOYER
Applicants will be afforded equal opportunity without discrimination because of race, color, religion, sex, marital status, national origin or ancestry, age physical or mental handicap unrelated to ability or an unfavorable discharge from military service.
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Job seekers will be afforded equal opportunity regardless of their race, ethnicity, veteran status or disability status.