Scheduled Weekly Hours: 0

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Working under the supervision of the Central Billing Department Supervisors will share the responsibilities of being accessible to physicians, staff and patients regarding billing questions; assures that all billing functions are completed in a timely fashion and develops billing goals. Responsible for accurately coding provider’s outpatient and inpatient visits based on the documentation provided and abstracting accurate and complete patient care data to ensure optimum and timely reimbursement. Applies knowledge of specialized information specific to coding and medical terminology according to all coding guidelines.

Required Qualifications and Skills:

• Minimum of 1-2 years of medical billing experience in either charge, payment or follow-up work
• Minimum of 1-2 year of coding experience for primary care, medical and surgical specialties or secured CPC, CCS-P coding certifications.
• Excellent written and oral communication skills with attention to detail
• Excellent interpersonal and organizational skills
• Competency with ICD-10 and CPT coding guidelines
• Ability to problem solve complicated claims
• Has strong time management skills
• Able to multi-task various projects assigned.
• Knowledge of anatomy, physiology and pathology of disease processes and medical terminology
• Knowledge of HCC and CAT II coding
• Experienced in ICD-10 CM and CPT coding systems, guidelines and conventions, Coding Clinic, and CPT Assistant guidelines

Preferred Qualifications and Skills:

• Computer proficient
• Strong interpersonal communication skills
• Command of verbal and written English
• Flexible, highly motivated, capable of keeping abreast of constantly changing regulations, guidelines, insurance billing requirements, annual coding updates and internal data needs
• Ability to interact with co-workers and physicians to resolve coding, documentation and workflow issues

Education/Training:

• High school diploma or equivalent

Licenses/Certification:

•   CPC or AHIMA coding certification       

Essential Job Functions:

• Organize and code patient medical records for multispecialty providers into CPT and ICD10 codes.
• Acts as a liaison and overseer of the billing and claims process between insurers, medical offices and patients
• Prepare claims for invoicing to payers and patients.
• Correct rejected/denied payer claims and/or coding errors.
• Track and collect payments from third party payers
• Work collaboratively with team members to resolve complicated claims
• Communicate effectively with leadership regarding any delays in claims resolution that is at risk for timely filing
• Handle confidential information and abide by all Sturdy Memorial Associate HIPAA laws and other billing office policies.

Other duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

AGE AND DIVERSITY RELATED CRITERIA: Consistently treats patients, colleagues and visitors with the dignity and respect, while being sensitive to the differing needs of all age groups, backgrounds, characteristics and cultures.

ABILITY TO FULFILL JOB EXPECTATIONS: Must have the ability to the perform essential functions of the position, including required work hours, locations and physical demands, without posing a direct threat to the health and safety of themselves or other individuals in the work place, and with or without reasonable accommodation.

PHYSICAL DEMANDS: Physical demands refer to the level and duration of physical exertion generally required to perform critical tasks in support of critical job functions, for example - sitting, standing, walking, lifting, carrying, reaching, pushing, and pulling.

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Salary Range:$22.35-$33.98

Sturdy Memorial Hospital is an equal employment opportunity employer. There is no discrimination because of race, color, creed, age, gender, sexual orientation, national origin, veteran status or disability.