Clinic Coder/Biller
Marshall Health Network
Clinic Coder/Biller
Marshall Health Network
Posted 3 months ago
Full Time
Barboursville, West Virginia
In Person
Smart Summary
Responsibilities
The incumbent is responsible for capturing source documentation to generate provider charges and claims while ensuring the accuracy of patient and insurance data. They will also handle charge reconciliation, follow up on claim denials, and manage the pre-certification process for procedures.
Qualifications
You have a high school diploma or equivalent and a minimum of one year of billing experience in a healthcare organization. You are also required to obtain a Certified Professional Coder (CPC) certification within six months of employment.
Must Have Skills for ATS
ICD-10
CPT
DRG
CPC
Meaningful Use
Job Description
The incumbent will utilize the necessary electronic and manual systems to identify and capture source documentation needed for the coding and generation of provider charges/claims. In addition, the incumbent will ensure that charge data is gathered including patient demographic and insurance information and review the information for accuracy. The Biller/Coder will work with providers to ensure that the charges, and supporting documentation is available and submitted in a timely fashion.
In addition, the incumbent will assist in the charge reconciliation process, reconcile daily operating sheets, batch entry summaries and other billing related tracking mechanisms. Performs all necessary follow-up work (i.e. edits, denials and rejections) related to the charge entry and/or claim generation proess(es). Provides various reports, and provides pre-certification process for scheduled procedures as necessary, including communication of any balances due to the patient.
- High school diploma or eqivalent required
- Must obtain Certified Professional Coder (CPC) within 6 months of employment
- Knowledge of medication insurance adjudication, negotiation and finalization; Patient account systems; clearinghouse submission and follow up; general ICD-10 CPT, DRG; Meaningful use guidelines
- Minimum of one year billing experience in a healthcare organization
Marshall Health Network
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