Position Summary:
The Insurance Biller-Coder (IBC) will use ICD -9-CM and CPT-4, specialized medical classification software, to assign procedure and diagnosis codes for Provider Network Services (PNS).
Qualifications
Assessment of overall credit worthiness by review of a consumer credit report is required.
Education:
- High school diploma required.
- Associate degree in closely related field preferred.
Experience
- Previous experience in physician office billing required.
- Previous experience using an electronic health record preferred.
- Prior exposure to or knowledge of encoding software and impact of coding and reimbursement assignments required.
Licensure/Certification/Registration
- Certificate of Medical Coding completion from a Medical Coding program required.
Duties & Responsibilities:
- Apply appropriate modifiers and enter charges into appropriate databases.
- Assist with the completion of billing processes and distribution of billing information when requested.
- Other responsibilities will include PNS bank deposits and reconciling RVU’s with outside billing company or physicians.
- Provide exemplary core customer service.
- Work effectively and collaboratively with colleagues, physicians, and department heads.
- Effectively utilize strong organizational skills.
- Consistently display effective verbal and written communication skills.
- Proficient understanding and use of technology/PC skills required.
- Regularly exercise independent judgement.
- Each employee who participates in the coding, billing or claims submission process, from the initial receipt of a physician order to the receipt of payment for services, shall accurately and honestly perform his/her functions to ensure that accurate claims are submitted, and the organization retains only those funds to which it is legally entitled.
- Completes other duties as assigned by department leadership.
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