Job description
General summary of duties: Responsible for assisting the Billing Manager with the full revenue cycle of the organization including billing, charges, denials, adjustments, and reimbursements. Will consider remote work to the right candidate. The position could evolve into a Full-Time position in the future.
If working/living outside of AZ, will be hired as an independent contractor.
Pay range: $24- $27 per hour, depending on experience.
Explanation of Benefits (if Full-time position)
- Medical, Dental & Vision Insurance Offered
- Paid Time Off each year
- 8 paid Holidays a year
- 401k plan with profit sharing and a cash balance pension plan
Supervision received: Reports to Billing Manager
Education: CPC certification required. BS or equivalent preferred.
Responsibilities include:
- Analyze and interpret medical information in the medical record and assign/sequence the correct ICD-10-CM, CPT, and/or HCPCS code to the diagnoses/procedures of office, inpatient and/or outpatient medical records, including operative reports, according to established coding guidelines.
- Enter surgical charges in accordance with National Correct Coding Edits, applying correct modifiers and ICD-10 codes for accurate and compliant coding.
- Interact with and provide support to the practice to answer questions and resolve claim denials.
- Employ strong understanding of the encounter/billing process, and working knowledge of a Medicare, Commercial, and all other insurance plans as well as, their impact on reimbursement. Utilize medical reference resources and contacts to thoroughly research coding issues and to maintain working knowledge of payment/reimbursement systems to ensure maximum reimbursement and coding compliance.
- Identify opportunities for billing/coding improvements. Participate in developing, implementing, and reviewing programs for coding compliance monitoring, criteria for benchmark comparisons, organizational policies and procedures, and physician clinical documentation improvement programs.
- Meet or exceed productivity and quality standards as assigned by management.
- Take responsibility for various projects as assigned by management and perform any additional/miscellaneous duties (not inclusive of job description) as requested by the management team within the scope of knowledge/ability.
- Work as a team player and communicate in a positive manner with co-workers, managers, providers, and other contacts.
Position Requirements:
- Must have CPC certification and surgical billing experience as well as claims adjudication experience.
- Must have knowledge of surgical coding and the ability to review and natively code complex operative procedure reports.
- Must have experience with working with Commercial, Medicare, Medicaid, and secondary insurance plans.
- Must be able to adequately communicate and coach providers on proper billing practices.
- Must be familiar with current coding trends including ICD 10.
- Skills in establishing and maintaining effective working relationships with patients, medical staff, and the public.
- Work at an efficient and fast pace.
- Must be self-motivated.
- Must be highly organized and have excellent attention to detail.
- Skills in exercising initiative, judgment, discretion, and decision-making to achieve organizational objectives.
Qualifications Preferred:
- Experience in orthopedic surgical coding.
- Experience with Athena EMR and MS Office.
- Coding and Policy research.
Physical/Mental Demands:
- Sitting/standing for 8-9 hours a day.
- Must be able to view computer screen for long periods.
- Requires hand-eye coordination and finger dexterity.
- Occasional stress related to workload and assisting patient/staff/physicians with problems.
Info about our practice - Flagstaff Bone and Joint, PLLC:
Flagstaff Bone and Joint is in the four-season mountain community of Flagstaff, Arizona. We are a well-established, private practice that has been providing quality healthcare to Northern Arizona since 1978. Our center strives to provide state of the art care along with comprehensive medical education and superior customer service.
Core Ideology:?Always respect patients’ time and money while fostering a culture of excellence. We have four Arizona clinic locations including Kingman, Cottonwood, and Flagstaff.
Flagstaff Bone and Joint has 20 providers with 9 physicians who are all fellowship trained.
Surgeons:
- 3 sports medicine specialists
- 1 upper extremity specialist
- 2 spine specialists
- 1 foot and ankle specialist
Non – surgical:
- 2 PM&R interventional spine physician
Advanced care professionals:
- 7 PA-Cs
- 2 FNPs
- 7 Physical Therapists
- 1 Occupational/Hand Therapist
Our center provides integrated ancillary services for patient convenience including Digital X-ray, Ultrasound, Custom Bracing, Durable Medical Equipment, EMG/Nerve Conduction Studies, and Occupational and Physical Therapy.
Please visit our website for additional information about our practice: www.flagstaffboneandjoint.com
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