·Position Summary: Reviews and analyzes revenue cycle for quality, accuracy and appropriate documentation.Ensures accuracy of CPT and ICD-9 codes of charges prior to them being processed for billing.Reviews provider documentation and provides feedback to Physicians, PA’s and NP’s.Work with follow up representatives on appeals and rejections to ensure the Center receives appropriate reimbursement.
·Experience:3 years in healthcare or healthcare billing required. Working knowledge of physician billing.Understanding of CPT and ICD-9 coding as well as familiarity of Evaluation & Management documentation guidelines and MedicarePATH guidelines.
·Education:High School or G.E.D
·Required License / Credentials:CPC required.
·Other Required Skills: Knowledge of PC. Knowledge ofCPT and ICD-9 coding required.
·Contact With Others: Regular internal and/or external contacts involvingconsiderable tact, discretion and persuasion in order to obtain information and/or willing consent.
·Supervision Given: Responsibilities of the position require no supervision or direction of others.
·Supervision Received:Works under general supervision in performing routine assignments, referring unusual or more difficult situations to immediate supervisor.