group
Category
Administrative Support
business
Department
Clinic Billing Services
date_range
Schedule
Full Time
schedule
Shift
Day
timer
Hours
8 Hour Shift
place
Location
Rancho Mirage, CA 92270
info
Job #
R0258743
  • Job Objective: A brief overview of the position.
    • This position is responsible for the review, update or entry of charges to the EPIC PB/HB billing system. Updates are based on a clear understanding of LCD,NCCI and MUE edits, to reduce denials and produce clean claims.
  • Reports to
    • The Manager or Supervisor of Coding and Charge Capture 
  • Supervises
    • N/A
  • Ages of Patients
    • N/A
  • Blood Borne Pathogens
    • Minimal/ No Potential
  • Qualifications
    • Education
      • Required: High School diploma or GED
      • Preferred: Degree or some college
    • Licensure/Certification
      • Preferred: Non APC coding certificate
    • Experience
      • Required: Minimum of three years medical billing experience in a Physician based clinic or office
      • Preferred: Three to five years of medical billing experience with extensive knowledge in Physician and clinical based billing
  • Essential Responsibilities
    • Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
    • Reviews assigned charge capture work queue daily including but not limited to:
      • Filtering on priority based on high dollar and date of service
      • Matching E & M services to procedures
      • Validation of Bill area, Service provider and billing provider
      • Validation of New verses established patient
      • Validation of NDC numbers, proper quantity and administration code
    • Updates or validates date of injury as indicated.
    • Reviews documentation to ensure charge opportunities have not been missed.
    • Enters comment as indicated on each encounter touched.
    • Defers any encounter with a comment that requires coder or management review.
    • Updates insurance as indicated including running a current verification.
    • Maintains productivity standards per departmental policy.
    • Maintains encounter turnaround time to at or below three days .
    • Identifies and reports any system issues or provider trends affecting the charge capture process.
    • Attends coder continuing education and departmental meetings as instructed.
    • Enters and reconciles any manual batches as assigned.
    • Demonstrates team support by completing training in other positions and assisting as needed.
    • Performs other duties as assigned.