What are the responsibilities and job description for the MEDICAL BILLING SPECIALIST-CPC (PART-TIME) position at VA Ear Nose Throat Associates?
SUMMARY DESCRIPTION
The Medical Billing Specialist (PART-TIME) is responsible for entering surgery charges after review of the operative report. The medical billing specialist may also be assigned other work in the dept as needed.
RESPONSIBILITIES
- Reviews op reports to verify the codes that were authorized were documented.
- Applies appropriate coding methodology to prevent a bundling denial, which includes using modifiers as needed.
- If changes are found in the op report or on the change report from the surgery center, it is necessary to work with the surgery scheduler to have the pre-authorization requirements of the new codes verified/updated.
- Works the missing ticket report for all scheduled surgeries.
- May be asked to post remits, credit balance report as needed.
- If a discrepancy is found while reviewing the op report, it may be necessary to query the physician to clarify the procedure performed via text, email, or EMR message.
- Weekly email is completed to the physicians, including the ASC president and the Director of Revenue Cycle Management to inquire about incomplete or missing op reports.
- Works all visit category 4 accounts on the AR within one week of assignment
- All other duties as assigned.
QUALIFICATIONS
- A high school diploma;
- Certified Professional Coder, it is necessary to maintain CEU’s.
- Experience in a medical office setting, preferably at least 2 years, and preferably with billing functions;
- Excellent communication and customer service skills;
- Basic knowledge of keyboard and accurate data entry skills;
- Technical skills sufficient to be able to run reports and interpret data;
- A team player who can facilitate people working together in a collegial and efficient manner;
- Ability to communicate clearly in person and/or on the phone and establish/maintain cooperative relationships with patients, physicians and staff;
- Ability to organize and prioritize tasks effectively;
- Ability to read, understand, and follow oral and written instructions.
ENVIRONMENTAL/WORKING CONDITIONS
- Medical office setting.
- Well-lit and well-ventilated adequate space.
- Some exposure to communicable diseases and other conditions common to a clinical environment.
PHYSICAL/MENTAL DEMANDS
- Requires sitting for extensive periods.
- Must be able to view a computer screen for an extended period.
- Light lifting required up to 15 lbs.
- Requires manual dexterity sufficient to operate a keyboard, operate a calculator, telephone, copier, and such other equipment, as necessary.
