- Enters and import charges daily for all professionals ensuring accurate coding
- Determines correct CPT codes for professional surgical procedures along with Evaluation and Management (E&M) clinical encounters. Also determines appropriate all ICD-10 diagnosis codes
- Ensures all prior day's charges and edits have been accurately resolved and claim is ready to bill insurance in a timely manner.
- Identifies root cause issues causing charge edits and communicates these issues to leadership for upstream education
- Communicates with Coders, Business Office staff and Providers when necessary to resolve errors and clarify issues
- Stays accountable to quality and productivity standards, and monitor compliance with policies and procedures
- Identifies process opportunity trends and recommend ways to improve efficiencies
- Ensures adherence to third party and governmental regulations relating to coding, billing, documentation, compliance, and reimbursement
- Participates in special projects, personal development training, and cross training as instructed
- Informs Supervisor, Coding and Revenue Integrity of trends, inconsistencies, discrepancies for immediate resolution
- Works in conjunction with peers and functional areas of the Coding and Revenue Integrity department for the betterment of completing tasks and the company overall
- Job may require other duties as assigned.
- Certified Professional Coder (CPC) preferred.
- Demonstrates and uses a strong working knowledge of CPT coding and ICD10 coding as it relates to urology services.
- Understands the utilization of modifiers and other billing and coding rules to include the AMA and other billing and coding organizations.
- Knowledge of medical terminology and consistent application of medical documentation requirements.
- Minimum 2 years hands on coding and/or billing experience within a physician's office and/or successful completion of secondary education in medical coding/billing or medical administration, or urology experience
- Ability to follow policies and procedures for compliance, medical billing, and coding.
- Ability to type and enter data with proficiency and accuracy
- Proven ability to manage multiple projects at a time while paying strict attention to detail
- Ability to successfully meet established timelines
- Ability to operate essential office equipment, including multi-line phone, computer, fax machine, scanner, and photocopy machine.
- High school diploma or general education degree (GED); or equivalent combination of education and experience.
- Minimum of three years' revenue cycle experience within a physician practice
- Experience in Urology or physician practice environment preferred
-
PreMake Ready Specialist
1 week ago
Graphic Packaging International Elk Grove Village, United StatesLocation field must contain 'city, state' or a zip code to perform a radius search (e.g., · Denver, CO · or · City and state must be separated by a comma followed by a space (e.g., · Houston, TX ) · Graphic Packaging International, LLC · PreMake Ready Specialist · in · Elk ...
-
PreMake Ready Specialist
2 weeks ago
Graphic Packaging Elk Grove Village, United StatesAt Graphic Packaging International, we produce the paper cup that held your coffee this morning, the basket that transported those bottles of craft beer you enjoyed last weekend, and the microwave tray that heated your gourmet meal last night. We're one of the largest manufacture ...
-
PreMake Ready Specialist
3 weeks ago
Graphic Packaging International Elk Grove Village, United StatesThe Person who occupies this position is responsible for setting up jobs on the Bobst Presses. This involves putting together blankers and strippers. Pre. Make Ready Specialist understand and align business operations and Finishing Department as he/s Business Operations, Speciali ...
-
PreMake Ready Specialist
3 weeks ago
Graphic Packaging Elk Grove Village, United StatesAt Graphic Packaging International, we produce the paper cup that held your coffee this morning, the basket that transported those bottles of craft beer you enjoyed last weekend, and the microwave tray that heated your gourmet meal last night. We're one of the largest manufacture ...
-
AV/IT Architect
4 weeks ago
InsideHigherEd Maywood, United States· AV/IT Architect (Enterprise Architecture) · University of California Los Angeles · Budgeted Pay Scale: · $120,201-$133,557, annually · Full Salary Range: · USD $71,500.00/Yr. - USD $154,900.00/Yr. · Department Summary · The Digital Spaces Department manages physical and virt ...
-
Payroll Specialist
3 weeks ago
Tandem Westchester, United StatesOur vision at Tandem HR is to be the preferred partner for HR solutions, with the mission to deliver HR solutions so that our clients can deliver business results. · Tandem HR values: · We commit to our clients. · We work together. · We understand. · We think critically. · Positi ...
-
Special Education Teacher LBS1 in La grange, IL
2 weeks ago
ProCare Therapy La Grange Park, United StatesJob Description · Job DescriptionMinimum 1+ years special education experience required. · Learning Behavior Specialist 1 (LBS1)NSY 24/25 · Full time, school day 8:20-3:30 · The caseload is approximately 9 students 1st-3rd grade. · Math + Reading services · Mild/Mod · Push-In ...
-
Long/Distressed Inventory Specialist
3 days ago
TreeHouse Foods Oak Brook, United StatesEmployee Type: · Full time · Location: · IL Works from Home · Job Type: · Supply Chain Inventory Management · Job Posting Title: · Long/Distressed Inventory Specialist · About Us: · TreeHouse Foods (NYSE: THS) is a leading manufacturer of private label packaged foods and beverage ...
-
Business Analyst
3 weeks ago
Inspira Financial Oak Brook, United StatesJob Description · Job DescriptionTake the next step in your journey at Inspira Financial. You will help businesses and individuals thrive today, tomorrow, and into retirement. Become part of a company that is people centric and client obsessed in every interaction; a community of ...
-
Demand Generation Specialist II
1 week ago
Sun Chemical Northlake, United StatesABOUT THE ORGANIZATION · Sun Chemical, a member of the DIC Group, is a leading producer of packaging and graphic solutions, color and display technologies, functional products, electronic materials, and products for the automotive and healthcare industries. Together with DIC, Su ...
-
PCB Designer II
4 days ago
Grayhill Inc. La Grange, United StatesJob Description · Job DescriptionGrayhill designs and manufacturers intuitive human interface solutions that make life simpler, safer and more efficient. Standard products include optical encoders, rotary switches, keypads, joysticks, displays, touchscreens and pushbuttons. These ...
-
Regulatory Affairs Specialist
2 weeks ago
McCain Foods Oakbrook Terrace, United StatesPosition Title: · Regulatory Affairs Specialist · Position Type: · Regular - Full-Time · Position Location: · Toronto HQ · Requisition ID: · 28326 · The Regulatory Affairs Specialist is responsible for product composition and label regulatory compliance for finished goods ...
-
AH Hinsdale Home Health
3 days ago
OneStaffMedical Hinsdale, United StatesJob Description · Job DescriptionWe. Are. OneStaff. Medical. An independently-owned, nationally-recognized and amazingly awesome staffing firm ready to work for you A work ethic forged in the Midwest, we are here to stand by your side and help you find your dream assignment anywh ...
-
Special Education Teacher
1 week ago
Amergis Berwyn, United StatesHiring SPED teacher in Berwyn IL 24-25 school year · + Location : Berwyn IL · + Hours : 32.5 hours week · + Start Date : 08/19/2024 · For more information reach out to Paul Stogdill byphone at or email me at · The Special Education Teacher, under the direction of theSpecial ...
-
Special Education Teacher
2 weeks ago
Amergis Berwyn, United StatesHiring a Special Education Teacher for the School Year 24-25 · Berwyn, IL · 39 Weeks Hours weekly · Kindergarten-LBS1-Self Contained 4-6 Students · Hourly Pay $ 44.00 · Requirements: Special Education Cert.-IL Licensed-PEL w/LBS1 endorsement · Estimated start date 8/19/2024 ...
-
InsideHigherEd Westmont, United States· Application Administrator, BruinCast Operations · University of California Los Angeles · Budgeted Pay Scale: · $108,834-$121,000 · Full Salary Range: · USD $71,500.00/Yr. - USD $154,900.00/Yr. · Department Summary · The Digital Spaces department manages physical and virtual ...
-
Pediatric Dentist
1 week ago
North American Dental Group Lombard, United StatesOverview · Grove Dental Associates, part of the NADG team, has an opportunity for a Pediatric Dentist in our well-established, prosperous practices, located in Lombard, IL and Wheaton, IL. · Why working with us makes sense: · Choose to Practice Group Dentistry, not Corporate De ...
-
Warehouse keeper with a focus on recounting
3 weeks ago
Nexus Innovations Carpentersville, United StatesWarehouse Specialist with a focus on inventory counting (m/f/d) in Carpentersville Full-time Are you ready for a challenge? Join us as a Warehouse Specialist with a focus on inventory counting (m/f/d) at Rent.Group Munich and test your skills in logistics Tetris. Warehouse Specia ...
-
IT specialist for system integration
3 weeks ago
Phoenix Technologies Hoffman, United StatesInnovative, brilliant, and determined. We accompany our clients in their IT projects and bring them safely to their goal. We offer fun, diverse tasks, and brilliant colleagues who will never let you down. We are eager to revolutionize the IT world with you. Are you ready to join ...
-
Infinity Technologies New Trier, United StatesWe are a globally leading people and investment consulting firm. With heart and expertise, we help companies achieve their growth and transformation goals. As a strong and diverse team, we design global and local solutions for our clients throughout the entire employee lifecycle, ...
Claim Readiness Specialist - Westchester, United States - UroPartners LLC.
![Default job background](https://contents.bebee.com/public/img/bg-user-ex-1.jpg)
Description
Job Type
Full-time
Description
The Claim Readiness Specialist is responsible for entering and importing charges and ensuring the appropriate billing codes on used for all charges. The Claim Readiness Specialist will ensure charges are entered accurately, efficiently, and timely into the practice management system. The Claim Readiness Specialist is also responsible for resolving all assigned claim edits and submission of claims to third party payers within the clearinghouse/practice management system in a timely and efficient manner. They work with Coding and Revenue Integrity Supervisor to escalate charge entry and bill submission issues to prevent incorrect billing. This role reports to the Revenue Integrity Supervisor.
ESSENTIAL JOB FUNCTION/COMPETENCIES
CERTIFICATIONS, LICENSURES OR REGISTRY REQUIREMENTS