- Performs initial charge review to determine appropriate ICD-10 and CPT codes to be used to report physician services to third party payers.
- Interprets progress notes, operative reports, discharge summaries, and charge documents to determine services provided and accurately assign CPT and ICD-10 coding to these services.
- Enters appropriate data into the EMR/billing system by selecting the appropriate codes, diagnosis and modifiers.
- Contacts physicians through management regarding procedures and other services billed to ensure proper coding.
- Responsible for reviewing provider surgery logs and other reports of clinical activity to ensure billing is captured for all patients.
- Reviews all physician documentation to ensure compliance with third party and regulatory guidelines.
- Works in conjunction with the reimbursement staff to answer all inquiries regarding coding and billing for physicians' services.
- Works in coordination with other members of the Billing Office as necessary.
- Meets and exceeds short and long term goals as established for the department.
- Performs duties and job functions in accordance with the policies and procedures established for the department.
- Reports to work, meetings and professional obligations on time as scheduled.
- Participates in administrative staff meetings and attends other meetings and seminars as scheduled.
- Assists in evaluation of reports, decisions, and results of department in relation to established goals.
- Recommends new approaches, policies, and procedures to influence continuous improvements in department's efficiency and services performed.
- Serves as a member of the Billing Department. Performs duties necessary to ensure the team's projects/goals are completed.
- Takes ownership of special projects, researches data and follows through with detailed action plans.
- Meet the Company's expectations as described in the VSON Policies and Practices.
- Maintain confidentiality of Personal Identifiable Information (PHI) in accordance with company Policies and State and Federal laws, including OHSA and HIPAA regulations.
- Perform job in accordance with all company safety practices.
- Other duties as assigned.
- Knowledge of the EMR and all billing-related functionality.
- Knowledge of current third-party billing and collection regulatory guidelines and requirements.
- Knowledge of rules, regulations, procedures, and work performed in the assigned area.
- Skill in performing coding and billing tasks appropriately.
- Skill in establishing and maintaining effective working relationships with managers, administrative staff, other employees, patients, and external parties
- Outstanding communication and telephone skills.
- Skill in managing time remotely while accomplishing goals timely and efficiently.
- Ability to gather and interpret clinical data.
- Ability to work independently in a fast-paced environment.
- Ability to evaluate, improve, and make suggestions for improvement.
- Ability to express ideas clearly and concisely in oral and written form.
- High school diploma or GED completion is required;
- Certified Professional Coder with a minimum of five (5) years' experience with CPT/ICD-9/ICD-10 coding of orthopedic physician services preferred;
- Good working knowledge of medical terminology and anatomy required.
-
Certified Medical Billing Specialist
2 weeks ago
Vail-Summit Orthopaedics & Neurosurgey Grand Junction, United StatesJOB SUMMARY · Under the direction of the Billing Office Lead and Chief Operating Officer, performs various duties to accurately interpret and bill physician charges for physician services. Enters appropriate CPT and ICD-10 codes into EMR/billing system; bills charges. · This is a ...
-
Insurance Verification Specialist
1 week ago
Sherev Heart and Vascular Clinic, Inc. La Mesa, United States**About us** · Sherev Heart and Vascular Clinic, Inc. is a growing business in La Mesa, El Cajon, Chula Vista, and Vista, CA. We are agile, professional and inclusive. · Our work environment includes: · - Professional office setting · - Food provided occasionally · - Growth oppor ...
-
Document Specialist
5 days ago
Sonic Automotive Grand Junction, United StatesThe Automotive Document Specialist/ F&I (Finance & Insurance) Specialist is responsible for preparing deals to be sent to the Billing Clerk. Duties and Responsibilities: - Submit paperwork to and obtain approval from finance sources on all finance de Specialist, Finance, Healthca ...
-
Receptionist - State Farm Agent Team Member
3 weeks ago
Lavonne Gorsuch - State Farm Agent Grand Junction, United StatesROLE DESCRIPTION · LaVonne Gorsuch Insurance Agency is seeking a friendly, organized and efficient specialist to fulfill administrative duties and support insurance agents in gaining and retaining customers. As a team member with our agency, your attention to detail, dedication t ...
-
SCL Health Grand Junction, United StatesJob Description · Days Monday - Saturday · You. · You bring your body, mind, heart and spirit to your work as a Patient Access Associate I / Registration Specialist. · You know how to move fast. You know how to stay organized. You know how to have fun. · You're great at what you ...
-
SCL Health Grand Junction, United StatesJob Description · Minimum of 20 hours a week, day shift varies Monday - Saturday 6am -6:30pm · You. · You bring your body, mind, heart and spirit to your work as a Patient Access Associate I / Registration Specialist. · You know how to move fast. You know how to stay organize ...
-
Marketing Specialist
1 week ago
Action Solar Grand Junction, United StatesJob Title: Marketing Specialist · The Location: Grand Junction, CO · An Expected Annual Earnings: $84, ,800 per year · Our Timeframe For hiring: immediate/within 1 to 2 weeks · What is Important and different about Action Solar? · Action Energy is a leader in installing Resi ...
-
Intermountain Healthcare Grand Junction, United StatesJob Description: · Responsible for registering patients in multiple service lines all necessary demographic, financial, and clinical information from the patient or representative. · Scope · This is a Part Time position Hours and shifts vary · As a Patient Access Associate I / Re ...
-
Intermountain Healthcare Grand Junction, United StatesJob Description: · Responsible for registering patients in multiple service lines all necessary demographic, financial, and clinical information from the patient or representative. · Scope · This is a Part Time position Hours and shifts vary · As a Patient Access Associate I / Re ...
-
Intermountain Healthcare Grand Junction, United StatesJob Description: · Responsible for registering patients in multiple service lines all necessary demographic, financial, and clinical information from the patient or representative. · Scope · This is a Fulltime position.. Hours and shifts vary · As a Patient Access Associate I / R ...
-
Document Specialist
6 days ago
Sonic Automotive Grand Junction, United StatesCompany Description · Grand Junction Volkswagen is one of the fastest growing brands within the automotive industry. We are building a business based on doing things the right way. From the way we treat our guests, take pride in our work and share opportunities for our employees ...
-
Customer Service Rep
1 week ago
Caldwell Insurance Inc. - American Family Insurance Grand Junction, United StatesJob Description · Job Description · Benefits/PerksCompetitive hourly pay rate plus commission and/or bonuses · Paid training · Paid Time Off · Job Summary · The Customer Service Representative provides excellent customer experience for potential and existing customers. Identifies ...
-
Marketing Specialist
4 weeks ago
Moody Insurance Agency Grand Junction, United StatesJob Type · Full-time · Description · Position Summary: The Marketing Specialist oversees the marketing of all new business opportunities to our carriers including submission of applications, negotiation of terms and conditions, preparation of proposals and seamless transition t ...
-
Commercial Insurance Marketing Specialist
4 weeks ago
Moody Insurance Agency Grand Junction, United StatesPosition Summary: The Commercial Insurance Marketing Specialist oversees the marketing of all new business opportunities to our carriers including submission of applications, negotiation of terms and conditions, preparation of proposals and seamless transition to the account mana ...
-
SCL Health Grand Junction, United StatesJob DescriptionMinimum of 20 hours a week, day shift varies Monday - Saturday 6am -6:30pm You.You bring your body, mind, heart and spirit to your work as a Patient Access Associate I / Registration Specialist.You know how to move fast. You know how to stay organized. You know how ...
-
Revenue Specialist
4 days ago
Community Hospital Grand Junction, United StatesThe Job: · The Denials Specialist manages multiple revenue improvement activities and is responsible for performance and overall management of the denials/appeals process. · Work Schedule: Full Time · Location : Community Hospital · Responsibilities: · Manages and develops n ...
-
Revenue Specialist
2 weeks ago
Community Hospital Grand Junction, United StatesThe Job: The Denials Specialist manages multiple revenue improvement activities and is responsible for performance and overall management of the denials/appeals process. · Work Schedule:Full Time · Location: Community Hospital · Responsibilities:Manages and develops necessary ...
-
Commercial Insurance Marketing Specialist
1 week ago
Moody Insurance Agency Grand Junction, United StatesPosition Summary: The Commercial Insurance Marketing Specialist oversees the marketing of all new business opportunities to our carriers including submission of applications, negotiation of terms and conditions, preparation of proposals and seamless transition to the account mana ...
-
Commercial Insurance Marketing Specialist
3 weeks ago
Moody Insurance Agency Grand Junction, United StatesPosition Summary: The Commercial Insurance Marketing Specialist oversees the marketing of all new business opportunities to our carriers including submission of applications, negotiation of terms and conditions, preparation of proposals and seamless transition to the account mana ...
-
Behavior Line Staff
1 week ago
STRIVE Grand Junction, United StatesBehavior Line · The Behavior Line Staff provides one-on-one support and supervision to individuals with developmental disabilities. If you enjoy thinking outside of the box and implementing creative solutions to help individuals achieve their goals, this job is the perfect fit. ...
Certified Medical Billing Specialist - Grand Junction, United States - VAIL-SUMMIT ORTHOPAEDICS & NEUROSURGEY
Description
Job Description
Job DescriptionDescription:JOB SUMMARY
Under the direction of the Billing Office Lead and Chief Operating Officer, performs various duties to accurately interpret and bill physician charges for physician services. Enters appropriate CPT and ICD-10 codes into EMR/billing system; bills charges.
This is a full-time position, Monday through Friday. This position is eligible for medical, dental, and vision insurance, employer-paid long-term disability insurance, continuing education funds, and PTO.
THE DETAILS OF THE JOB
ESSENTIAL DUTIES AND RESPONSIBILITIES
WHAT IT TAKES TO DO THE JOB
KNOWLEDGE, SKILLS AND ABILITIES
EDUCATION, EXPERIENCE AND CERTIFICATES
NOTICE
This job description is not intended to be a comprehensive list of activities, duties or responsibilities for this job. The duties, expectations and actions listed for this role may change at any time with or without notice.
EEO STATEMENT
We believe diversity makes us stronger. Vail-Summit Orthopaedics & Neurosurgery provides equal employment opportunities to all employees and applicants without regard to sex, gender identity, sexual orientation, genetics, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
