Medical Charge Entry Specialist - Orlando, United States - Florida Retina Institute

Description

Job Summary:

The Medical Charge Poster provides good judgement in reviewing procedure codes and diagnosis codes for accuracy in all areas of services rendered by the practice.

The Medical Poster identifies errors in coding and initiates correction before submitting to billing with in the billing system. Tasks are performed to insure accurate collection of reimbursement.


Physical Qualifications:

Requires prolonged sitting, some bending, stooping and stretching, hand-eye coordination and manual dexterity to operate keyboard, photocopies, telephone, and other office equipment.

Requires normal range of eye sight, hearing and aptitude to record, prepare, and communicate appropriate information, and reports.


Performance Requirements:


Job Qualifications

• High School Diploma
• Previous experience in a medical group practice environment preferred.
• Experience in medical coding and reimbursement.

1.1 Posts claims to practice billing system.

1.2 Reviews for completeness and accuracy all encounters created by patient visits for all departments in all areas of services rendered.

1.3 Verifies that assignment of ICD-10 and current CPT codes are compatible and accurate for billing by using reference materials to include code manuals and correct coding initiatives.

1.4 Interpret medical terminology in order to comprehend translation in practice billing system.

1.5 Submits requests to clinical staff and/or provider for missing information needed to complete the billing processing, including authorizations. Once information is returned, corrects and posts.

1.6 Ability to utilize third party payer knowledge and maintain a current knowledge base in coding compliance in order to maximize reimbursement.

1.7 Meets daily, weekly and monthly deadlines.

1.8 Report to Management any questionable coding and/or charges entered by the practice sites.

1.9 Consistently checks for authorizations and referrals before charge entry.

1.10 Consistently clears up missing tickets weekly.

1.11 Reviews patient demographics prior to posting for accuracy.

1.12 Communicates and /or educates coding issues causing problems to techs and scribes, as well as to the Charge Entry Lead.

1.13 Utilizes patient chart on an as needed basis, accessing only information related to treatment, payment, and health operations.

1.14 Adheres to company's HIPAA, OSHA, and compliance regulations.

1.15 Other duties as assigned.

Excellent benefits package including Medical, Dental, Vision, PTO, LTD, STD, Life Insurance, 401k matching, Uniform Allowance.


This is not a remote position.

Benefits:

• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work Location:
In person