Medical Billing and Coding Specialist

Medical Billing and Coding Specialist
Department of Surgery

The Medical Billing and Coding Specialist will:

• Perform billing activities in a timely manner, i.e. surgical billing, physician billing and coding; may assist with chart audits to identify areas for improvement and resolve as appropriate.
• Ensure that claims are coded and processed accurately and timely.
• Work the primary holds daily for all billing related follow-up and communicates with the practice staff and physicians to identify improvement when necessary.
• Billing liaison between the Practices and other Saint Peter's Healthcare System departments as well as physician billing vendor.
• Assist Billing/Coding Coordinator with related projects and issues as they arise.
• Act as the financial interpreter for patients by advising them of their financial responsibility, providing them with concise and easily understood information about healthcare coverage, prior to or at time of service. Coordinates activities with the registrars by offering counseling to patients when notified of the need.
• Educate and provide physicians/surgeons with diagnosis codes (ICD-10) and procedure codes (CPT) when requested.
• May assist with the education and training of office staff on processing office and surgery claims, managing the Athena hold buckets, IngeniousMed tasks, precertifications, and other billing related functions.
• Ensure that all appropriate follow-up is done according to procedure to ensure timely payments are received. This is done by working with the facility and physician billing representatives by following up on denials and open accounts receivable.
• Assist the other billing staff members in the resolution of problems related to registration, charge entry, coding and payment reconciliation.
• Perform billing-related project research related to the activities of the Department.
• Recommend changes in office procedures to improve efficiency, productivity and/or cost effectiveness on an ongoing basis as evidenced by departmental efficiency and/or cost savings.
• Maintain an orderly and efficient work area consistently following proper safety, emergency, infection control and performance improvement guidelines.

Requirements:

• Requires a minimum of two (2) years of experience in an office setting, with billing and coding, and accounts receivable.
• Must have the ability to use sound judgment, act independently, and organize work load effectively.
• Requires outstanding interpersonal skills in order to deal effectively with a diverse group of callers, physicians, patients, visitors, and other healthcare professionals.
• Ability to work efficiently in fast-paced environment, problem solve and prioritize workload.
• Must be able to effectively educate physicians in medical coding and documentation guidelines.
• Keyboarding skills and abilities, including MS Office programs and capability of learning in-house billing and coding programs.
• CPC certification required or obtained within first year of employment.

We offer competitive base rates that are determined by many factors, including job-related work experience, internal equity, and industry-specific market data. In addition to base salary, some positions may be eligible for clinical certification pay and shift differentials.

The salary range listed for exempt positions reflects full-time compensation and will be prorated based on employment status.

Saint Peter's offers a robust benefits program to eligible employees that will support you and your family in working toward achieving and maintaining secure, healthy lives now and into the future. Benefits include medical, dental, and vision insurance; savings accounts, voluntary benefits, wellness programs and discounts, paid life insurance, generous 401(k) match, adoption assistance, back-up daycare, free onsite parking, and recognition rewards.

You can take your career to the next level by participating in either a fully paid tuition program or our generous tuition assistance program. Learn more about our benefits by visiting our site at Saint Peter's.