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Under the direction of the Revenue Cycle Supervisor – Coding the Physician Coding Specialist II monitors and analyzes unresolved third party accounts for multi-specialty group practices. This position initiates contact and negotiates appropriate resolutions to ensure timely payments of outstanding claims.
Job Responsibility:
Monitors and analyzes unresolved third party accounts for multi-specialty group practices
Initiates contact and negotiates appropriate resolutions to ensure timely payments of outstanding claims
Analyzes outstanding insurance accounts
Initiates appropriate and effective telephone and/or written follow-up
Communicates with payors and other internal departments
Researches and responds to all telephone inquiries from the customer service department
Reviews and corrects coding edits and denials
May code ICD-10 from written documentation
May abstract CPT/HCPCS codes
May perform computer assisted coding functions
Consistently meets department productivity standards
Consistently meets department quality standards
Maintains patient/physician confidentiality
Provides appropriate information and feedback to various personnel within UHPS
Identifies trends with insurance related issues and reports findings to the Team Lead
Acts as a role model for professionalism
Interprets written correspondence and either resolves the problem or forwards it to another department
Effectively communicates utilizing the telephone, form letters or internal correspondence to resolve patient inquiries
Handles multiple tasks simultaneously
Must have an understanding of insurance products and billing requirements
Performs other related duties as assigned
Requirements:
High School Equivalent / GED
2+ years Of medical billing experience
Excellent interpersonal skills
Ability to recognize, evaluates, and solves problems
Strong verbal and written communication skills
Extensive knowledge of the claims development process, as well as third party insurance program requirements
Must possess basic knowledge of ICD-9 and CPT coding
Ability to handle a variety of tasks with speed, attention to detail, and accuracy
Computer literate, experience with basic software packages
Certified Professional Coder (CPC) CPC-A, CPC-H, or CPC-P or Certified Coding Specialist (CCS) or CCS-P or Registered Health Information Technologist (RHIT) or Registered Health Information Administration (RHIA)
Nice to have:
Billing experience in a multi-specialty group is a plus