The Medical Billing Coder will do laboratory medical billing and coding, be fluent in CPT and ICD-10 knowledge and is able to manage all aspects of professional medical billing. Understands and manages the entire medical billing process for a molecular laboratory and enters patient demographics. Verifies patient eligibility. Checks charge entry/cleaning claims for coding accuracy prior to submitting to insurance carriers. Establishes coding “rules” and implement changes to existing and new processes. Performs quality check as necessary to ensure users enter all data required to create claims (CPT, POS, provider, etc.). REQUIREMENTS High School Diploma or equivalent required, Bachelor’s Degree preferred Must have certification with a current license (CPC, CMRS, CBCS or equivalent) Minimum 3 years of medical coding and billing experience required g Medicaid and other government plans Advanced knowledge of coding and charting
Understands and manages the entire medical billing process for a molecular laboratory. • Enters patient demographics. • Verifies patient eligibility. • Checks charge entry/cleaning claims for coding accuracy prior to submitting to insurance carriers. • Establishes coding “rules” and implement changes to existing and new processes. • Performs quality check as necessary to ensure users enter all data required to create claims (CPT, POS, provider, etc.). • Interprets medical documentation/records into codes that can be deciphered by payors, other medical coders, and other healthcare professionals. • Effectively communicates with physicians, nurses, and other healthcare professionals to classify the services a patient has received. • Maintains patient confidentiality and HIPAA Compliance Standards. • Remains current and understanding industry trends and procedural code changes. • Coordinates and monitors insurance coverage and reimbursement rules for laboratory services
The essential functions of this role include:
- working in a smoke free environment
- Years of experience: 3 years
- Experience level:Experienced
Working hours: 8 AM - 5 PM
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