Key Responsibilities:
- Analyze, code, and abstract patient medical records to document conditions and treatments.
- Enter and update patient and insurance information accurately.
- Train staff on coding and auditing processes.
- Audit procedure codes and notify physicians of discrepancies.
- Generate monthly list of missing progress notes.
- Ensure proper information is obtained before billing Medicare and commercial payers.
- Input and review new claims, contacting members or physicians for missing data.
- Resolve issues before and after claim submission.
- Code diagnoses, procedures, and operations using appropriate systems.
- Review severity of illness, supplemental codes, and other data.
- Audit incomplete records and report delinquencies.
- Collaborate with healthcare staff to ensure accurate medical records.
Required Skills/Qualifications:
- High school diploma or general education degree (GED)
- Certified Professional Coder (CPC) certification is required.
- Experience with Microsoft Office Suite, Electronic Medical Records (EMR), and insurance portals.
- Minimum of 3-5 years of experience in medical office billing and coding.
- Proficiency in ICD-10, CPT, and HCPCS coding systems.
- Minimum of 1-2 years of experience with healthcare billing software and electronic medical records (EMR) systems.
Medix is acting as an Employment Business in relation to this vacancy.