IDEAL Personnel

Medical Biller Position Available!

Position Title: Medical Billing Specialist ($15/hr)

Reports to: Billing Department Lead

Summary: Review clinical documentation for intensive care hospitalist and diagnostic results as appropriate to extract data and apply appropriate ICD-9-CM and CPT-4 codes for billing, internal and external reporting, research, and regulatory compliance. Under the direction of the Billing manager, accurately code outpatient (for example, diagnostic, therapeutic, emergency department services, ambulatory surgery (same day surgery), and observation service encounters) conditions and procedures as documented in the ICD-9-CM Official Guidelines for Coding and Reporting. Resolve error reports associated with billing process, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors.

Responsibilities:

Assigns codes for diagnoses, treatments, and procedures according to the appropriate classification system for outpatient or inpatient encounters.

Utilizes technical coding principals and APC reimbursement expertise to assign appropriate ICD-9-CM diagnoses and ICD-9-CM/CPT-4 procedures.

Identifies chargeable items for emergency department visits and enter into billing system.

Extracts required information from source documentation and enters into encoder and abstracting system.

Reviews daily system-generated error reports to correct or complete missing data elements.

Assists in implementing solutions to reduce back-end billing errors.

Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) or American Association of Professional Coders (AAPC) and adheres to official coding guidelines.

Other duties as assigned by management

Qualifications: Minimum of successful completion of a nationally approved Coding Certificate Program which must be accredited through the AAPC or AHIMA. At least, five years of progressive on-the-job experience. ICD-10 Certification is preferred.