<ul> <li>This will be a remote position* </li></ul> <p>Job Summary: Reviews hospital data, assigns medical billing codes, reviews patient accounts for services rendered to ensure accurate and prompt reimbursement.</p> <p>Essential Duties and Responsibilities:</p> <ul> <li>Travel to hospitals to pick up physician encounter data. </li><li>Reviews hospital service data to assign ICD-10, CPT, and HCPCS codes for billing. </li><li>Reviews patient demographic and financial information in the practice management system to ensure accurate and prompt reimbursement. </li><li>Develops and maintains professional skills and knowledge through attendance at relevant conferences, seminars and other educational programs, participation in professional organizations and review of current literature. </li><li>Contributes to the teamwork within and between departments and organizations that support VHS operations. </li><li>Provides positive and effective customer service that supports departmental operations. </li><li>May perform coding audits as assigned. </li><li>Work insurance denials based on diagnosis code - determine charge resolution as appropriate </li><li>Conveys a professional and positive image and attitude regarding the health center and organization. </li><li>Develops good rapport with staff. </li><li>Maintain compliance with the organization's confidentiality policy in accordance to the Health Insurance Portability and Accountability Act (HIPAA). </li><li>Maintain compliance with all company policies and procedures </li><li>Other duties as assigned. </li></ul> <p>Education and/or Work Experience Requirements:</p> <ul> <li>Knowledge of medical coding and billing national standards </li><li>Knowledge of payer medical coding and billing requirements </li><li>Knowledge of CPT, ICD-10, HCPCS, and CDT codes and ability to accurately assign the codes </li><li>Ability to use Microsoft Office products </li><li>Ability to analyze information </li><li>Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers </li><li>Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service </li><li>Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices </li><li>High school diploma or GED required </li><li>3+ years experience in healthcare billing/coding experience </li><li>Professional Billing Coding certification (CPC, CCS-P) required </li></ul> <p>Physical Requirements/Working Conditions:</p> <ul> <li>Work is repetitive in nature and requires concentration and constant technical attention to accuracy and detail for extended periods of time. </li><li>Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards. </li><li>Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards </li><li>Must be able to talk, listen and speak clearly on telephone </li></ul>