出海雷达

计费联络员/编码员

Billing Liaison Sr/Coder

职能支持限定地区(需当地身份)
公司Nemours
薪资未公开
工作地点United States
地域资格限定地区(需当地身份)
时区要求日间重叠约 9 小时,基本正常作息
用工类型Full Time
发布时间10 天前
数据来源Himalayas
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注意地域限制:该职位明确限定在 United States 招聘。如果你是位于中国大陆的求职者,通常需要当地工作身份才能投递,或需与雇主确认是否接受独立合同(Contractor)形式合作。

加入我们的团队,担任高级账单联络员!高级账单联络员的主要职责包括通过审查医生口述的病历和手术报告,确保100%的费用捕获,并使用适当的CPT、ICD-10-CM代码和修饰符正确编码所有提供的服务。每日审查EPIC费用审核工作队列是必不可少的。还需监控并报告与付款人合规性和/或计费流程相关的应收账款问题。高级联络员/编码员是提供者与计费办公室之间的纽带,是提供者、办公室员工、管理层和中央业务办公室的资源。还需要参与编码培训和教育。必须每年保持美国专业编码员协会(AAPC)认证的认证资格。

申请者必须居住在以下各州之一:阿拉巴马州、科罗拉多州、特拉华州、哥伦比亚特区、佛罗里达州、佐治亚州、伊利诺伊州、马里兰州、密苏里州、新泽西州、纽约州、北卡罗来纳州、俄亥俄州、宾夕法尼亚州、南卡罗来纳州、田纳西州、德克萨斯州和弗吉尼亚州。

职责:
1. 审查工作队列和计费表单,确保正确编码,并与提供者合作消除错误。根据需要分配正确的CPT、ICD-10代码和修饰符。
2. 创建报告以协助分析其负责部门的收入、索赔跟进和索赔拒付情况,提供反馈并提出改进建议。
3. 每月定期与负责部门主管或医生参加会议;提供与计费相关运营的报告。
4. 作为负责部门和其他联络员的编码资源。
5. 保持CPC认证,并参加相关的编码内部培训和研讨会。
6. 跟踪所有影响部门收入的第三方支付问题,并向经理报告趋势。
7. 定期与中央业务办公室沟通索赔问题。
8. 向各部门通报CPT和ICD-10代码的变化及由此产生的报销问题。
9. 与编码完整性部门沟通编码问题。
10. 及时了解并遵守保险公司、CPT、ICD-10、HCPCS、联邦和州的要求,确保正确编码和提交无误的索赔。

资格:

  • 必须具备AAPC认证
  • 优先考虑5年编码经验。优先考虑外科和/或心血管编码经验。
  • 必须具有高中文凭

最初发布于喜马拉雅山

查看英文原文

Join our team as a Senior Billing Liaison! The Billing Liaison Sr/Coder primary job responsibilities include ensuring 100% charge capture by reviewing physician dictated notes and operative reports and properly code all services performed utilizing appropriate CPT, ICD-10-CM codes and modifiers.Daily review of EPIC Charge Review Work queues is essential. Also monitor and report on accounts receivable issues related to payer compliance and/or billing processes. The Liaison Sr/Coder is the link between the providers and the billing office and acts as a resource to providers, office staff, administration and the Central Business Office. Participation in coding training and education is also required.Maintaining yearly certification as a Certified Professional Coder is required with the American Academy of Professional Coders.
Applicants must reside in one of the following states: Alabama, Colorado, Delaware, the District of Columbia, Florida, Georgia, Illinois, Maryland, Missouri, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, and Virginia.
Responsibilities:
1.Review work queues and billing forms for correct coding and work with providers to eliminate errors.Assign correct CPT, ICD-10 codes and modifiers as needed.
2.Create reports to assist in the analysis of their assigned division’s revenue, claim follow up and claim denials, provide feedback and make suggestions for improvement
3.Attend scheduled meetings with their assigned division heads or physicians on a monthly basis; provide reports regarding billing related operations
4.Act as a coding resource to assigned divisions and to other liaisons
5.Maintain CPC certification and attend relevant coding in-services and seminars.
6.Track all third party payment issues that affect division revenues and report trends to manager
7. Communicate regularly with the Central Business Office on claim issues
8.Advise divisions/departments of changes to CPT and ICD-10 codes and resulting reimbursement issues
9. Communicate with the Coding Integrity department on coding issues.
10.Remain abreast and adhere to insurance company, CPT, ICD-10, HCPCS, Federal and State requirements for correct coding and clean claim submission
Qualifications:

  • AAPC Certification Required
  • 5 years of coding experience preferred. Coding in surgical and/or cardiology coding also preferred.
  • High school diploma required

Originally posted on Himalayas

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NemoursUnited StatesFull Time11 天前
市场运营职能支持限定地区(需当地身份)

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