Billing coder job description
Example billing coder requirements on a job description
- High school diploma or equivalent
- Knowledge of coding and medical terminology
- Computer literacy and familiarity with billing software
- Certification as a Certified Professional Coder (CPC)
- At least one year of experience in coding and billing
- Excellent communication and interpersonal skills
- Strong organizational and problem-solving abilities
- High degree of accuracy and attention to detail
- Able to work independently or in a team environment
- Ability to multitask and prioritize tasks
Billing coder job description example 1
Ellis Medicine billing coder job description
Under the supervision of the Practice Administrator, the Mental Health Biller/Coder will register patients, verify demographics and insurance/financial information, prepares & batches all charges for charge entry and identifies proper ICD-10 & CPT-4 codes. This position requires interacting with Physicians, Nurse Practitioners, Registered Nurses and Licensed Social Workers who are generating patient encounters as well as management, other professional staff, and Insurance Company Representatives .
EDUCATION AND EXPERIENCE REQUIREMENT(S):
+ High school diploma or GED required.
+ Minimum of three years’ experience in a medical setting or an AAS in Secretarial Science with 1 year in a medical setting.
+ An understanding of Medical and Psychiatric Terminology.
+ Person should have a minimum of one-year experience coding using ICD-9-CM and CPT-4 codes.
+ Requires attention to detail with moderate volume of data entry including quality assurance.
+ Must possess excellent interpersonal and communication skills.
+ Knowledge of personal computer applications such as MS Word, Excel, Access, Outlook and Soarian billing systems.
+ Be able to multitask, with excellent organizational skills.
+ Certified coder (CPC) preferred.
PRIMARY RESPONSIBILITIES OF THE POSITION:
+ Will oversee accuracy of insurance/financial information of patients, using available resources.
+ Will Identify and bill secondary or tertiary insurances as appropriate.
+ Will Process daily charges in EMR System and data enter charge batches as needed.
+ Will insure documentation meets standards of care for billing, and communicate with providers when documentation does not meet standards.
+ Will manage the Encounter Billing Exception Worklist and related worklists that hold claims from billing.
+ Will obtain pre-authorizations as required for procedures.
+ Will follow up on unpaid claims within standard billing cycle timeframe using open encounters report.
+ Will evaluate patient records to determine that correct ICD and CPT codes are being used.
+ Will contact physicians and other health care professionals with questions about treatments or diagnostic tests given to patients with regard to coding procedures.
+ Will notify Practice Admin of any issues/trends that would result in lost revenue.
+ Will answer all patient or insurance telephone inquiries pertaining to assigned accounts, in a timely manner.
+ Will set up patient payments and collect them and run collection reports as needed.
+ Will understand and stay up to date on insurance carrier billing and payment policies.
+ Will complete Mandatory Education assignments and participate in other relevant training as assigned.
+ Willing to help with billing/charge entry at Child & Adolescent Mental Health, and Personalized Recovery Oriented Services as needed.
Billing coder job description example 2
The Iowa Clinic billing coder job description
Healthcare here is different - we're locally owned and led by our physicians, and all decisions are always made right here in Central Iowa.
By working at The Iowa Clinic, you'll get to make a difference while seeing a difference in our workplace. Because as one clinic dedicated to exceptional care, we're committed to exceeding expectations, showing compassion and collaborating to provide the kind of care most of us got into this business to deliver in the first place.
Think you've got what it takes to join our TIC team? Keep reading...
A day in the life...
Wondering what a day in the life of a Biller/Coder at The Iowa Clinic might look like? You will:
+ Perform duties associated with auditing patient treatment codes and levels of service on physician consults.
+ Utilize proficiency in ICD-9 and ICD-10 and CPT coding knowledge.
+ Monitor the Excel denial report.
+ Work closely with the Central Billing Office in refiling using a more appropriate code and/or proper submission of supporting materials to optimize reimbursements.
This job might be for you if...
Education
+ High school diploma or equivalent required. Certified Coding Specialist preferred.
Qualifications
+ Previous experience working in a medical office and a working knowledge of ICD-9 and/or ICD-10 and CPT coding and Medicare exclusions required. Exposure to different types of insurance programs preferred.
+ COVID-19 vaccine required.
What's in it for you
+ Competitive compensation
+ One of the best 401(k) programs in central Iowa, including employer match and profit sharing
+ Employee incentives to share in the Clinic's success
+ Generous PTO accruals
+ Health, dental and vision insurance
+ Employee rewards and recognition program
+ Health and wellness program with up to $350/year in incentives
+ Training and development opportunities
+ All employee meetings, team huddles and transparent communication
+ Employee feedback surveys
+ Quarterly volunteer opportunities through a variety of local nonprofits
+ Opportunities to have fun with your colleagues, including The Iowa Clinic night at the Iowa Cubs, employee appreciation tailgate party, Adventureland day, State Fair tickets, annual holiday party, drive-in movie night... we could go on and on.
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Updated March 14, 2024
