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Billing and Coding Coordinator - Cardiology

Company: Jobleads
Location: Novato
Posted on: May 3, 2021

Job Description:

Billing and Coding Coordinator - Cardiology Job Number MHMN20-226 Hours Per Two-Week Period 80 Shift Hours 8 Hour Shift MarinHealth Medical Network is a medical foundation representing the physicians, their care teams and office staff, who previously operated under Prima Medical Foundation or the Marin Healthcare District. With a network of clinics across many different medical specialties throughout Marin and Southern Sonoma County, MarinHealth Medical Network functions as an extended family of healthcare advocates who take pride in knowing that we aren't just making a living; we're making a positive impact on the health of our patients and their families. Come and join us in touching and transforming lives every day! External hires must pass a background check and medical screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with federal, state and local laws. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classifications protected by federal, state & local laws. General Summary: Responsible for billing services for multi-site cardiology clinic. Serves as billing coordinator, by gathering billing charge information, posting charges in EMR and with vendor. Coordinates with affiliates to ensure billing is accurate entered and issues are followed-up on quickly and completely. Monitors system issues, such as missing encounters by MD's, or retro billing requirements by patient. Will assist and train staff on appropriate billing procedures or appropriate EMR system use as required. Works closely with MD's and central revenue cycle team to ensure that the proper procedures are in place to ensure billing and coding is filed in appropriately and assists with changes as needed. Minimum Qualifications: Minimum 3 years' experience in medical billing and coding. Experience in health care customer service. Experience with Apex/Epic preferred. Experience and current knowledge of ICD10CM, CPT, and HCPCS coding methods. Must have good interpersonal skills. Must be able to communicate in a clear and positive manner, written, verbal, and via multi-lined telephone system. Ability to read, understand, and follow oral and written instruction. Ability to identify problems and recommend solutions. Possess excellent typing / keyboarding skills; knowledge of computer systems and applications. Effectively uses application of "Current Procedural Terminology" (CPT) coding system; interprets appropriately and accurately. Ensures clinical staff submits proper and accurate documentation for the services being provided. Serves as a liaison/resource for clinical and non-clinical staff regarding revenue cycle processes. Responsible for meeting overall productivity standards for the number of manual and electronic claims submission and handling. Responsible for completion of all claims and itemized bills daily, with complete accuracy. Responsible for the daily review of appropriate reports from Apex/Paragon and reporting any discrepancies with the appropriate coordinator. Performs quality control functions on claims and itemized bills to ensure overall accuracy to assure prompt and correct payments. Ensures all appropriate attachments and records are submitted with bills as per the individual carrier requirements. Possesses strong working knowledge of Government and non-Government billing requirements necessary to assure a complete and accurate billing. Maintains knowledge of ICD10CM, CPT, and HCPCS coding methods. Demonstrates a working knowledge of MS applications: Excel, Word, Visio, Access and PowerPoint, Apex is a plus Fosters effective working relationships with external organizations and agencies as required. Responsible for maintaining a strong focus on assigned tasks and at all times being a strong team player. Answers phones and responds to patient's billing questions. Able to explain billing statements and charges to patients so they can understand thefees that they are responsible for. Communicates with major insurance providers including Medicare, Medicaid, Partnership, and Commercial Plans; confirms eligibilities and prior auths, for scheduled services; ability to request retro auths for rendered services, and positively navigate tough conversations. Ability to exercise initiative, decision-making, and problem solving. Ability to manage multiple tasks in a busy clinical environment. Ability to prioritize tasks and manage time efficiently. Good organizational skills. Other duties as assigned Behavioral Standards: We have adopted the following standards of behavior in addition to the job responsibilities listed above so we can create and maintain an optimal workplace environment. Your application for this position assumes you agree with and can maintain the following workplace values: Exceptional customer service Professionalism on the phone, in person, and with each other Respectful communication with patients, vendors, volunteers, and co-workers Effective teamwork Ability to maintain a safe work environment A good sense of humor and fun in the workplace Support of each other, the patients, and the practice

Keywords: Jobleads, Novato , Billing and Coding Coordinator - Cardiology, Other , Novato, California

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