Remote Eligible
Job Details
Job Location
CBO Office - Atlanta, GA
Position Type
Full Time
Education Level
High School or GED
Travel Percentage
As needed for business requirements.
Job Category
Revenue Cycle Management
Description
GENERAL SUMMARY OF DUTIES: Responsible for the ICD and CPT coding, data entry and claims processing of office E&M charges, office procedures, imaging, infusions, labs and other services performed by the physicians and mid-level providers of Atlanta Gastroenterology Associates.
REPORTS TO: Revenue Cycle Manager
RESPONSIBILIITES
Duties include but are not limited to:
- Claim scrubs for clean claim submission.
- Works appeals/denials in a timely manner and creates solutions to prevent future denials.
- Communicate and work in tandem with billing company, hospitals, and insurance payers as required
- Accurate coding and claims submission of services provided by Atlanta Gastroenterology Associates providers, including assigning the correct ICD and CPT codes.
- Reviews and analyzes patient records to determine accurate levels of coding and other billable services.
- Research coding and claims questions thoroughly in order to maintain high quality standards.
- Ensures that appropriate modifiers are assigned when needed, to claim.
- Provides support to office managers and staff in determining accurate coding and billing practices.
- Participates in coding audits and educational endeavors as directed by the Charge Entry Supervisor
- Continues personal education by attending seminars and classes as needed.
- Stays up to date on changes and updates to the Current Procedural Terminology (CPT) and diagnosis codes (ICD-10).
- Understands and abides by CMS and other payer guidelines in coding and billing.
- Meets or exceeds quality and productivity standards as set by the Charge Entry Supervisor.
- Answers emails and voicemails and returns calls in a timely and efficient manner.
- Completes requests for information from other Atlanta Gastroenterology Associates staff and ensures that they are handled promptly and effectively to guarantee payment on patient accounts.
- Abides by and promotes HIPAA compliance; maintains strictest confidentiality with regards to patient information.
- Participates in staff meetings as directed by the Charge Entry Supervisor.
- Cross trains and performs other practice functions as directed by the Charge Entry Supervisor.
- Any other duties and/or special projects as assigned.
REQUIRED EDUCATION, SKILLS & EXPERIENCE
High School Diploma or GED required; CPC REQUIRED, 3-4 years of coding and/or medical office and billing experience; Skills and knowledge of EMR software functionality and operations; Proficiency in multiple Microsoft Office applications; Knowledge and ability to respond to claims questions and denials.
Advanced knowledge in E&M and procedural Coding preferred and Specialty clinical experience in Gastroenterology experience preferred.
ADDITIONAL SKILLS AND EXPERIENCE
Accounts Receivable Specialist must be able to:
- Provide a high level of quality patient care and customer service at all times.
- Plan, prioritize, and complete multiple tasks as delegated by RCM Leadership
- Productivity based assignments to be completed within time frame assigned
- Ability to work under pressure; assess, respond, and communicate issues in a timely manner.
- Maintain composure and set a professional example to patients and coworkers.
- Communicate clearly with patients and coworkers through the telephone, email, and in-person.
- Interpret and apply clinical and non-clinical policies and procedures.
