FINANCIAL COORD/CODER-SPP

Company: LifeBridge Health
Location: Baltimore
Posted on: June 25, 2022

Job Description:

Position Summary:Coordinates the daily billing activities of assigned areas. Works independently to maintain consistentworkflow of all billing activities. Works collaboratively with the Professional Billing Office, physicians andthird party payers. Provides and performs coding functions to optimize revenue enhancement.Essential Functions:Coordinates and monitors daily revenue cycle activities to optimize reimbursement opportunities.Works in conjunction with intradepartmental administration, physicians and other interdepartmentalrepresentatives to support established policies and pTasks:

• Meets with patients requiring financial counseling.
• Verifies benefit coverage to determine patient financial liability.
• Communicates, via written notification, patient financial responsibility.
• May initiate patient payment plans in accordance with established policies and procedures.
• Works proactively and collaboratively to investigate and resolve patient billing issues.
• Provides documentation requested by third party payers to enhance reimbursement opportunities.
• May perform patient registration and appointment scheduling into the IDX system and update information as applicable.
• May supervise financial representatives including assignment of work, monitoring of activities, and participation in performance appraisals, according to established departmental procedures.Financial/BillingOptimizes facility and professional charge entry and subsequent collections for all services provided.Tasks:
  • May collect co-pays and fees from patient according to established policies and procedures.
  • Ensures that batches balance at the end of the day.
  • Reviews patient encounter forms for accuracy and completeness. Consults with providers when additional information is required.
  • Performs charge entry and BAR functions, according to established policies and procedures.
  • Prepares deposits daily and performs reconciliation function according to established policies and procedures.
  • Works in collaboration with the Professional Billing Office to provide attachments and supporting documentation required to process claims.
  • Reviews and resolves front desk edit reports, missing charge reports and claims manager edit reports.Coding-Serves as a technical resource to department for coding recommendationsTasks:
    • Performs abstraction of clinical documentation and reviews and assigns codes.
    • Verifies and/or assigns diagnosis codes and modifiers
    • Ensures accuracy of code linkage diagnosis to procedure.
    • Identifies repetitive coding/documentation issues. Works in conjunction with Practice Manager and Compliance Department to investigate and resolve.
    • Financial Coord/Coder-Sinai Physician Partners 2
    • Uses CCI to comply with bundling rules and optimize reimbursement
    • Enters all coded services into IDX including surgical procedures, diagnostic tests and office visits.Quality ControlEnsures the integrity of the billing functions and monitors compliance according to established policies and proceduresTasks:
      • Ensures all charges for services provided are entered according to established Quality Indicator Goals.
      • Participates in special projects and/or committee meetings as assigned. Evaluates on an ongoing basis office billing activity.
      • Assesses utilization of forms and paperwork flow to assure streamlined functions.
      • May track and age referrals, according to practice.
      • Follows up on outstanding referrals and may prepare report.
      • Works in collaboration with the Coding and Compliance Directors at PDI to ensure coding standards are maintained.Qualifications/RequirementsBasic professional knowledge; equivalent to a Bachelor's degree; workingknowledge of theory and practice within a specialized field
        Location: LifeBridge Health - SURGERY FPP
        Schedule: Full-time, Flexible hours

Keywords: LifeBridge Health, Baltimore , FINANCIAL COORD/CODER-SPP, Accounting, Auditing , Baltimore, Maryland