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
Didn't find what you're looking for? Search again!
Loading more jobs...