Responsible for ICD and CPT coding, data entry, and claims processing for 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 the Revenue Cycle Manager.
Responsibilities
- Scrub claims for clean claim submission.
- Work appeals and denials in a timely manner and help create solutions to prevent future denials.
- Communicate and coordinate with the billing company, hospitals, and insurance payers as required.
- Accurately code and submit claims for services provided by Atlanta Gastroenterology Associates providers, including correct ICD and CPT code assignment.
- Review and analyze patient records to determine accurate levels of coding and other billable services.
- Research coding and claims questions thoroughly to maintain high quality standards.
- Ensure appropriate modifiers are assigned when needed.
- Support office managers and staff with accurate coding and billing practices.
- Participate in coding audits and educational efforts as directed.
- Stay current on CPT and ICD-10 updates.
- Follow CMS and payer guidelines in coding and billing.
- Meet or exceed quality and productivity standards.
- Respond to emails, voicemails, and calls in a timely manner.
- Complete requests for information from internal staff to help ensure payment on patient accounts.
- Maintain HIPAA compliance and patient confidentiality.
- Attend staff meetings and cross-train as directed.
- Perform other duties and special projects as assigned.
Requirements & Qualifications
Required Qualifications
- High School Diploma or GED required.
- CPC required.
- 3-4 years of coding and/or medical office and billing experience.
- Knowledge of EMR software functionality and operations.
- Proficiency in multiple Microsoft Office applications.
- Ability to respond to claims questions and denials.
Preferred Qualifications
- Advanced knowledge of E&M and procedural coding.
- Specialty clinical experience in gastroenterology.
Additional Skills
- Strong patient care and customer service skills.
- Ability to prioritize and complete multiple tasks.
- Ability to work under pressure and communicate issues promptly.
- Professional demeanor with patients and coworkers.
- Ability to communicate clearly by phone, email, and in person.
- Ability to interpret and apply clinical and non-clinical policies and procedures.
Location
Atlanta, Georgia, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 week ago