Billing and Coding Coordinator - Remote

Schedule

Full-time: 40hrs/wk

Hours: Mon-Fri, 7am - 3pm

Work from home

General Summary

Performs a variety of functions including coding/abstraction, charging, data collection, assembly and analysis of medical records to establish and maintain a patient medical database to support medical care, statistical and administrative needs. Reviews treatment record to determine level of payment. Coordinates and processes invoice corrections. Obtains preauthorizations from insurances and identifies appropriate patient benefits and coverage.

Duties and Responsibilities
Essential Functions:

• Abstracts from patient chart designated information including such items as patient's name, sex, age, admission date, discharge date, status upon discharge, medical record number, attending physician and surgeon and any other required demographic information and records on abstract worksheet.
• Reviews patients' current treatment record and assigns appropriate code(s) and physician billing component(s) using the International Classification of Disease (ICD-10) system and Current Procedural Terminology (CPT) guidelines.
• Determines the sequence of diagnoses according to uniform hospital discharge data.
• Abstracts information and enters into patient registration system. Verifies physician name(s) and appropriate UCC charges based on nursing acuity. Makes corrections as necessary.
• Requests diagnoses from physicians when not recorded on discharge or if information is incomplete.
• Prepares and distributes documents such as physician reminder notices, suspension lists, and/or other controlling documents.
• Checks for missing dictations and notifies appropriate physician of incomplete documentation needed for billing purposes. Ensures documentation is completed. Provides appropriate feedback to Department Directors.
• Maintains accurate listing of inpatient accounts on hold. Checks daily charge entries and releases billings appropriately.
• Retrieves elusive records needed for billing prior to closing out the month.
• Obtains precertifications for insurance for patient services.
• Reconciles payments to patients' accounts and to bank deposits, and verifies account balances. Resolves discrepancies.

Common Expectations:

• Maintains established policies and procedures, objectives, quality assessment and safety standards.
• Participates in educational programs and inservice meetings.
• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

Required for All Jobs:

• Performs other related duties as identified.
• WellSpan Health has adopted and implemented a compliance program to support WellSpan's values and standards for professionalism, integrity, and ethics. Expected to support and meet the values and standards of the organization and the performance expectations of the job, the department, and the compliance program.
• WellSpan Health has adopted and implemented a privacy program to safeguard the patient information and the business and operational information of the organization. Expected to support and meet the values and standards of the organization to safeguard patient and business/operational information.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.

Physical Demands:

• Standing - Occasionally
• Walking - Occasionally
• Sitting - Frequently
• Reaching - Rarely
• Talking - Frequently
• Hearing - Frequently
• Repetitive Motions - Occasionally
• Eye/Hand/Foot Coordination - Occasionally

Qualifications
Minimum Education:

• High School Diploma or GED Required

Work Experience:

• 1 year Of medical Billing and/or coding. Required

Licenses:

• Registered Health Information Technician Upon Hire Required or
• Certified Professional Coder Upon Hire Required or
• Certified Coding Specialist - Physician Based Upon Hire Required

Courses and Training:

• College level course in medical terminology. Upon Hire Preferred and
• Coursework in anatomy and physiology. Upon Hire Preferred

Knowledge, Skills, and Abilities:

• Knowledge of ICD-10-CM and/or CPT-4 coding.
• Basic computer skills.