Charge Entry II

GENERAL SUMMARY OF DUTIES: Responsible for the ICD and CPT coding, Charge 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 AGA, LLC.

RESPONSIBILIITES

Duties include but are not limited to:

• Accurate coding and claims submission of services provided by AGA, LLC providers, including assigning the correct ICD and CPT codes
• Reviews and analyzes patient records to determine accurate levels of coding and other billable services
• Researches coding and claims questions thoroughly in order to maintain high quality standards
• Ensures that appropriate modifiers are assigned when needed to claims
• Work with billing company on billing, denial, and appeals
• Works denials in a timely manner and creates solutions to prevent future denials
• Understands and maintains payer edits in practice management system
• 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 Manager and/or Revenue Cycle Manager
• Cross training within department for coverage as needed
• 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 Manager and/or Revenue Cycle Manager
• Answers emails and voicemails and returns calls in a timely and efficient manner
• Completes requests for information from other AGA, LLC 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 Manager and/or Revenue Cycle Manager
• Cross trains and performs other practice functions as directed by the Charge Entry Manager and/or Revenue Cycle Manager
• Any other duties and/or special projects as assigned
  REQUIRED EDUCATION, SKILLS AND EXPERIENCE

• High School Diploma or GED required
• 2-3 years of coding and/or medical office and billing experience. Advanced knowledge in E&M Coding preferred
• CPC PREFERRED
• Specialty clinical experience in Gastroenterology experience preferred
• 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
  ADDITIONAL SKILLS AND EXPERIENCE
  Charge Entry II must be able to:

• Provide a high level of quality patient care and customer service at all times
• Productivity based assignments to be completed within time frame assigned
• Plan, prioritize, and complete multiple tasks as delegated by the Charge Entry Manager and/or Revenue Cycle Manager
• 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
  PHYSICAL/MENTAL/ENVIRONMENTAL DEMANDS
  Requires sitting and standing associated with a normal office environment; travel within the Metro area required.