Coding & Charge Entry Specialist

The Coding & Charge Entry Specialist position is responsible to input charges through the careful review of charges associated with services performed by WCF providers. Must create claims accurately and reviewing coding of the claims prior to claim submission. The position supports the company’s overall Operations by efficiently and effectively performing duties required for Revenue Cycle process and delivering results.

Job Duties:

• Ensures physician’s charges are received in a timely manner
• Reviews schedule to ensure all charges are entered in EMR
• Strong customer service skills; answering client calls; prompt return and follow up to all interactions; prompt response to requests for information, both internally and externally
• Expert ability to add specific data such as modifiers, payer specific information including authorizations criteria, CPT, and ICD-10 codes and date of injury (DOI)
• Knowledgeable to append modifiers based on payer specifics, insurances, and authorization requirements and referring physician’s unique attributes
• Understand and interpret the Correct Coding Initiative (CCI) and payer guidelines
• Achieve goals set forth by supervisor regarding error-free work, transactions, processes, and compliance requirements
• Perform other duties and functions as directed and/or requested.

Qualifications:

• Minimum of a High School diploma
• Minimum of 1 – 2 years of experience in healthcare billing and abstract coding
• Strong organizational skills
• Detailed oriented
• Ability to multitask and work in fast paced environment
• Strong verbal and written communication skills
• Ability to work independently on assigned tasks as well as accept direction on given assignments
• Able to work collaboratively with administration and staff

Preferred Qualifications:

• Associates Degree preferred
• CPC -A
• Ability to perform routine mathematical calculations
• Understanding of CPT, ICD-10 codes, and medical terminology
• Familiarity with EMR systems
• Auditing experience preferred or Auditor A+

WHY WOMEN'S CARE?

Women’s Care, founded in 1998, is a leading women’s healthcare group in the United States, dedicated to providing the highest quality of care for women through their reproductive years and beyond. With 110 locations and over 400 OB/GYNs and specialists across the country, Women’s Care provides comprehensive patient care in obstetrics, gynecology, gynecologic oncology, urogynecology, gynecologic pathology, breast surgery, genetic counseling, maternal fetal medicine, laboratory services, and fertility.

Women’s Care has grown tremendously through the years and expects to accelerate its growth with plans to expand rapidly into new markets across the U.S. With the commitment of our employees, we remain true to our mission of ‘Improving the Health of Women Every Day.’ At Women’s Care, we CARE about our patients, and we stand by our values.

Compassion & Empathy: Treating patients like valued friends and family

Accountability: Taking responsibility for our actions and behaviors

Respect: Acting respectfully in every interaction

Excellence & Quality: Providing the safest, highest quality of care