Medical Billing Analyst - Nemg - Part Time 20 Hours Per Week

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

Responsible for manual charge entry into Epic and charge review workque duties as well as claim correction activities.

EEO/AA/Disability/Veteran

• 1. Assist practice by keeping superbill and/or encounter forms up to date with current CPT and ICD-9/ICD-10 codes. Notify physicians of changes within each specialty; evaluating billing slips/charges on an ongoing basis and recommending corrections and changes for continuous improvement; attending seminars and reviewing relevant materials on coding guidelines.
• 2. Assigning ICD-9/ICD-10 codes for diagnosis and CPT codes for both inpatient and outpatient charges.
• 3. For those practices not on EMR, the Medical Billing Analyst will be responsible for updating and modifying the superbill/encounter form with any CPT and ICD-9/ICD-10 code updates as it relates to the template.
• 4. Where applicable, preparing charge ticket batches and enter charges into billing system; Verifying that all charge tickets are complete and accurate; requesting missing/additional information from the physicians; completing batch control slip for every batch entered; inputting charges within 3 days from the date of service. Inquiring in Practice Management System/EMR for existing accounts; utilizing systems and accurately updating patients information as required and observed by supervisor /manager; obtaining demographic and financial information for all new patients, according to departmental procedures.
• 5. Responsible for working and managing all charge review workques.
• 6. Responsible for completing and managing all PPIFs routed to the PPIF WQ and/or any PPIFs in paper format.
• 7. Reconciling all charges entered on daily basis and following procedures established for daily charge entry reconciliation.
• 8. Perform all functions required to bring a patient's account to closed status. Maintain front end edits and charge review work queues as represented in policy and procedures.
• 9. When applicable, reconcile cash drawers and deposit tool in Epic. Performs bank deposits in accordance with NEMG policies and procedures.
• 10. Generate open encounter reports weekly to identify missing/open charges.
• 11. When applicable, answering phone calls within three rings using NEMG script and greetings, registering patients, and entering charges on daily basis with exceptional customer service toward internal and external customers
• 12. Perform other duties as assigned
• 13. May assist and/or perform chaperone duties for patient medical procedures as needed.

EDUCATION

High school diploma or equivalent required, college graduate preferred.

EXPERIENCE

One year related experience with ICD-9/ICD-10 coding, CPT coding, medical terminology, and third party requirements

SPECIAL SKILLS

Attendance at medical coding and billing conferences is highly recommended and is an ongoing requirement for this position. Excellent, organizational, communication, customer service and teamwork skills required. Ability to multi-task is essential. EMR experience preferred and working knowledge of Microsoft office applications required.

PHYSICAL DEMAND

MMR is required. Varivax (chicken pox vaccine) or evidence of prior chicken pox is required. Hepatitis B (or signed declination) is required for those with potential exposure to blood/body fluids. Tdap and influenza vaccination are strongly encouraged.

Strong analytical skills, understanding Pre Authorizations, and the ability to work independently are all strongly preferred.

Position will provide clerical support, including handling medical records and phones.

PM22