Job Description

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Cardiology specific eClinicalWorks Medical Billers are responsible for abstracting diagnosis and procedures from patient medical charts. They will also review claims data to ensure that assigned codes/supplies meet required legal rules and required authorizations are in place prior to submission. This positions will include all aspects of billing for a client - from claim submission, payment posting and maintaining exceptional ARs.

Education: Outpatient or Professional Fee Coding: Register Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Coding Specialist - Professional (CCS-P), Certified Outpatient Coder (COC) or Certified Professional Coder - Hospital (CPC-H)

Inpatient Coding: Registered Health Information Technician (RHIT), Certified Inpatient Coder (CIC), or Certified Coding Specialist (CCS)High School Diploma (or GED or High School Equivalence Certificate)

Tasks

• Code and abstract clinical and demographic data for inpatient and, or outpatient encounters using standardized coding regulations, abstracting rules and guidelines.
• Identify and resolve clinical documentation and charge capture discrepancies to improve quality of the clinical documentation, severity and reimbursement levels assigned, integrity of charges data reported.
• Maintain patient confidentiality and information security
• Performs medical necessity checks appropriately utilizing the CMS website for Medicare tests when these are brought to the coder's attention prior to the patient's encounter.
• Appropriately follows up on accounts that they have on hold due to documentation or billing issues.
• Perform other duties as assigned

Knowledge, Skills, and Abilities:

• Knowledge of Neurology coding/billing and experience in eClinicalWorks
• Knowledge of and experience using ICD 10, CPT, and HCPCS coding.
• Knowledge of payor guidelines.
• Knowledge of and skill in using personal computers in a Windows environment with an emphasis on basic word processing and data entry
• Experience with Office Suite, PDF
• Ability to work independently and make decisions
• Ability to pay close attention to detail.
• Ability to identify research and solve problems and discrepancies.
• Ability to communicate with employees, management and physicians in a courteous and professional manner.
• Ability to process assigned duties in an organized manner.

Skills: Basic Skills**

• Active Learning- Understanding the implications of new information for both current and future problem-solving and decision-making.
• Active Listening- Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
• Critical Thinking- Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
• Learning Strategies - Selecting and using training/instructional methods and procedures appropriate for the situation when learning or teaching new things.
• Mathematics - Using mathematics to solve problems.
• Reading Comprehension- Understanding written sentences and paragraphs in work related documents.
• Speaking- Talking to others to convey information effectively.
• Writing- Communicating effectively in writing as appropriate for the needs of the audience.

Complex Problem-Solving Skills**

• Complex Problem Solving - Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.

Systems Skills**

• Judgment and Decision Making- Considering the relative costs and benefits of potential actions to choose the most appropriate one.

Resource Management Skills**

• Time Management- Managing one's own time and the time of others.

Experience:

• eClinicalworks: 3 years
• Cardiology medical billing and coding: 3 years (Preferred)

Education:

• High school or equivalent (Preferred)

Job Type: Full-time

Pay: $20.00 - $21.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Paid time off
• Vision insurance
• Work from home

Schedule:

• Day shift
• Monday to Friday

Work setting:

• Remote

Application Question(s):

• Do you consent to a background check? Y/N

Experience:

• Cardiology Medical Billing: 3 years (Required)
• eClinicalWorks billing: 3 years (Preferred)

Work Location: Remote

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