Certified Coder- Surgery Center

Job Duties include, but are not limited to:

* Abides by the Revenue Cycle Guidelines

* Serves as the practice representative to all outside billing entities

* Promptly reports billing updates and/or issues to the Market Manager / Surgery Center Director

* Maintains knowledge of CPT and ICD 10 codes, billing policies and payor matters

* Verification of claims submitted accepted by payors

* Submits electronic and hard copy claims daily for clinic encounters and hospital charges

* Reconciles hospital charges to ensure 100% charge capture

* Works insurance denials and appeals daily

* Maintains daily transaction records and submits required reports

* Generates daily eCW reports

* Completes special billing projects as assigned

* Works with the HSC HIM department serving as a point person for provider audits and education

* Demonstrates knowledge of correct procedure to follow to determine what a patient owes ("estimate" due)

* Assist with verifying patients insurance benefits prior to surgery performed.

* Assists in maintaining and improving A/R days.

* Posts receipts and payments in the computer

* Assist with Input/Verifies patient demographics, employment and scans insurance information into system.

* Assists with Input/Verifies patient schedule and arrival times at the end of shift to make sure that the Center is prepared for the following day's schedule. Block times are to be followed. Any late changes (additions or cancellations) in next business day schedule, scheduler will contact anesthesia and staff of changes. Print daily schedule for staff.

* Collects all monies from mail and patients. Log all incoming checks on daily balance sheet, write receipts, copy and place in deposit bag. Give to Supervisor for posting. Take to bank as needed.

* Log all transcription into transcription log book. Enter date transcription received into log book.

* Assist with copying Operative notes to Surgeons with Memo attachment. Send copies to all referring physicians. Copy Operatives notes for center and place in billers operative note folder.

* Print statements, check all overdue accounts and sends final demand letters. Posts all comments into the computer.

* Ability to understand and communicate patient concerns regarding financial information. Explains billing policies and collects co-payments. Refers patients without insurance to the collections clerk Supervisor or Administrator.

* Assists with scheduling new appointments; explains registration process and gives directions to new patients

* Answers the telephone in a professional and courteous manner; takes messages; directs calls to appropriate staff members.

* Demonstrates knowledge of and ability to use basic computer skills (Advantx, Word, Excel, Microsoft, etc.)

High School Graduate or equivalent.Experience in office setting within a clinical setting.Prior leadership roles preferred.Experience with billing and insurance preferred.Hours: Monday through Friday as schedule demands.Coding Certification Required