Physician Billing Coordinator III

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As a Physician Billing Coordinator III, you will provide coding and educational support to clinical areas in the scope of coding, reimbursement and compliance with payer coding and billing requirements. Coordinates some insurance information and the review of charges in the Epic Charge Review Work queue. Provides feedback physician client base to increase knowledge of relationship between charge behavior, compliance and reimbursement levels.

Essential Duties:

• Develops and maintains excellent working relationships with Cedars-Sinai Clinical Departments you support. Serves as liaison between Physician Billing Services and Clinical Departments in the coordination of billing and reimbursement. Serves as a resource for information on coding, billing and compliance feedback.
• Make recommendations for improved operational processes so that billing information is received from client groups in a timely and accurate manner.
• Uses computerized equipment to receive various medical reports.
• Maintain current CPT and ICD-10 knowledge of assigned areas so that coding remains current.
• May input some charges and relative insurance information into Epic Billing and Accounts Receivable system.
• Verifies some insurance eligibility Make appropriate adjustments to respective patient's accounts. When applicable, accept patient payments.
• Works as a billing liaison between the patient and office.
• Assists with identification and development of appropriate coding for new services and procedures provided by clinicians.
• Identifies coding deficiencies with review of medical records and financial accounts and recommended corrective action to improve third-party reimbursement and minimize audit liability.
• Coordinates the review of medical records and financial accounts with coding department and providers to maximize reimbursement for procedures performed.

Qualifications

Qualifications:

• High School Diploma or GED required. Bachelor's degree in accounting, finance or another related major preferred.
• A minimum of 5 years of experience with billing, accounting, finance, budgeting, financial analysis or in related field required.