Financial Coordinator Coder

Financial Coordinator Coder

Coordinates the daily billing activities of assigned areas. Works independently to maintain consistent workflow of all billing activities. Works collaboratively with the Professional Billing Office, physicians and third party payers. Provides and performs coding functions to optimize revenue enhancement.

Key Responsibilities:

• Coordinates and monitors daily revenue cycle activities to optimize reimbursement opportunities.
• Works in conjunction with intradepartmental administration, physicians and other interdepartmental representatives to support established policies.
• Meets with patients requiring financial counseling.
• Verifies benefit coverage to determine patient financial liability.
• Communicates, via written notification, patient financial responsibility.
• May initiate patient payment plans in accordance with established policies and procedures.
• Works proactively and collaboratively to investigate and resolve patient billing issues.
• Provides documentation requested by third party payers to enhance reimbursement opportunities.
• May perform patient registration and appointment scheduling into the IDX system and update information as applicable.
• May supervise financial representatives including assignment of work, monitoring of activities, and participation in performance appraisals, according to established departmental procedures.
• Optimizes facility and professional charge entry and subsequent collections for all services provided.
• May collect co-pays and fees from patient according to established policies and procedures.
• Ensures that batches balance at the end of the day.
• Reviews patient encounter forms for accuracy and completeness.
• Consults with providers when additional information is required.
• Performs charge entry and BAR functions.
• Prepares deposits daily and performs reconciliation functions.
• Works in collaboration with the Professional Billing Office to provide attachments and supporting documentation required to process claims.
• Reviews and resolves front desk edit reports, missing charge reports and claims manager edit reports.
• Serves as a technical resource to department for coding recommendations.
• Performs abstraction of clinical documentation and reviews and assigns codes. Verifies and/or assigns diagnosis codes and modifiers.
• Ensures accuracy of code linkage diagnosis to procedure. Identifies repetitive coding/documentation issues.
• Works in conjunction with Practice Manager and Compliance Department to investigate and resolve.
• Enters all coded services into IDX including surgical procedures, diagnostic tests and office visits.
• Ensures all charges for services provided are entered according to established Quality Indicator Goals.
• Evaluates on an ongoing basis office billing activity.
• Follows up on outstanding referrals and may prepare report.
• Works in collaboration with the Coding and Compliance Directors at PDI to ensure coding standards are maintained.

Requirements:

• Bachelor's degree required
• 3-5 years of experience
• CCS-P or CPC required

What We Offer: Impact: Join a team that values innovation and outcomes, delivering life-saving care to our youngest and most vulnerable patients. Growth: Opportunities for professional development, including tuition reimbursement and developing foundational skills for neonatal critical care leadership and advanced certification. Support: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license. Benefits: Competitive compensation (additional compensation such as overtime, shift differentials, premium pay, and bonuses may apply depending on job), comprehensive health plans, free parking, and wellness programs.

LifeBridge Health