CODING/BILLING/INSURANCE SPEC. - JBORO CARDIOLOGY & VASCULAR CLINIC

Job Title

Job Requirements

Education: High school graduate is required. Completion of medical terminology and coding classes in ICD-9-CM.

Experience: Requires minimum of two years in ICD-9-CM coding experience. Previous healthcare billing and follow-up experience preferred. Able to work under deadline pressure. Ability to interact well with physicians, physician offices, business office personnel, etc. to obtain appropriate information needed to assign codes as well as communicating with the public and insurance carriers.

Physical: This is a safety sensitive position. Please see the St. Bernards Substance Abuse Policy for further information. Normal office environment. Close eye work, vision must be corrected to 20/20. Hearing within normal range. Oral communications. Operates computer, printer, fax, and copier. Lifting and carrying up to 20 pounds. Long periods of sitting with occasional walking, bending, lifting, and climbing. Must be able to view computer screens for long periods. Occasional stress related to workload and patients with problems.

Job Summary

The employee is responsible for preparing and accurately coding the hospital charge sheets daily, as well as making sure all charge sheets are accounted for. The daily input of charges and verify accuracy of the entered data. Filing of electronic claims and working of the insurance reports every morning. Calling insurances to follow up on payment status or appeals due to denials or incorrect payments. Calling patients for insurance information and arrange payment plan if one is needed. This position requires timely response to inquiries from both the payer and the patient. This position has high contact with patients, employees, physicians, and other members of the community. Occasional stress related to workload and deadline time frames. Attendance is an essential function of this job.