Billing Coding Specialist Certified

Overview

JOB TITLE: BILLING CODING SPECIALIST - CERTIFIED

DEPARTMENT: Administrative SUPERVISOR: Finance Director EXEMPT/NON-EXEMPT: Non-Exempt

SUPERVISES: N/A

JOB SUMMARY:

As Billing Coding Specialist, using established medical codes, transcribe patient history to be used by health care providers and insurance companies. The Billing Coding Specialist updates codes for services received and translates each code for the patient’s health care insurance provider; prepares the claims document, submits, organizes, and tracks all insurance claims to ensure payment. The Billing Coding Specialist also handles customer inquiries, arranges payment plans, and handles collections if a payment does not materialize. General Requirements Adhere to Willapa Behavioral Health Service Excellence Standards / Code of Ethics and Policies and Procedures Adhere to rules of confidentiality Respect and accommodate a diverse population Maintain appropriate boundaries with clients and staff Work on-site as necessary or remotely using telehealth technology as determined by management Responsibilities Read and analyze patient records; obtain clarification on notes and charts to ensure accuracy Ensure all records are properly signed off on Assign the correct codes to all diagnoses and services Enter and organize the codes into the management software Be familiar with ICD-9-CM, ICPM, DSM-IV, and CPT-HCPCS coding systems; use the codes to bill insurance providers Track patient data over multiple visits Manage detail, specifically coded information Qualifications

MINIMUM QUALIFICATIONS

High school degree Well organized: ability to formulate and follow efficient procedures and guidelines Experience with claims processing in a medical or mental health environment Experience billing and processing claims with public and private insurance Effectively explain all charges to patients and their families and remain professional and empathetic in disputes over charges and payment Technologically savvy: up to date with technological developments in the field, especially as it relates to software developments Excellent verbal and written communication skills; proficiency in documenting in the electronic medical record (EMR) and utilizing telehealth and Microsoft Office suite Undergo and pass criminal background check upon initial employment and any subsequent checks required by the agency Meet requirements of the agency’s drug-free workplace policy Excellent customer service with a client focus Able to sit, stand, and move for long hours and lift up to 25 pounds A valid driver’s license and reliable vehicle Able to drive in daylight, darkness, and typical Northwest weather conditions Flexible to fill-in shifts if needed Other duties as assigned Meet the current Washington health care vaccination requirements for health care workers Required Qualifications Coding Certification by an Accredited organization and/or Associates Degree #J-18808-Ljbffr Willapa Behavioral Health and Wellness