Washington (Immig And Natural Records), DC
Senior Medical Billing and Coding Specialist Department: Financial Services Schedule: Full Time Shift: Days Hours: 8: 30am - 5: 00pm Job Details: * The Senior Medical Billing and Coding Specialist The coding function is a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement.
The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.
Supervises; acts as a liaison to Outsource Billing staff/Company.
Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.
Registers and analyzes claims in the EMR system, including insurance verification and charge entry.
Tracks and requests outstanding claims for assigned departments/facilities Responsible to respond to audit findings and make applicable coding additions or corrections Reviews Medicare Local Coverage Determination (LCDs) and Medicare bulletin updates Utilizes the EMR system to run required daily/monthly/quarterly reports on claims entered.
Accepts assignments from management and maintain open communication with their manager to resolve quality and production issues Required Education/Required Training: High School diploma or GED required/Associates' degree preferred CFPC, CPC-P or CPC certification is required Required Experience: Minimumof two years of supervisory experience Minimum of 5 years experience using ICD-9-CM, Volumes 1- 3, CPT, HCPCS, and IHS coding conventions.
*For correctional position-correctional experience- preferred but not required.
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