Medical Billing Analyst

Stratford, CT
Apr 5, 2019

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Job Description

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values-integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

EEO/AA/Disability/Veteran

Summary:
Responsible for manual charge entry into Epic and charge review workque duties as well as claim correction activities.

Responsibilities:
  • 1. Assist practice by keeping superbill and/or encounter forms up to date with current CPT and ICD-9/ICD-10 codes. Notify physicians of changes within each specialty; evaluating billing slips/charges on an ongoing basis and recommending corrections and changes for continuous improvement; attending seminars and reviewing relevant materials on coding guidelines.
  • 2. Assigning ICD-9/ICD-10 codes for diagnosis and CPT codes for both inpatient and outpatient charges.
  • 3. For those practices not on EMR, the Medical Billing Analyst will be responsible for updating and modifying the superbill/encounter form with any CPT and ICD-9/ICD-10 code updates as it relates to the template.
  • 4. Where applicable, preparing charge ticket batches and enter charges into billing system; Verifying that all charge tickets are complete and accurate; requesting missing/additional information from the physicians; completing batch control slip for every batch entered; inputting charges within 3 days from the date of service. Inquiring in Practice Management System/EMR for existing accounts; utilizing systems and accurately updating patients information as required and observed by supervisor /manager; obtaining demographic and financial information for all new patients, according to departmental procedures.
  • 5. Responsible for working and managing all charge review workques.
  • 6. Responsible for completing and managing all PPIFs routed to the PPIF WQ and/or any PPIFs in paper format.
  • 7. Reconciling all charges entered on daily basis and following procedures established for daily charge entry reconciliation.
  • 8. Perform all functions required to bring a patient's account to closed status. Maintain front end edits and charge review work queues as represented in policy and procedures.
  • 9. When applicable, reconcile cash drawers and deposit tool in Epic. Performs bank deposits in accordance with NEMG policies and procedures.
  • 10. Generate open encounter reports weekly to identify missing/open charges.
  • 11. When applicable, answering phone calls within three rings using NEMG script and greetings, registering patients, and entering charges on daily basis with exceptional customer service toward internal and external customers
  • 12. Perform other duties as assigned

    Other information:

    EDUCATION:

    High school diploma or equivalent required, college graduate preferred.

    EXPERIENCE:

    One year related experience with ICD-9/ICD-10 coding, CPT coding, medical terminology, and third party requirements

    SPECIAL_SKILLS:

    Attendance at medical coding and billing conferences is highly recommended and is an ongoing requirement for
    this position. Excellent, organizational, communication, customer service and teamwork skills required. Ability to multi-task is essential. EMR experience preferred and working knowledge of Microsoft office applications required.
    ACCOUNTABILITY:

    COMPLEXITY:

    PHYSICAL_DEMAND:

    MMR is required. Varivax (chicken pox vaccine) or evidence of prior chicken pox is required. Hepatitis B (or signed declination) is required for those with potential exposure to blood/body fluids.
    Tdap and influenza vaccination are strongly encouraged.

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    Job Info

    Job: 7413

    Department: Geriatrics Stratford Admin
    Category: Non - Clinical Other
    Status: Full Time
    Shift: DAYS
    Hours: 40.00

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