Billing & Coding Specialist Job at Moore Medical Group Inc
REPORTS TO: Business Office Manager
POSITION SUMMARY: Part Time 20 hours -Telework/Telecommute
The Billing and Coding Specialist is responsible for assisting in the preparation and accurate submission of billing to facilities or payer sources and network credentialing. The Billing Liaison is also responsible to adhere to the standards of Moore Medical Group, Inc. and Federal/ State and JCAHO Regulations.
ESSENTIAL POSITION DUTIES:
Billing & Coding Duties
- Ensures the proper insurance carrier and/or grant is billed for the services provided by checking eligibility, proper billing codes are used for the services provided and notes have been completed.
- Audits and ensures the proper billing codes are used for the services provided.
- Ensures notes have been completed.
- Responsible for tracking and updating daily charges and coverage at facilities.
- Responsible for educating providers on the process of transferring charges and billing information to the home office via electronic billing system.
- Ensures all deadlines for billing are met.
- Check for incoming faxes and shared mailboxes for communication from facilities, manage documents, and save all document to SharePoint and/or other secure storage as directed.
- Responsible for providing billing updates to providers.
- Responsible for assisting compiling invoices
- Responsible for submitting complete charges and payer information to billing company.
- Review discrepancies in billing with the corresponding provider to determine if any corrections are needed.
- Assists departments with special projects as assigned.
COMPLIANCE RESPONSIBILITIES:
- Complies with applicable legal requirements, standards, policies and procedures including, but not limited to, those within the compliance process, Standards of Conduct, HIPAA, State Licensure and JCAHO.
- Participates in required orientation, ethics and HIPAA training programs.
- Reports concerns and suspected incidences of non-compliance following Standards of Conduct.
- Cooperates with monitoring and audit functions and investigation.
- Participates, as requested, in process improvement responsibilities.
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