Medical Data Entry Professional

Description: • Reviews and verifies assigned codes and sequences diagnosis and procedures according to regulations (e.g., ICD9CM, CPT, HCPCS, UHDDS, and HIPPA coding guidelines). • Contacts physicians for clarification of clinical information as appropriate for account type as necessary. • Maintains up-to-date knowledge of coding and regulatory requirements to accurately assign codes for appropriate reimbursement of healthcare services. • Continue to strive to meet continuing education requirements for certification or to maintain working knowledge of on-going changes to CPT, HCPS, and ICD codes. • Utilize web-based tools, coding books, and other available resources to facilitate providing insurance companies with required information. • Utilize multiple information systems to accurately select the correct patient account in order to appropriately review and verify patient billable charges. • Participate in and assist with audits to capture lost charges and determine the accuracy of billing as necessary. • Gathers demographic, insurance, and health care encounter information from a variety of sources for the purpose of billing medical provider professional fees. • Enter and verify the appropriate demographic information, charges, and comments into the computerized billing system. • Perform manual charge entry by gathering demographic, insurance, and healthcare encounter information from a variety of sources in order to accurately bill medical provider professional fees. • Ensure information entered in the system is done in an accurate and timely manner. • Verifying charges on accounts as needed and providing detailed and accurate comments for future reference. • When necessary, create a registration in the appropriate system (EPIC) from documentation provided to accurately record encounter and accurately bill the appropriate stakeholders. • Responds to inquiries from provider offices and various internal departments in a timely and accurate professional manner. Requirements: • High school diploma or its equivalent. • No experience necessary. Benefits: Apply tot his job Apply To this Job