Patient Account Specialist

eBanqo Inc; England; On-site; GBP 30,000 - 50,000; Full time

Job summary

An established industry player is seeking a detail-oriented coding specialist to ensure accurate charge capture and compliance. In this vital role, you will review clinical documentation and validate coding to maximize reimbursement. Your expertise in ICD-10, HCPCS, and CPT coding will be essential as you work closely with various departments to resolve charge issues and enhance processes. This position offers an opportunity to grow professionally while maintaining your credentials through continuing education. Join a team dedicated to excellence in health care billing and collections.

Qualifications

• Relevant experience in health care billing and collections is required.
• Detail-oriented individual needed for monitoring charge capture trends.

Responsibilities

• Review clinical documentation for accurate charge capture and compliance.
• Validate daily charges and coding within patient medical records.
• Communicate charge-related issues for correction and enhancement.

Skills

ICD-10 coding

HCPCS coding

CPT coding

Attention to detail

Knowledge of third-party rules

Education

Associates degree

Tools

Medical software applications

Job description

Overview

This position is responsible for reviewing appropriate ICD-10, HCPCS and CPT codes for accuracy to maximize reimbursement for EVMS Medical Group.

Responsibilities

• Reviews clinical documentation to ensure timely, accurate, and compliant charge capture prior to submission.
• Follows department procedures and policies allowing for consistency and completeness of charge capture processes and reimbursement.
• Validates and reconciles daily charges and diagnosis coding within the patient medical record.
• Performs comprehensive coding and documentation reviews.
• Applies correct coding and applicable coding guidelines.
• Communicates all charge related issues to the designated areas for correction. Identifies charge issues/opportunities and works with departments to make recommendations, resolve issues and enhance charge capture and compliance.
• Reviews clinical documentation for inpatient charge tickets accuracy and submits.
• Reviews and works error corrections and denial spreadsheets.
• Participates in continuing education programs to maintain an understanding of anatomy, physiology, medical terminology, disease processes to support the effective application of coding guidelines and maintains professional credentials required by this position.
• Performs other duties as assigned.

Qualifications

Candidate should possess relevant experience in a health care billing and collections environment. Experience in ICD-9/CPT coding, knowledge of third-party rules and regulations. Current CPC or must obtain within one year of employment. Medical software applications experience required. This position requires an individual that is detail-oriented as this job requires that you pay attention to the details and monitor charge capture/billing trends.

Associates degree preferred, but not required.

Location

US-VA-Norfolk