Billing Specialist

Brown University Health; Providence (RI); On-site; USD 30,000 - 50,000; Full time

Job summary

Brown University Health seeks a Dental Coding Specialist to accurately assign CDT codes for dental patient encounters under supervision. You will reference CDT guidelines, ensure proper sequencing, and collaborate with staff to resolve coding questions.

Proficiency with Dentrix and strong customer service are essential. The role requires high school diploma and CDT coding training, with at least two years of coding/billing experience in a dental setting; familiarity with AHIMA/CMS guidelines is

Qualifications

• High School Diploma or equivalent; training in CDT coding, anatomy, physiology, and dental terminology.
• Experience with dental software, preferably Dentrix.
• Two years’ related experience coding and billing using dental software; accuracy.
• Knowledge of AHIMA/CMS guidelines and ability to apply to documentation.

Responsibilities

• Reviews dental records and assigns appropriate diagnosis and procedure codes.
• References coding manuals and applies sequencing guidelines for billing.
• Contacts dentists to clarify missing information and enters data into Dentrix.
• Reviews revenue reports and reconciles charges; resolves billing issues with patients.

Skills

CDT coding

Dental terminology

Dentrix

Medical billing

Customer service

Education

High School Diploma

Dental coding training

Tools

Dentrix software

Microsoft Windows

Job description

SUMMARY: Under the general supervision of the Administrative Coordinator and Practice Manager, and according to established guidelines, ensures accurate assignment of diagnostic, service and procedures coding of dental patient encounters. These duties include qualitatively analyzing dental patients’ dental record to assign CDT codes within the parameters of the Brown University Health’s standards. Functions as a coding/billing resource to department staff. Researches and reconciles coding errors or omissions. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Reviews dental record documents and patient encounter forms for dental patients to identify and assign appropriate diagnosis and procedure codes. References appropriate coding manuals to ensure accurate assignment of billing codes. Applies sequencing guidelines to coded data according to established coding protocols and in compliance with the American Health Information Management Association (AHIMA’s) Code of Ethics and considering directives from Centers for Medicare and Medicaid Services (CMS), in compliance with the American Dental Association (ADA).Contact dentists and other health care professionals to obtain or clarify missing or ambiguous information contained within the record.Enters coding/billing information into the Dentrix computerized billing system. As necessary, creates paper invoices.Reviews related revenue reports regularly to reconcile charges on patient ledgers against the reported data. Researches and reconciles missing charges and/or corrections into the billing system. Interacts with patients and Patient Financial Services in order to resolve billing issues, including denials.Performs regular audits to identify completeness and accuracy of documentation and to promote and maintain compliance with payor reimbursement policies and governmental regulations (including Medicare/CMS Guidelines). May review electronic dental records to assess the adequacy of documentation to ensure appropriate support for the principal diagnoses, principal procedure, complications, co-morbid conditions, secondary diagnoses and procedures to facilitate the accuracy and completeness of coding activities. Reports inconsistencies in documentation to the Administrative Coordinator.Functions as resource to others within the department, including coding and professional staff for questions related to coding and billing activities. Maintains knowledge of outpatient compliance and reimbursement policies and practices, including medical necessity and coding issues. Refers more complex questions or issues to the Administrative Coordinator. MINIMUM QUALIFICATIONS: BASIC KNOWLEDGE: High School Diploma or equivalent. Training in CDT coding, anatomy, physiology, and dental terminology. Experience with Dental software, preferably Dentrix. Demonstrated knowledge of PC skills using the windows operating system environment and accompanying software packages. Must have knowledge of medical/dental billing routines for physician office practice. Must use and have knowledge of courteous telephone technique and good customer service skills. The interpersonal skills to exchange factual information with patients and outside agencies with cultural sensitivity and professionalism. EXPERIENCE: Two years’ related experience coding and billing using dental billing software and demonstrated expertise and accuracy of code assignment. SUPERVISORY RESPONSIBILITY:None. Pay Range$22.04-$36.37 EEO StatementBrown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment. Location: Rhode Island Hospital - 593 Eddy Street Providence, Rhode Island 02903 Work TypeM,T,Th,F 8:00am-4:30pm Work ShiftDay Daily Hours8 hours Driving RequiredNo