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Southern Orthopeadic Surgeons is seeking a Medical Billing Specialist to accurately analyze and code using CPT, HCPCS, and ICD-10, linking diagnoses to procedures and applying modifiers. You will perform daily charge entry, verify insurance, post payments, and support providers with questions on records.
The role requires CPC certification, 3 years of charge-entry experience, and the ability to work independently and as part of a team.
Responsibilities Accurately analyzes and codes by using appropriate classification systems, standards, and procedures. Links diagnoses with procedures and adds appropriate modifiers. Validates charge information. Confers with providers regarding questions on incomplete records. Performs daily charge entry, insurance corrections, payment posting, and insurance verification. Responsible for daily journal closeouts and other duties as assigned.
Requirements Certified Professional Coder (CPC) required. Must have a minimum of 3 years of charge entry experience. Must be skilled in 10-key, or numeric computer keypad. Must be proficient in CPT, HCPCS, ICD-10, and appropriate use of modifiers. Must be confident in looking up LCDs and communicating with payors, when needed. Must have familiarity with the medical billing process and HCFA claim form. Must be detail-oriented and possess critical thinking skills. Must work efficiently and independently with minimum supervision. Must have a positive attitude and willingness to work as part of a team. Must be able to work overtime, when required by the physicians' schedules.
Travel Required No.
Behaviors Team Player: Works well as a member of a group. Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well.
Motivations Growth Opportunities: Inspired to perform well by the chance to take on more responsibility. Goal Completion: Inspired to perform well by the completion of tasks.
Education High School or better.
Experience 3 years: Charge Entry Experience