Coding Specialist - Patient Accounting

Greater Baltimore Medical Center (GBMC); Lutherville (MD); On-site; USD 34,219 - 56,095; Full time

Job summary

Greater Baltimore Medical Center (GBMC) is seeking a skilled medical billing and coding specialist to perform collection functions on patient balances. The role requires specialized training in coding/abstracting, anatomy and physiology, and medical terminology, with at least one year of billing or collections experience in a healthcare or insurance setting.

Active AAPC certification is required; additional coding certifications are preferred.

Qualifications

• 1 year of direct billing or collections experience in healthcare or insurance.
• Completion of medical billing and coding course and CPT/ICD-10 experience.
• Active AAPC certification required; additional coding certifications preferred.

Responsibilities

• Coordinate with front-desk staff and practice managers to ensure accurate patient registration in the practice management system.
• Review provider documentation for billing audits and communicate errors or missing information to providers.
• Code physician charges with modifiers and diagnoses to ensure accurate billing.
• Create and submit clean claims in line with policies and procedures.
• Stay up to date on CMS, CPT, and AMA regulations.
• Review open encounter and inpatient note reconciliation reports and resolve issues.

Skills

Knowledge of collection procedures

Communication skills

Arithmetic calculations

Education

Medical billing and coding training

AAPC certification

Coding certifications

Job description

Under direct supervision, performs all collection functions on account balances within assigned financial classes

Education

Specialized training in coding/abstracting procedures, anatomy and physiology and medical terminology obtained through seminars and college courses

Experience

One year of direct billing or collections experience required in a healthcare or insurance environment. Completion of medical billing and coding course and coding certification required. 1 year of CPT and ICD10 coding experience

Knowledge, Skills and Abilities

• Knowledge of collection procedures, laws, rules and regulations
• Skill in written and oral communications
• Skill in performing arithmetic calculations

Licensures, Certifications

Active AAPC certification required

Additional coding certifications applicable to physician practice billing preferred

Principal Duties and Responsibilities

• Works with front-desk staff and practice managers to ensure accurate patient registration in the practice management system
• Reviews provider documentation for auditing purposes related to billing and communicates with providers when there are errors, missing information, or other inaccuracies
• Reviews physician charges, adds modifiers, diagnoses, or other standard coding conventions to ensure accurate and timely billing, making corrections as necessary.
• Creates and submits clean claims for billing by reviewing and correcting claim errors in accordance with established policies and procedures
• Stays up to date on payer billing requirements, as well as CMS, CPT, and AMA regulations
• Reviews and works open encounter, encounter missing charges, and inpatient note reconciliation reports
• Communicates with patients when there are questions related to their billing and coding
• Functions as the practice liaison with the Billing Office and assists in educating the practice staff about efficient and compliant billing and registration practices
• Works with AR staff to resolve/appeal denials
• Works closely with Providers, offering assistance and education regarding correct CPT and ICD 10 coding as well as documentation requirements
• Manages time effectively and reviews a minimum of 12 charges sessions an hour
• Maintains coding certification through continuing education courses

Physical Requirements

• Ability to concentrate and pay close attention to detail
• Ability to sit for long periods of time

Working Conditions

• Normal office work environment

Conditions of Employment

N/A

Pay Range

$24.84 - $40.72

Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs.

Equal Employment Opportunity

GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.