Job Summary We are seeking a dynamic and detail-oriented Surgical Coordinator with expertise in OB-GYN billing to join our healthcare team. In this vital role, you will manage the coordination of surgical procedures, ensure accurate medical coding and billing, and facilitate seamless communication between clinical staff, patients, and insurance providers. Your proactive approach will help optimize revenue cycle management, improve patient satisfaction, and ensure compliance with medical coding guidelines. This position offers an exciting opportunity to contribute to a thriving medical practice dedicated to delivering exceptional care and efficient administrative processes. Duties Coordinate scheduling of OB-GYN surgical procedures, ensuring all necessary documentation and pre-authorizations are completed accurately and promptly. Review and verify medical records, surgical notes, and documentation for completeness and accuracy before billing submission. Utilize billing software, EMR (Electronic Medical Records), and EHR (Electronic Health Record) systems to input data, generate claims, and track billing status efficiently. Apply
ICD-9/ICD-10
diagnosis codes, CPT (Current Procedural Terminology) codes, DRG (Diagnosis-Related Group) classifications, and ICD coding standards for inpatient and outpatient services. Process health insurance claims with third-party payers, ensuring compliance with medical coding guidelines and insurance requirements to maximize reimbursement. Manage accounts receivable by following up on unpaid or denied claims related to OB-GYN surgeries, employing effective medical collection strategies. Stay current with updates in medical coding regulations, including ICD coding changes, CPT updates, and healthcare compliance standards. Skills Strong knowledge of
ICD-9/ICD-10
coding systems and CPT coding for accurate billing of OB-GYN procedures. Proficiency with billing software platforms and EMR/EHR systems for electronic health record management related to billing and coding. Familiarity with DRG classifications and medical coding guidelines for inpatient services. Excellent understanding of health insurance claim processing, third-party billing procedures, and revenue cycle management. Ability to interpret medical terminology accurately and apply it effectively within medical records and billing documentation. Experience in medical collection practices to follow up on outstanding claims or denials efficiently. Knowledge of health insurance policies, claim adjudication processes, and compliance standards within the healthcare industry. Join us in a role that combines clinical coordination with expert billing practices! Your dedication will directly impact the efficiency of our practice's revenue cycle while ensuring our patients receive the highest quality care with transparent billing processes. We value energetic professionals eager to make a difference in a fast-paced healthcare environment!