POSITION TITLE

Billing Support/Coding Specialist

REPORTS TO

Billing Supervisor FLSA:

Non-Exempt Position Scope:

The Billing Support/Coding Specialist, under the direction of the Billing supervisor, is responsible for reviewing medical records, assigning appropriate codes for palliative care and hospice, and submitting claims to insurance providers for reimbursement. The Billing Support/Coding Specialist is responsible for the correct application of ICD-10-CM, HCPCS, and CPT codes to facilitate reimbursement and reporting requirements and is also responsible for timely claim/accurate claim submission and collections. Additionally, the Billing Support/Coding Specialist will handle billing-related tasks such as generating invoices, posting payment and resolving billing issues. Reasonable Accommodations Statement To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable Accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. I. Essential Functions/Performance Factors

Review medical records and documentation to accurately assign diagnosis and procedure codes for hospice services.
Ensure compliance with coding guidelines and regulations, including ICD-10, CPT, and HCPCS coding systems.
Collaborate with healthcare providers to clarify documentation and ensure accurate code assignment.
Follow up on unpaid claims, denials, and appeals to ensure timely reimbursement.
Communicate with insurance companies, patients, and healthcare providers to resolve billing and issues and inquiries.
Generate and complete submission of claim and payment as required prior to the month end billing close.
Work claim denials and file appeals as needed to ensure collections are timely and maximized.
Report Write-off's monthly and be prepared to present at Finance Meeting as needed on a weekly basis and assist in performance improvement areas as required.
Identify, compile, abstract and code patient data, using standard classification systems.
Notes and records deficiencies/errors and coordinates with professional staff as needed on a case-by-case basis to ensure that necessary documentation is corrected and/or provided.
Compile and maintain patients' medical records to document condition and treatment and to provide data for third party payers, research, or other improvement efforts.
Enters data, such as demographic characteristics, history and extent of disease, diagnostic procedures, and treatment in EMR.
Releases information to persons and agencies according to regulations
Protect the security of medical records to ensure that confidentiality is maintained.
Maintain up to date knowledge of coding and billing regulations, including changes in reimbursement policies.
Assist with billing inquiries and provide support as needed.
Compile and maintain billing records, reports, and documentation in accordance with organizational policies and procedures.
Use agency resources wisely.
Participate in performance improvement activities.
All other job duties assigned by supervisors. II. Values Ownership/Performance Factors Teamwork
Support and encourage my teammates throughout the organization.
Provide positive, constructive feedback.
Consistently \"manage up\" co-workers.
Celebrate success - look for the good and share it.
Be a role model.
Communicate with respect and professionalism to create a safe environment in which open dialogue can take place. Integrity
Be reliable, allowing others to place their trust in me.
Do the right thing even when no one is watching.
Respect all individuals through acknowledgment, acceptance, and courtesy.
Walk my talk.
Refrain from gossip. Performance
Be flexible and willing to adapt to change.
Be knowledgeable about my job responsibilities and the organization.
Seek self-development-Utilize tools that are provided to grow personally and professionally.
Take responsibility for my actions; be willing to take both credit and critique. Conduct myself as a professional at all times by performing my job competently and ethically (i.e, maintaining confidentiality, maintaining boundaries, making eye contact, dressing professionally, using professional demeanor).
Recognize I am a reflection of Valley Hospice.
Be on time.
Set and achieve goals. Spiritual
Recognize the spirituality inherent in each individual without judgement
Be open and respectful to each individual's spiritual beliefs
Meet patients and families where they are and don't project your spiritual beliefs on others
Be attentive to your own spiritual growth
Live your spirituality in acts of compassion and service in the workplace
Build one another up and encourage your coworkers in times of distress, personal crisis, and spiritual need Mission Focused
Recognize the value of each person and accept that value without judgment.
Be good stewards of time, money and all resources entrusted to me.
Offer hope, compassion and empathy to coworkers and those we serve.
Know our mission and apply it to my work every day. Engagement
Focus my physical, emotional, and spiritual energy in order to fulfill our mission.
Take pride and ownership in my performance each day.
Build professional relationships
Inspire and Motivate others.
Consistently 'manage up' Valley Hospice.
Appreciate the efforts of others.
Support the communities in which I serve.

Supervisor Responsibilities:

None Education and Work Experience:

High School Diploma or GED; Associate degree preferred in medical billing or related field Minimum of one to two year's experience in related field Strong knowledge of medical coding systems and billing procedures Excellent attention to detail and accuracy in code assignment and billing processes Familiarity with billing software and electronic medical records (EMR) systems Ability to work independently and prioritize tasks in a fast-paced environment Effective communication and interpersonal skills for interacting with healthcare providers, insurance companies, and patients. Knowledge of HIPAA privacy policies, informed consent, and other regulations Knowledge of regulations governing professional areas Excellent written, oral, and collaborative communication skills Excellent interpersonal skills Proficient in

MS Office:

Outlook, Excel & Word Ability to work under pressure to meet deadlines Ability to interact with various departments throughout the organization Ability to participate as a team player. Ability to plan, prioritize and coordinate daily tasks

Certifications and Licenses:

Certified Coder in ICD-9 and ICD-10 (in process is acceptable) Valid driver's license and proof of automobile insurance

Pay:

$21.00 - $23.00 per hour

Benefits:

401(k) matching Dental insurance Employee assistance program Flexible spending account Health insurance Life insurance Paid time off Professional development assistance Referral program Retirement plan Vision insurance

Work Location:

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