Obtain pathology and operative reports from hospital systems. Assign and sequence ICD diagnostic, procedural, and CPT codes to ASC records. Identify all complicating conditions/co-morbidities to ensure optimum reimbursement. Maintain established productivity requirements. Accurately enter various code and charge information into information systems. Review appropriate reports for validation of accurate transmission. Resolve transmission errors and resubmit claims. Report all payments on collection claims to the Collections Specialist(s). Attend required hospital-wide orientations, meetings, and in-services. Demonstrate a commitment to flexible work scheduling when necessary to ensure patient care. Complete all assigned charge entry, coding, billing, and follow-up in a timely manner. HOLD Bucket/worklist; assist and train Billing Representatives for all practices, departments, and locations. Provide back-up phone coverage for all practices, departments, and locations, including patient statement calls and CRMG, CRNI, and SAS staff support. Process refunds and train staff on refunds for all practices, departments, and locations. Manage AIR Aging Wizard activities for all practices, departments, and locations. Conduct internal audits for all practices, departments, and locations. Support new practice go-live implementations. Demonstrate comprehension of payer guidelines for appeals, overpayments, retractions, refunds, eligibility, reconsiderations, referrals, authorizations, payer websites, filing limitations, denials, and attachment requirements to work all claims to a zero balance in a timely manner. Retrieve clinical or financial documents from other scanning programs (e.g., OnBase). Handle Release of Information requests. Participate in and attend approved healthcare/insurance webinars and seminars. Maintain up-to-date working knowledge of assigned payors, LCD/NCO, CPT, and

ICD-9/ICD-10.

Attend and participate in monthly billing meetings. Report to manager on a weekly or monthly basis regarding scheduled and assigned tasks/projects. Create cases for coding team members for any claims in assigned worklists that pertain to coding issues. Provide front desk support following go-live implementation of new electronic medical records. Possess the ability to fill in as a Patient Service Representative as directed by the manager. High School Diploma Courses in Medical Terminology and Ancillary Testing One or more years of hospital and/or medical office experience. Typing speed of 35+ words per minute. Proficient knowledge of computer functions and operations. High School or better in General Studies or related field. Certified Professional Co Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.