Complete Health ยท 5 hours ago
CPC Certified Billing Specialist (Jacksonville, FL)
Jacksonville, FL
Full-time
Remote
Mid, Senior Level
$22/hr - $22/hr
5+ years exp
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Responsibilities
Daily key punching into computer when needed to assure accuracy of billing for all services rendered in patients account in a timely manner.
Ensure completion of documentation and coding on the EMR when needed on charges entered in patient's accounts for a correct and complete billing claim.
Review clinical documentation and make sure accurate diagnosis codes and procedure codes are documented with the use of MEAT/TAMPER according to CMS guidelines
Verify the appropriateness of the ICD-10 code to include required supporting documentation and treatment plans.
Make sure that all pertinent diagnosis codes go out on the claim and add Dummy procedure codes when necessary.
Communicate and Educate providers that are not correctly documenting Diagnosis and procedure codes.
Strive to make sure all charges are entered with in 3 business days.
Daily review of all postings before claim submission.
Daily closing of batches and balancing of money posted for VBC/ DCE patients.
Enter cash receipts if needed and assure correct allocations, distribution in accordance with the established protocol.
Responsible for submitting all electronic claims for VBC/DCE plans
Responsible for assisting with Billing Phone calls for VBC/DCE patients if need to provide exceptional customer service to patients with billing related questions.
Resolving claim denials to VBC/DCE plans and issues with claims processing in a timely manner to ensure all claims and HCC codes are received and processed by payors.
Entering Penny Charges of HCC codes that did not reach the payor.
Effectively communicate with providers on claim documentation for charges submitted.
Effectively audit and analyze charts.
Qualification
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Required
High School Diploma or Equivalent
CPC Certification (or equivalent) required
At least 5 years of billing and coding experience (outpatient/medical practice coding experience preferred)
(2) Training or background in ICD-10 / CPT codes
Knowledge of medical terminology and billing practices
Ability to work under pressure
Ability to handle multi-functions/multi-tasks
Ability to problem solve and adapt to a fast paced work environment
Pay attention to detail, function autonomously
Understanding of community-based organizations
Ability to effectively communicate with the medical staff and Office Managers
Knowledge of bookkeeping and office functions
Knowledge of CPT and ICD10 codes
Ability to work proficiently and efficiently on a timely manner
Knowledge of all payer codes
Knowledge of all programs offered by NHSI
YOU MUST LIVE IN THE JACKSONVILLE, FL AREA FOR CONSIDERATION
MUST HAVE AN ACTIVE AAPC/NHA/AHIMA CPC CERTIFICATION
Preferred
CPB Certification preferred
HCC Certification preferred
Company
Complete Health
Complete Health is a healthcare company that provides population health management services for healthcare providers.
1,001-5,000 employees
Funding
Current Stage
Late StageLeadership Team
Arlene Thornhill
Executive Support Specialist to CEO
Jeff Preuss
CEO
Company data provided by crunchbase
