Reports to the Supervisor, Ambulatory Accounts. Responsible for reviewing clinical documentation as appropriate to extract data and apply ICD-9 or ICD-10 diagnostic and procedural codes for billing, internal and external reporting.Duties and Responsibilities:

• Demonstrates proper telephone etiquette. Exercises congeniality.
• Review office encounters and surgery encounters to ensure proper coding before claims are submitted.
• Follow up on all denied claims.
• Collect payments and setup budgets for patients with outstanding balances
• Work daily credit reports.
• Process refunds to patients and insurance carriers when identified.
• Process CCI claim edits within the Nextgen system.
• Process denied claims within our clearinghouse Navicure. This consist of three different denials. (Navicure, Insurance and ERA’s)
• Process appeals for denied claims.
• Perform other duties as assigned.
• Obtain coding certification.
• Maintain patient confidentiality.

Qualifications:

• Extensive knowledge of medical terminology, reimbursement and coding required.
• Computer data entry or word processor experience desired.
• Must have professional telephone manner.
• CPC certification preferred.
• Applicants must submit a resume and/or mark the file as relevant in their submission.