Billing Specialist-MSH-78319-028
At a glance
Mid-level Accounting role at Ejis. United States · full-time · no salary stated · we estimate $76,175–$135,000 across the United States.
Ejis has not published a salary for this role. The figure below is our estimate, not theirs.
financeroles summary, based on the employer's posting.
What you'll do
- Check charts and supporting records in Epic and other facility records so physician services are coded and billed accurately
- Assign CPT, ICD and HCPCS codes to inpatient, outpatient, emergency and surgery encounters across specialties
- Use coding edits and coverage rules to assess code accuracy and whether services meet medical necessity requirements
- Flag documentation gaps, then work with physicians to resolve them and strengthen billing compliance
- Review denials and information requests with billing teams, track coded work, and suggest policy changes that reduce claim delays
What you bring
- You hold a high school diploma and a CPC or CCS-P coding credential
- You know medical terminology, CPT and ICD coding, including the listed code sets
- You can examine operative reports and other records, use computer applications, and work independently with minimal supervision
Who this fits
This mid-level role suits someone who can manage coding work independently while collaborating with physicians, management and billing teams. You’ll need to maintain confidentiality under HIPAA and keep your coding knowledge current through training.
From the employer
Review Medical charts and documentation within but not limited to the facility EMR, Epic, to ensure that all Physician charges are captured in a timely and complaint manner. Work with the Faculty Practice Group Compliance Manager and Administrator to ensue all FPG revenue is captured.
Maintains a working knowledge of CPT and ICD-9/10CM coding principles, governmental regulations, protocols and third party requirements regarding coding and billing documentation.
Review and code patient encounters in EPIC with appropriate CPT, ICD-9CM, ICD-10CM and HCPCS codes for a multi-specialty group practice. Services include inpatient, outpatient, Emergency, and ambulatory surgery for both E & M encounters and procedures.
Utilizes the Correct Coding Initiative (CCI) edits for accurate assigning of code and make use of the Local Coverage Determinations for medical necessity.
Identify any areas for improvement in documentation as related to compliance and billing. Query and/or meet with physicians regarding documentation and deficiencies.
Review edits, denials and requests for additional information from the accounts receivable team to ensure the time processing of claims and all revenue is captured.
Maintains daily logs of coded work.
Assures that operative reports and other third party regulatory information are pertinent to coding requirements.
Works with management and the billing vendor daily, on edit list and/or requests for additional information as to reduce denials and accounts receivable.
Attends various classes, seminars or trainings to keeping current with CPC certification.
Reviews, modifies and recommends changes to policies and procedures to improve coding.
Performs other related duties as assigned.
Requires a level of understanding that is obtained or acquired through the completion of a High School Diploma.
Knowledge of Medical Terminology, ICD-9CM, ICD-10CM and CPT 4 coding certification obtained by completion of a certificate course with CPC / CCS-P credentials.
At least six months coding experience preferred.
Certified Professional Coder/AAPC.
Ability to use computer. Average dexterity and knowledge of software applications such as Microsoft, Excel, etc.
Ability to work independently with minimal supervision at a high level of productivity.
Ability to examine scanned documents, such as operative reports to determine accuracy of coding.
Ability to prioritize own work and proceed with minimum supervision.
Ability to maintain strictest confidentiality according to HIPAA regulations.
Ability to work effectively with others as well as physicians.
Be able to perform effectively with various commercial and hospital computer applications.
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