Responsibilities
Abstracts medical record documents to determine appropriate CPT procedure(s) and ICD-10 diagnosis
Reviews physician notes and charts for accuracy
Ensures coded services, provider charges and medical record documentation meet appropriate guidelines or standards
Carefully reviews and corrects any charges posted by clinic staff while ensuring all services are accounted for and billed
Identifies and optimizes revenue opportunities
Works closely with departments to optimize reimbursement, ensure charge capture, reduce late charges and provide feedback to providers
Follows the established industry standard and CMS coding guidelines to ensure proper billing of charges - includes CPT-4 and ICD codes as well as modifiers
Posts, produces and sends all charges for invoice vendors
Adheres closely to the department’s charge reconciliation process
Posts any related payments and/or adjustments for surgery charges posted
Makes changes to demographic information as necessary in order to produce a clean patient statement
Performs all other assigned duties
Qualifications
High School Diploma or GED required
Certified Processional Coder (CPC) or Certified Coding Specialist (CCS) required
5+ years medical billing or coding experience
Experience in Ophthalmology is a plus
Experience working in NextGen in a coding environment
Active knowledge of CMS guidelines, contracted insurance guidelines and coding policies
Demonstrated computer literacy, math skills, and excellent verbal and written communication skills
Detail oriented, reliable and able to multi-task in a fast-paced, high-volume work environment
Ability to maintain a high level of confidentiality and professionalism
Benefits & Perks
Your health, happiness and your future matters! At AVP, we offer everything from medical and dental insurance, significant eye care discounts, child care assistance, pet insurance, continuing education funds, 401(k), paid holidays, PTO, Sick Time, opportunity for growth, and much more!
