Medical Billing Specialist

Barbara Ann Karmanos Cancer Cn
Michigan, Detroit
Full-time

Job Summary : Under indirect supervision, audit medical charges and record for compliance with federal coding regulations and guidelines ensuring that medical billing is correct and conforms to legal and procedural requirements;

ensure the integrity of department billing.

Responsibilities :

Audit billing reports to ensure patient encounters are billed and identify encounters not reported; prepare reports of findings and meet with supervisor to review results, and determine receipt of information and when necessary recreate documentation for provider / physician signature.

Check encounter forms for level of service, diagnoses, faculty signature and referring physician, if required; contact clinical departments / hospitals to ensure billing problems are resolved and encounters will be coded / billed correctly.

  • Compete charge entry from provider outpatient encounter forms and inpatient encounters upon completion of coding by coding company.
  • Assist in facilitating KCC FIN assignment and medical record creation for patient encounters occurring outside of the McLaren Health System.
  • Research, analyze and respond to inquiries regarding coding; respond to staff questions on physician queries.
  • Liaise / meet with physician and other patient care providers regarding billing and documentation policies, procedures and regulations, patient notes and coding updates;

obtain clarification on conflicting ambiguous or no-specific documentation.

Qualifications : Required :

Required :

High school diploma or GED

Preferred :

  • Associate degree in Medical Records Technology
  • Certification as a Registered Health Information Technician
  • 2 years of coding charge entry experience in specialty

Equal Opportunity Employer of Minorities / Females / Disabled / Veterans

30+ days ago
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