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