Procedure Entry Specialist
Location: Geneva, IL
Status: Full-time (40 hours per week)
Days/Hours: M-F, 8am - 5pm
Summary
Review and enter charges in the practice management system. Ensure that information in the EHR charges and charge tickets are accurate.
ESSENTIAL DUTIES & RESPONSIBILITIES
The essential duties and responsibilities include the following. Other
duties may be assigned.
- Interpret charge tickets and EHR charges daily for healthcare providers services and translate interpretation into CPT, ICD-10 and HCPCS codes. Enter codes in the practice management systems for billing.
- Communicate with the insurance verification team, insurance changes and/or referrals required.
- Capture missed charge data from the providers.
- Enter DME charges from the DME software.
- Investigate LCD requirements for DME when patients request advance benefits guidance.
- Review and follow Medicare Local Determination Policies (LCD) to ensure proper coding.
- Track unbilled charges.
- Work tasks, perform appeals as needed and assist with troubleshooting claim denials.
- Answer questions from providers regarding coding issues.
Education & Experience
Required:
- High school diploma or equivalent.
- Certified Professional Coder (CPC), preferred.
- At least 2 years of relevant healthcare procedure entry experience - orthopedics preferred.
- Fundamental understanding of CPT, ICD-10 and HCPCS coding.
- Knowledge of medical office procedures, medical terminology, anatomy and physiology, clinical medicine, surgery diagnostic tests, radiology, pathology, pharmacology and various medical specialties.
Please complete an application, and email to:
Beth at
bhovious@fvortho.com