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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

Request Appointment

Thank you for contacting us. We look forward to hearing from you and will respond within 1 business day. Please note that we are closed on Saturdays and Sundays. For life-threatening emergencies, please go to the nearest emergency room or call 9-1-1.

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Thank you for choosing Fox Valley Orthopedics. We value your privacy. Please note this form is not HIPAA compliant and is not a secure way to communicate patient care related questions or concerns. Please do not include personal medical information on this form. Any personal details we need from you to set up your appointment will be asked when we speak with you on the phone. The purpose of this form is to request a call, request an appointment, or to give us feedback. Please call us at 630-584-1400 should you have any questions or concerns about this form.