Senior Billing Liaison, Coder

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Logo of Center for Health Care Strategies

Center for Health Care Strategies

51 - 200 employees

Founded 1998

⚕️ Healthcare Insurance

🤝 Non-profit

🌍 Social Impact

Healthcare Insurance • Non-profit • Social Impact

Center for Health Care Strategies is a U. S. -based organization dedicated to improving the healthcare system to achieve better and more equitable outcomes, particularly for those served by Medicaid. The center focuses on issues like complex health and social needs, mental health, substance use, and aging and disability. It emphasizes cross-sector partnerships, community engagement, and health equity to transform the delivery system and promote value-based payments. The organization also supports leadership and capacity building efforts to drive system reform, including integrating Medicare and Medicaid services and advocating for trauma-informed care and primary care innovation.

📋 Description

• Ensure 100% charge capture by reviewing physician dictated notes and operative reports and properly code all services performed utilizing appropriate CPT, ICD-10-CM codes and modifiers. • Daily review of EPIC Charge Review Work queues is essential. • Monitor and report on accounts receivable issues related to payer compliance and/or billing processes. • Act as a resource to providers, office staff, administration and the Central Business Office. • Participation in coding training and education is also required. • Maintain yearly certification as a Certified Professional Coder is required with the American Academy of Professional Coders.

🎯 Requirements

• Review work queues and billing forms for correct coding and work with providers to eliminate errors. Assign correct CPT, ICD-10 codes and modifiers as needed. • Create reports to assist in the analysis of their assigned division’s revenue, claim follow up and claim denials, provide feedback and make suggestions for improvement • Attend scheduled meetings with their assigned division heads or physicians on a monthly basis; provide reports regarding billing related operations • Act as a coding resource to assigned divisions and to other liaisons • Maintain CPC certification and attend relevant coding in-services and seminars. • Track all third party payment issues that affect division revenues and report trends to manager • Communicate regularly with the Central Business Office on claim issues • Advise divisions/departments of changes to CPT and ICD-10 codes and resulting reimbursement issues • Communicate with the Coding Integrity department on coding issues. • Remain abreast and adhere to insurance company, CPT, ICD-10, HCPCS, Federal and State requirements for correct coding and clean claim submission

🏖️ Benefits

• AAPC Certification Required • 5 years of coding experience preferred. Coding in surgical and/or cardiology coding also preferred. • High school diploma required

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