Coding & Billing Edit Specialist

US-GA-Decatur (DeKalb Medical at North Decatur)
Employee Type
Full-Time
Department
407680 - Medical Records
Shift
Day
Days of the Week for Employee
Monday - Friday
DeKalb Medical at North Decatur
Posted on Monster
No

Overview

PUSHING BEYOND
www.dekalbmedical.org
www.dekalbmedicalcareers.org


Five-Star Rated:

Recipient for Treatment of Heart Attack in 2013

Recipient for Treatment of Chronic Obstructive Pulmonary Disease in 2013

Award Winning Care:

Outstanding Achievement Award for Cancer Care (2007-2013)
Surgical Weight Loss Center of Excellence (2007-2013)
Sleep Disorders Center of Excellence
2010 Corporation of the Year- DeKalb Chamber of Commerce

Top Workplace in Healthcare:

Recognized by our Employees and The Atlanta Journal-Constitution as a 2011 Top Workplace
Voted by our Employees and Atlanta Magazine as a 2008 Best Place to Work

“Like” us on Facebook: www.facebook.com/DeKalbMedicalCareers
Follow us on Twitter: www.twitter.com/DeKalbMedicalHR

Responsibilities

1. Review and process billing edits that populate the billing edit queue and/or spreadsheet.

2. Serve as a resource to billing edit queries.

3. Prepare weekly status reports of accounts and dollars pending due to bill edits.

4. Track and trend claim and billing discrepancies with communication to appropriate departments, supervisors and managers.

5. Assist with providing education as necessary to prevent future occurrences of the billing edit.

6. Serve as back-up System Administrator to the Quadramed encoder

Qualifications

  • Must have at least one of the following certifications:  CCS, CPC-H, RHIT.
  • Strong knowledge/understanding of CPT, HCPCS and ICD-9 coding required.
  • Understanding of the National Correct Coding Initiative and CPT coding rules/standards.
  • Prior experience with Revenue Cycle and/or chargemaster (CDM) maintenance a plus. 
  • Claims review or related audit experience helpful.
  • Proficient with various internet resources and routine software applications including Microsoft Office.

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