Medical Billing and Coding Manager

Location: St. Petersburg, FL
Overview:
The Medical Billing and Coding Manager will have experience in coding and full cycle billing. This position is accountable for managing the entire billing process including processing medical claim information through data-entry in the EMR, and researching and correcting data entry errors using Greenway Success EHS. This position uses knowledge of CPT and ICD-10 codes to determine the appropriate order and combination of alpha, numeric or symbolic data to ensure accuracy in entering medical claim information.

Essential Job Functions
  • Enters data from source documents into EMR for patient billing purposes using knowledge of CPT and ICD-10 codes.
  • Determines the appropriate format within EMR system to initiate data entry based on information recorded for each patient encounter.
  • Responsible for analyzing, researching and correcting data entry errors using electronic medical record.
  • Balances daily batches and reports.
  • Research and corrects discrepancies.
  • Compiles, sorts and prioritizes daily processes based on department and organizational objectives.
  • Remains current on the specific data requirements as dictated by various government and private insurance carriers.
  • Communicates with insurance carriers regarding unpaid claims.
  • Provides necessary billing and coding training to medical billing and coding team.

Job Responsibilities:
  • Responsible for ensuring the timely submission of claims to insurance companies either electronically or paper.
  • Identify and bill secondary insurances
  • Post payments in patient chart/ accounting software
  • Maintains and complies with all HIPAA guidelines/regulations
  • Responsible for managing employees making sure that the department is in compliance and that billing processes are completed accurately and timely.
  • Create reports for management
  • Recognize special billing trends
  • Scrub claims
  • Problem-solve denials and other billing & coding issues.
  • Handle credentialing related issues
  • Oversee/supervise the Billing/Coding team of 3
  • Familiarity with and able to easily navigate Medicaid, Medicare, HMOs, and private payer systems

Requirements:
  • Minimum of 5 years of experience in medical billing and coding
  • Must be a Certified Professional Coder (CPC)
  • Minimum of 2 years managing billing and coding staff of 3 or more.
  • Experience working with multiple insurance companies
  • Knowledge of accounting procedures related to billing
  • Detail oriented
  • Computer skills, EMR and billing software skills a must.
  • Must have experience in managing AR and Aging Report completion.
April A. Estes
Senior Recruiter
720-439-2609 Direct
april@proenlist.com 
www.proenlist.com 
www.medenlist.com 

www.linkedin.com/in/aprilaestes
 
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