Responsibilities

Identify appropriate diagnosis code(s) using ICD-9 and ICD-10 code sets.

Preview all surgery, office visit, and therapy charges for accurate diagnosis coding per chart documentation and allowance as well as correct case attachment to ensure clean claim submission.

Overview all transcription for surgery, and office visits to ensure the documentation supports the coding and service provided.

Monitoring unbilled charges and taking action necessary to expedite claim payment.

Verifying and/or obtaining approvals for services to be rendered.

Communicate with patients regarding billing processes via face-to-face interaction and/or telephone.

Communicate with clinical staff (doctors, patient care coordinators, therapists) to recommend and obtain appropriate diagnosis(es) allowance(s) based on documentation.

Maintain patient confidentiality.

Administrative support in all areas involving patient and insurance billing.

Special projects and other duties as assigned.

Communicate weekly with Coordinator of Billing Operations.