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Coding Specialist - in office

Ventura Orthopedics and Sports Medicine · Oxnard, California, US

Description Overall Responsibility: Position requires posting of Office Charges in accordance with current payer guidelines. This individual needs to be know...

Job description

Description Overall Responsibility: Position requires posting of Office Charges in accordance with current payer guidelines. This individual needs to be knowledgeable in CPT guidelines, modifiers and ICD 10 coding. Essential Duties and Responsibilities include the following. Other duties may be assigned. · Create claims from encounters. · Verify and correct all information needed for a clean claim. · Communicate with staff regarding missing or additional information needed to process the claim. · Add or change ICD 10 according to patient’s progress note. · Add modifiers to receive correct reimbursement. · Update appointment claim data if different than patient demographics. · Verify insurance information is complete with group numbers, ID# and correct subscriber. · Apply injury information from billing summary note. · Post charges for physicians and physician assistants. · Add any additional charges that are listed in progress notes. · Communicate with physician/assistant regarding appropriate coding of office charges. · Make account comments to clarify actions taken to reconcile outstanding posting issues. · Posting payments that are collected at time of visit and allocated to lin...