Clinic Claims Coordinator

Job description

Job Summary This position is responsible for reviewing all provider billing information, correcting errors, and creating accurate claims in Athena on the day of service. The role works directly with clinic teams and Providers to obtain missing or incomplete information needed to complete claims and ensures compliance with billing and coding requirements. This position also identifies billing education needs and communicates trends and issues to management. Key Responsibilities: - Review provider billing information to ensure billing tabs are marked as reviewed. - Verify that all required CPT and ICD-10 codes are present and accurate. - Enter undocumented ICD-10 codes into patient encounters as appropriate. - Ensure correct use of modifiers when applicable. - Validate units for injections to ensure accuracy. - Complete National Drug Code (NDC) information for compound injections and Gadavist claims. - Select appropriate laterality for x-rays and viscosupplementation injections. - Remove administration fees for viscosupplementation and Gadavist procedures when applicable. - Enter supervising provider information for Physician Assistant, Nurse Practitioner, and DME/Casting clinics. -...