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Insurance Verifier- Cancer Care Center - Full Time

Company: Community Health System
Location: Warsaw
Posted on: June 24, 2022

Job Description:

Job Description

Coding position is for Oncology and Radiation. Responsible for the accurate assignment of diagnostic and procedure codes to for the clinic outpatient visits and clinic in patient visits in a timely manner. Assists with the monitoring of unbilled accounts and with activities related to reimbursement. Responsible for data entry of charges and diagnostic codes. Handles any correspondence from patient business office. High School diploma or equivalent. At least 1 year of previous coding experience. Previous billing experience in a hospital or medical office Thorough knowledge of billing procedures. Knowledgeable in current coding guidelines and principles and medical terminology. A detailed list of responsibilities may be provided. Coding Certification required.

* ___ Obtains by various sources the information to correctly

charge and file to insurance and/or patient services provided to the patient. If medical information is unclear or incomplete, directs query to physician for clarification. Keys charge information accurately and in a timely manner.

* ___ Utilizes certification skills to analyze documentation for clean

claim submission. Audits documentation using established KMG auditing tools. Assists office staff billers with coding questions and complex billing issues. Provides physician education as needed.

3.___ Demonstrates accuracy in the use of ICD-10-CM, CPT and HCPCS coding.

4.___ Assists patients in completing all necessary forms.

5.___ Answers telephone, schedules appointments and performs other front office clerical duties. Answers patient's billing questions appropriately or refers to PPM when unable to provide direct assistance.

6.___ Updates patients' accounts at every encounter including insurance information, address and telephone numbers.

* ___ Researches all information needed to complete billing process including getting

charge information from physician and calls to verify benefits if not known.

8.___ Demonstrates age appropriate competency skills and knowledge, displays

ability to perform skills specific to patient population identified in unit specific

skill list:

(Mark age specific of patients served in assigned unit)

_____infant _____child _____adolescent _____adult _____geriatric

(Mark age specific of patients served in alternative units assigned)

_____infant _____child _____adolescent _____adult _____geriatric

NON-ESSENTIAL FUNCTIONS:

* Follows CMS rules and regulations prior to billing. Performs

tasks in accordance with Billing Compliance Program rules, regulations , policies

and procedures.

* Maintains files with referral slips, Medicaid and Medicare authorizations, and insurance slips.
* Maintains Inter- and Intradepartmental work flow by fostering a spirit of cooperation and teamwork.
* Pulls charts as needed for physician review or for additional information.
* Protects patients and employees by adhering to infection-control and hazardous

waste policies and protocols and maintaining a clean working environment.

* Works with KMG to ensure accuracy in claims and provides information as

requested in a timely manner.

* Perform other duties as assigned.
* Assures protection and privacy of health information as attained through written,

electronic or oral disclosure.

* Contributes to the Performance Improvement activities at Kosciusko Community

Hospital.

* Some exposure to blood and bodily fluids: Exposure Control Level II.
* The associate will hold in confidence any and all patient information

communicated or stored using any medium including oral communication.

In addition, the associate will seek to protect patient information from inadvertent

use or disclosure by adhering to hospital and Triad Blue Book policies.

JOB QUALIFICATIONS

Education and Formal Training Required:

* Must have a high school degree or the equivalent.
* interpret medical terminology and assign code numbers utilizing the

ICD-10 and CPT coding nomenclatures at an acquired normal level.

* Coursework in medical terminology preferred.
* Physician office coding and billing experience.
* Ability to read and write, understand and follow written and verbal instructions

Experience Required:

* 1-3 years CPT, ICD-10 coding physician services.

Licensure Required:

CCS, CCS-P, CCA, CPC or Registered Medical Coder required.

Indiana Drivers License

Working Conditions:

* Normal office environment with little exposure to excessive noise, dust and temperature extremes. Some exposure to wind, rain and snow when driving between Kosciusko Community Hospital owned buildings.
* lifting, bending, stooping, walking, standing, extended sitting and keyboarding, listening and talking

Other:

Must have good verbal and written communication skills.

Ability to concentrate and pay close attention to detail when preparing, performing and documenting daily activities.

Keywords: Community Health System, South Bend , Insurance Verifier- Cancer Care Center - Full Time, Other , Warsaw, Indiana

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