Medical Billing & Coding Specialist Level III- 403010 - CHRISTUS Health
Alamogordo, NM 88310
About the Job
Description
Requirements
- High School diploma or equivalent. Current American Heart – HeartSaver or Basic Life Support (BLS) card
- Must complete CEU’s and keep certification current.
- Must obtain Certified Professional Coding Certificate within 6 months of employment.
- Demonstrates knowledge and skills necessary to provide services based on the physical, psychosocial, educational, safety, and other related criteria appropriate population in his/her assigned area
- Maintains required core competencies.
- Complies with set Policies and Procedures (i.e. name tag, dress code, parking, smoking, etc.)
- Provides second-level review of billing performances to ensure compliance with legal and procedural policies and to ensure optimal reimbursements while adhering to regulations prohibiting unbundling and other questionable practices.
- Researches, analyzes, and responds to inquiries regarding compliance, inappropriate coding, denials, and billable services,
- Interacts with clinic staff regarding billing and documentation policies, procedures, and regulations; obtain clarification of conflicting, ambiguous, or non-specific documentation.
- Interacts with appropriate staff to review and/or implement codes and to update charge documents.
- Ensures strict confidentiality of financial records.
- Attends coding conferences, workshops, and/or in-house sessions to receive updated coding information and changes in coding and/or regulations.
- Performs miscellaneous job-related duties as assigned
Requirements
Education
Required:
High School
Licenses & Certifications
Required:
C-Cert Bill and Code Spec
C-Heartsaver
Source : CHRISTUS Health