Medical Records Clerk - Diverse Linx

Job Title Medical Records Clerk
Location Hybrid near Philadelphia, PA or McAllen, TX region
Duration 3 Months

Responsibilities:

The Supervisor, Coding and Charge Entry is responsible for driving consistency across the region, related to medical record documentation and the correct use of CPT-4 and ICD-10 codes to ensure adherence to established Government and third-party billing guidelines, AMA, AAP, CMS, and coding policies. Contributes to the development of medical coding and documentation plans and materials. Responsible for training, coordination, and supervision of regional coding personnel. Provides support and training to office personnel and providers. Works closely with Revenue Cycle Specialists to drive in front end workflows and business processes. Also, works closely with EMR Specialists to ensure standardization and workflow consistency/compliance. The Supervisor coaches, counsels and mentors coders in an effort to develop staff and improve teamwork, morale and overall performance results. Always demonstrates Service Excellence.

• Responsible for driving consistency across all markets assigned, related to clinical documentation and the correct use of CPT-4 and ICD-10 codes to ensure adherence to established Government and third-party billing guidelines, AMA, AAP, CMS, and coding policies.
• Performs ongoing training on clinical documentation, the correct use of CPT-4 and ICD-10 codes and to ensure adherence to established Government and third-party billing guidelines, AMA, AAP, CMS, and coding policies.
• Works as part of the coding team to ensure that services are coded appropriately and posted correctly. Coordination of delegation of duties, practices and providers among the coding/charge posting team.
• Maintains an expanded knowledge base of medical terminology, standard medical abbreviations, anatomy and disease processes, CPT-4, and ICD-10, and abstracting of clinical documentation to meet regulatory and compliance requirements.
• Demonstrates excellent initiative and judgement. Works independently applying effective approaches to task prioritization, time management, delegation of tasks and meeting deadlines. Exhibits outstanding decision making and customer service.
• Promotes a work environment of accountability and ownership. Sets appropriate standards of performance and communicates clear expectations to the Team. Shows direct and tangible evidence of coaching, mentoring and professional development.
• Works with Charge Entry staff to ensure timely entering of all charges. Maintains daily reconciliation of charge entry process. Works as part of Charge Entry team to ensure accuracy. Maintains expanded knowledge of insurance verification process. Ability to work with assigned markets on missing charges.
• Performs other duties as assigned.

Education:

• Associates Degree or approved equivalent combination of coursework and related experience is required.
• AAPC CPC Certification required.

Work experience:

• 3 5 years of experience in a healthcare (professional) billing, health insurance, coding or equivalent operations work environment.
• Supervisory experience required.

Knowledge:

• Healthcare (professional) billing, knowledge of CPT/ICD-10 coding, government, government sponsored and commercial follow-up requirements as well as appeals processes and requirements.
• Thorough understanding of the revenue cycle and how the various components work together.
• Service excellence, and recruiting, training, leading and performance management of staff.
• Knowledge of administrative and clerical procedures and systems, and other office procedures and terminology
• Knowledge of electronic equipment, computer hardware and software, including applications

Skills:

• Excellent verbal/written communication skills.
• Strong presentation skills.
• Strong interpersonal and organization skills.
• Service-oriented/customer-centric.

Abilities:

• Operate within the concept of patient-focused care.
• Ability to apply knowledge of office procedures and carry out tasks accordingly
• Proven track record of leadership ability.
• Results oriented with a proven track record of accomplishing tasks and building high-performing teams.
• Project Management.

Equipment Operated:

• Mainframe billing software (e.g., Cerner, Epic, IDX)
• Standard office equipment (laptop, computer, calculator, fax, copier, scanner)

Travel:

• Travel up to 20-40% of time

Diverse Lynx LLC is an Equal Employment Opportunity employer. All qualified applicants will receive due consideration for employment without any discrimination. All applicants will be evaluated solely on the basis of their ability, competence and their proven capability to perform the functions outlined in the corresponding role. We promote and support a diverse workforce across all levels in the company.