Billing Coordinator / Coder Ambulatory - Ears, Nose, and Throat - Physician Practice

Responsibilities

• Codifies and bills for clinical services performed using ICD-10-CM, CPT, and HCPCS guidelines.
• Verifies patient insurance and acts as a liaison with patients regarding charges and bill inquiries.
• Ensures proper receipt of authorization/referral and completes all necessary forms.
• Analyzes medical records for documentation deficiencies and assigns codes for reimbursement and data collection.
• Maintains productivity and quality requirements as established by HMH Compliance.
• Communicates with physicians and advanced practice providers to obtain additional information for proper coding.
• Assesses clinical documentation and addresses NCCI and NCD/LCD edits.
• Monitors Work Queue (WQ) for coding and billing corrections.
• Complies with HMH organizational policies, procedures, and standards of behavior.
• Reports unusual circumstances, potential risks, errors, and discrepancies to management.

Qualifications

• High school diploma or equivalent.
• At least 1 year of coding experience for professional services.
• Strong understanding of physiology, medical terms, and anatomy.
• Proficiency in computer skills, including typing speed and accuracy.
• Excellent written and verbal communication skills.
• Proficient in Microsoft Office and Google Suite platforms.
• Ability to achieve and maintain appropriate coding quality and productivity as established by HMH.
• Required certification: Certified Coding Specialist, Certified Outpatient Coder, Certified Professional Coder, or Certified Coding Specialist - Physician Based.