Medical Billing Coding Analyst

Responsibilities

• Reviews, verifies and records accurate ICD and CPT codes in accordance with coding and reimbursement guidelines.
• Works with Manager of Quality Assurance (QA Manager) and charge entry staff to ensure correct charge and/or quantity amounts.
• Runs Admix Report every daily (am) and send to sites.
• Runs Missing Ticket Report weekly and at Month End- send to QA Manager.
• Force Extract Gyn Onc claims following QA Manager approval.
• Codes Hospital tickets and ensure all required ticket information is complete and accurate.
• Work through Billing Specialist Work File (ensure completeness for 99211 claims, review for missing modifiers on claims, review /force out 96521 and 96416 claims, ensure complete and accurate ordering/render MD info on claims, review/correct duplicate claims and bundled charges).
• Work through CBO Review work file (ensure complete and accurate information for assigned visit, referring MD, NDC#s for any NOC drug, matching ordering MD vs MD1).
• Communicate with site clinical staff as needed to complete any of the tasks above.

Qualifications

• Level 1 High school diploma or equivalent required.
• Successful completion of AAPC Certified Professional Coder Exam required.
• Minimum three years medical coding experience required.
• Proficiency with computer systems and Microsoft (Office Outlook, Word, Power Point, and Excel) required.
• Prior oncology experience preferred.
• Prior medical billing experience preferred.