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Requisition Number 18-0139
Title Coding & Billing Specialist, Senior - Augusta Peds
Location Augusta Pediatrics
City Fishersville
State VA
Hours per week Full time
Description University of Virginia Physicians Group
POSITION TITLE: Coding & Billing Specialist - Senior
LEVEL/FLSA: Level 10, Non-Exempt
REPORTS TO: Department Supervisor

GENERAL SUMMARY: The incumbent is responsible for timely, accurate and comprehensive abstraction of physician services from the medical chart/record, utilizing appropriate CPT-4 procedure and ICD-10 diagnosis codes.

Essential Functions of the Job:
 Reviews medical record documentation to identify all services provided by physicians.
 Assigns appropriate CPT-4 procedure code(s) to accurately report the physician services provided to patients.
 Assigns appropriate ICD-10 diagnosis code(s) to accurately support the need for each physician service.
 Assists with the submission of billing data to the University of Virginia Physicians Group.
 Obtains and submits copies of medical documentation with physician charges to support billing to third-party payors.
 Identifies physician services provided, but not adequately documented in the medical record. Advises supervisor and clinicians of deficiencies to support charge capture of all billing services.
 Analyzes and resolves physician claim rejects and denials from the billing system or insurance carriers related to coding issues.
 Assists with physician billing and documentation training in daily interactions with physicians and other routine training sessions.
 Compiles monthly reports as requested.
 Identifies trends/problems in medical documentation and department request issue and recommend possible solutions.
 Other duties as requested by supervisor.

We are an Equal Opportunity Employer

Requirements REQUIRED QUALIFICATIONS (Knowledge, Skills & Abilities):
 High School Diploma or GED
 Coding Certificate and 3 years coding experience; or 7 years professional coding experience
 CPCs must be certified by AAPC or CCS-P through AHIMA to qualify for all functional areas
 Successful completion of Medical Terminology
 In-depth knowledge of CPT-4 and ICD-10 coding
 Must know modifiers, and use of local policies
 In-depth knowledge of third-party payer reimbursement policies
Knowledge and skills:
 Familiarity with personal computer operations
 Basic word processing and spreadsheet software required
 Must have experience creating spreadsheets, reports, and trends data

WORKING CONDITIONS: General busy clinical office environment
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