Essential Duties and Responsibilities

• Reviews medical record documentation to identify all services provided by physicians.
• Assigns appropriate CPT procedure codes to accurately report physician services.
• Assigns appropriate ICD-9 diagnosis codes to accurately support the need for each physician service.
• Identifies physician services provided, but not adequately documented in the medical record, by performing yearly reviews for each physician.
• Advises Billing Manager and Physician representatives of deficiencies to support charge capture of the billing services.
• Assists Billing personnel in coding questions.
• Assists with physician billing and documentation training in daily interactions with physicians and other routine training sessions.
• Compiles reports as needed to Billing Manager and Physicians on deficiency rates.
• Identifies trends/problems in medical documentation and recommends solutions.
• Provides routine updates to the compliance manuals.
• Attends coding meetings requested by TCI Clients.
• Other duties as requested by Billing Manager or Director of Operations.

Personnel Training

• Assists Manager in determining training needs of employees in your department.
• Communicates progress and deficiencies of current personnel to Manager.
• Maintains accessibility to employees for questions and additional training.

Personnel Communication

• Assists Manager in determining staff hours, schedules, breaks and lunches.
• Assists Manager in monitoring overall production.
• Maintain accessibility as a BACKUP contact for employees who are late, sick, etc. if the Manager is unavailable.
• Assists Manager with input for yearly progress reviews

Coding

• Reviews charts for proper coding
• Contacts physicians for appending patient records
• Updates computer system with appropriate diagnostic and procedure codes
• Trains new providers in coding techniques
• Assists or directs any special projects as required
• Trains new or existing coders and evaluates their performance

Customer Service

• Answers in a professional and friendly manner phone inquiries from patients, physicians, hospitals and carriers and completes necessary duties to resolve the account. Duties may include printing a bill, noting account, making a phone call, etc.
• Interviews caller to assess the situation, resolving problems quickly and accurately.
• Keeps accurate record of all phone inquiries

Core Skills Needed For All Positions  |  View