Accounts Receivable & Coding Specialist

SUMMARY_______________________________________________________________________________________

Assists with management of patient accounts' billing and collections functions, utilizing independent judgment and established accounting principles. Oversees documentation compliance and assists with making sure all coding and billing compliance is met.

ESSENTIAL DUTIES AND RESPONSIBILITIES (include, but are not limited to, the following)

· Prepare financial and statistical reports as requested by management

· Coordinate and organize projects and tasks within the patient financial services department

· Provide day to day feedback to the Director of Revenue Cycle Management on the progress of daily activities in internal billing and collections

· Review and recommend changes in billing and collection procedures

· Work to resolve patient account problems and disputes

· Research and resolve A/R issues within the practice management system

· Serve as liaison between billing office and medical centers/departments within the organization.

· Perform timely follow-up on delinquent accounts

· Perform/Assists with chart reviews to ensure compliance with proper code assignments in accordance with state and federal regulations. (Based on Coding Certification)

· Perform/Assist with chart reviews of medical record documentation to confirm adherence to special program requirements. (Based on Coding Certification)

· Perform/Assist with coding and billing training for providers and staff.

· Performing quality control on the final product

· Requires a moderate degree of confidentiality related to the cash control activities.

· Provide support for special projects as assigned by the Director of Revenue Cycle Management.

· Work with Practice Management System's billing team to resolve outstanding claims and accounts receivable issues.

· Review claims for adherence to billing and coding guidelines.

· Handle incoming patient billing line phone calls

· Other duties as assigned

QUALIFICATIONS________________________________________________________

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

· Working knowledge of Medicare, Medicaid and insurance billing procedures

· Knowledge of State of Georgia collection laws

· Proven organizational skills

· Effective written and verbal communication skills

· Effective analytical/computational skills

· Extensive accounting software skills

· Ability to work with minimal supervision

· Ability to develop and maintain effective working relationships with co-workers, patients, peers, professional staff and management.

EDUCATION and/or EXPERIENCE___________________________________________________________

2+ years related experience. Experience in Primary Care billing preferred, including pediatrics. AHIMA or AAPC physician based coding certification preferred.