Lead- Billing

Job Summary

Applies the appropriate diagnostic and procedural codes to individual patient health information for data retrieval, analysis, and claims processing. Trains front line staff on processes including bill holds, authorizations, Athena documentation, etc.

COMPANY DESCRIPTION

Frye Regional Medical Center, located in the beautiful foothills of North Carolina is a 355-bed acute care hospital, 81-bed Behavioral Health facility and more than 70 primary and specialty care providers.

Essential Functions

• Assigns accurate ICD diagnosis codes, using compliant documentation.
• Assigns accurate CPT/HCPCS codes to records, using compliant documentation.
• Applies knowledge of Coding Guidelines to select the appropriate diagnosis code.
• Uses available research and reference tools to understand the disease process and diagnosis.
• Interprets physician documentation within the coding guidelines and obtains clarification from physicians regarding vague or ambiguous record documentation.
• Enhances coding knowledge and skills with continuing education activities as described in HIM.COD.003 policy and by reviewing pertinent literature.
• Trains front-line staff on documentation in Athena, bill holds, insurance authorizations, etc.

Benefits - Wide range of benefits options!

• Here at Frye, you choose your own Medical, Dental, and Vision plans from a variety of competitive options that give you the coverage that best fits your needs.
• HSA
• 401(K) retirement plan contributions
• Generous Paid Time Off
• Accident & Critical Illness Insurance
• Prescription Assistance with OptumRx
• Income protection programs for the entire family such as life insurance, Short/Long-term Disability, and Identity Theft.
• Employee Assistance program at no cost to you to provide emotional, legal, financial, and daily life support for your entire household. Services are available 24 hrs. a day, 7 days a week.
• Free travel and entertainment discount program to ensure you enjoy your time away from work.

Why join our team?

Frye Regional Medical Center employs more than 1500 professional and clinical staff. Our medical center is a 355-bed acute care facility which offers a broad array of inpatient and outpatient care. Frye Regional Medical Center is dedicated to providing patients with a full range of services to meet the healthcare needs of our community. We believe our employees are our most valuable assets in accomplishing this goal and we have made great strides to ensure employee satisfaction. If you are passionate about changing lives, we are looking for you!

Minimum Education

• High school diploma or equivalent required
• Associate's degree preferred

Required Skills

• Must have thorough understanding of ICD-10 Official Coding Guidelines for Coding and Reporting and AHA Coding Clinic; HCPCS/CPT coding systems and CPT Assistant and Coding Clinic for HCPCS guidelines; Medicare Outpatient Prospective Payment System (OPPS), and Ambulatory Payment Classification (APC).
• Has knowledge of and abides by HIM.COD policies