Medical Billing & Coding Specialist Level III- 403010

• High School diploma or equivalent. Current American Heart – HeartSaver or Basic Life Support (BLS) card

• Must complete CEU’s and keep certification current.
• Must obtain Certified Professional Coding Certificate within 6 months of employment.
• Demonstrates knowledge and skills necessary to provide services based on the physical, psychosocial, educational, safety, and other related criteria appropriate population in his/her assigned area
• Maintains required core competencies.
• Complies with set Policies and Procedures (i.e. name tag, dress code, parking, smoking, etc.)
• Provides second-level review of billing performances to ensure compliance with legal and procedural policies and to ensure optimal reimbursements while adhering to regulations prohibiting unbundling and other questionable practices.
• Researches, analyzes, and responds to inquiries regarding compliance, inappropriate coding, denials, and billable services,
• Interacts with clinic staff regarding billing and documentation policies, procedures, and regulations; obtain clarification of conflicting, ambiguous, or non-specific documentation.
• Interacts with appropriate staff to review and/or implement codes and to update charge documents.
• Ensures strict confidentiality of financial records.
• Attends coding conferences, workshops, and/or in-house sessions to receive updated coding information and changes in coding and/or regulations.
• Performs miscellaneous job-related duties as assigned

Education

Required:

    High School

Licenses & Certifications

Required:

    C-Cert Bill and Code Spec

    C-Heartsaver