Summary

Assists in maximizing the revenue for a Baylor College of Medicine department by capturing and accurately documenting physician, professional, and departmental charges to ensure submission of accurate insurance claims, as well as accurate patient statements. Assists with physician office account collections activities.

Job Duties

• Assigns ICD-10 CMand CPT codes to charge documents.
• Accurately abstracts from operative reports, medical records, and physician's daily activity logs.
• Reviews and resolves all charges prior to submission.
• Captures all departmental billing via established reconciliation processes.
• Participates in physician education regarding coding and billing topics.
• Resolves charge disputes.
• Reviews Epic and Optum Claims manager edits for coding corrections.
• Resolves coding disputes by researching clinics and reviewing guidelines.
• May interpret Operative Reports and determine proper CPT code usage based on documentation.
• May process spreadsheet-based charge documents (e-bills)
• Interacts with physicians and other employees and provides information.
• Performs other job related duties as assigned.

Minimum Qualifications

• High school diploma or GED.
• Five years of relevant experience.
• Certified Professional Coder (CPC).