Medical Biller & Coder

Medical Biller and Coder

To effectively bill and code office visits, treatments, and procedures for Salish Cancer Center. To assist with oversight of time-of-service collections, complete coding of services, charge-adjustment-payment posting, preparation and review of patient statements, accounts receivable, appeals process, aging collections, cash reconciliations, and charge review. To work with management and key personnel to streamline billing and coding functions at Salish Cancer Center.

Job Description

• Collaborates with Highlands Oncology and any other applicable contracted agencies/personnel to effectively manage daily operations associated with billing, coding, and the revenue cycle for the clinic.
• Completes billing and coding for billable activities at the practice.
• Performs coding and reimbursement duties associated with all clinical activity of the practice.
• Acts as a resource to providers regarding coding practices.
• Ensures accurate medical necessity documentation within clinical dictations.
• Audits all infusion billing for correct documentation, including waste, required for maximum reimbursement.
• Communicates with and educates (until resolution) physicians and clinical staff regarding any documentation issues in a timely manner to correct errors or omissions in patient medical records.
• Advises staff and providers with up-to-date information regarding billing or coding requirements, payer changes, and reimbursement changes that will impact the practice.
• Serves as a liaison and resource for the clinic and patient intake team for eligibility and authorization-related issues and questions.
• Works alongside the finance team to address and appeal all denials until payment is received or appeals are no longer permitted.
• Works with clinic staff to address patient-facing concerns.
• Works with intake staff to collect all patient-owed balances, applying applicable write-off codes when appropriate and approved by the Practice Administrator and finance team.
• Other duties as assigned.

Requirements

• Graduation from an accredited billing and coding program or applicable relevant experience.
• Two (2) years of professional billing, coding, and accounts receivable experience required.
• Two (2) years of professional billing, coding, and accounts receivable experience in Oncology preferred.
• Two (2) years of experience with patient account investigation and resolution required.
• Extensive knowledge of Oncology billing and coding, documentation requirements, payer-specific requirements, and J code billing preferred.
• Experience with Centricity and OncoEMR preferred.
• Experience with electronic claims submission sites required.
• BLS certification required within 90 days of hire.
• Experience and/or ability to work with electronic health records/practice management systems required.
• Strong technological capabilities and intermediate to expert proficiency in Microsoft applications required.

Benefits

• 100% employer-paid premiums for medical, dental, and vision
• Employer-paid base life and AD&D insurance
• Generous vacation, sick, and personal leave
• 11 annual observed paid holidays, plus a birthday holiday
• Comprehensive Employee Assistance Program with mental health, financial, and legal support
• 401k plans that allow for enrollment within 6 months of hire with profit sharing and immediate vesting
• Ample, free parking with 24-hour security for a gorgeous office space
• Continuing education/professional development support
• License and certification reimbursement
• Homebuyer assistance program and much more!