This position enters appropriate billing codes for a physician practice. Uses Charge Description Master (CDM) and billing software to create billings and charges for insurers, government agencies and other payors. Enters codes into billing system in accordance with nationally recognized coding guidelines and company standards.
Reviews codes assigned to patient procedures and cross references with standard charge listings to enter appropriate charges for billing.
Researches codes assigned to non-standard procedures, supplies, equipment or materials to determine appropriate charge entries.
Assures that all appropriate items, procedures and services are recorded and appropriately billed. Ensures medical record completion as required by national coding standards.
Validates daily charge entries against patient visits to ensure accuracy of billing. Matches, corrects and codes charges that do not drop to billing.
Identifies opportunities for improvement in clinical documentation. Provides guidance and education for staff in billing procedures and electronic medical records usage procedures for coding and billing requirements. Maintains a current knowledge of procedural terminology requirements and provides staff with updated information on reimbursement charges and documentation requirements. As assigned, develops and provides education for physicians and staff.
Works with company finance and Charge Description Master (CDM) teams to develop and maintain coding and billing database information and with other point of service charging/coding staff to maintain consistency in practice.
Works as a member of the unit, practice or clinic team to provide services and achieve goals. As assigned, may manage supply chain functions, scheduling, provide patient services or administrative support.
High school diploma/GED or equivalent working knowledge.
Requires a level of knowledge normally gained over two or more years of related work in a physician practice setting. Must be knowledgeable of medical terminology and current regulatory agency requirements for coding and charging for the assigned clinical area, and have a good understanding of reimbursement methodologies. Requires strong abilities in reading, interpreting and communicating, as well as effective interpersonal skills, organizational skills and team working abilities.
Must be able to work effectively with common office software, coding and billing software, and the electronic medical records system.
Additional related education and/or experience preferred.
Internal Number: 246678
About Banner Health
You want to change the health care industry – one life at a time. You belong here. You’re excited to be part of the dramatic changes happening in the health care field. In fact, you thrive on change. But you also understand that excellent, compassionate patient care is the true measure of the success of these changes. You belong at Banner Health. Our award-winning, comprehensive health system includes 23 hospitals in seven western states, primary care health centers, research centers, labs, a network of physician practices and much more. Throughout our system, skilled, compassionate professionals use the latest technology to change the way care is provided. If you’re looking to be a key contributor to a forward-looking organization, you’ll experience a wide variety of professional advantages: •Our vision for changing the future of health care gives you the opportunity to leverage your abilities to achieve something historic. •Our expansive system offers you an unmatched variety of clinical settings – from large urban trauma center to small rural hospital, ambulatory to home health. Our system also includes hospitals specializing in cancer, heart health and pediatrics. •Our many loc...ations also translate into a broad selection of exciting and rewarding lifestyle options – from the big city to the wide-open spaces. •Our commitment to healthcare innovation means you always have the latest technologies at your fingertips to help you provide the finest care possible. •The size, success and growth of our system provide you with the stability and options to pursue your desired career path. •Our competitive compensation and comprehensive benefits offer you options to complement your unique needs.
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