Patient Accounts Specialist

Overview: This position is responsible for assisting with physician/staff education based upon EVMS Medical Group Compliance Guidelines, coding guidelines and results of chart audits.
The position will assist with conducting internal departmental mini-audits to ensure inpatient and outpatient medical records contain sufficient documentation to justify the frequency and type of services being billed to carriers and patients.
The position will also play a key role in the daily entry of inpatient and outpatient charges for the Department of Otolaryngology – Head and Neck Surgery.
Responsibilities: Assist with conducting regular coding education and training classes for providers and staff.
Make recommendations on implementing procedures for compliance within the department setting.
Respond to denials provided by EVMS Medical Group Enter inpatient and outpatient charges adhering to carrier regulations.
Provides feedback to management as to problem areas and when proper information cannot be obtained from providers.
Responsible for staying abreast of insurance carrier regulation changes and informing providers, management, and staff of such changes.
Ongoing review of compliance, coding, and billing, literature and guidelines effecting ENT practices.
Researches and assign the appropriate CPT & ICD10 code based on the provider’s dictation, and other medical records to ensure that the most accurate combination of codes is used for each patient.
Audits and reviews the appropriateness of the CPT and ICD10 coding selections, assuring that the appropriate link between the two coding procedures has occurred.
Functions as liaison between the providers and EVMS Medical Group Billing Office to communicate and/or educate regarding the appropriate use of the procedural and diagnostic coding process.
Answer insurance questions from front desk.
Completes and follows up on missing Information from providers when the information provided does not support the services rendered.
Review insurance newsletters, coding alert newsletters and educating providers and staff of updates, changes, etc.
Performs other duties as assigned.
Qualifications: Associates degree plus one (1) year experience working with CPT & ICD 10 coding in a surgical setting.
Current CPC certification, or must obtain within 1 year of employment.
Location : Location: US-VA-Norfolk