Urology America, MSO

At Urology Austin, our mission is committed to improving the lives of patients and their families through compassionate, quality, and ethical care. In choosing a career with Urology Austin, you are choosing to improve the lives of patients and their families through a collaborative team-driven approach in an innovative, quality-driven, community-based setting. Better Medicine. Better Care. Position Summary: This is a remote position that performs various duties to accurately interpret and bill physician charges for physician services. Enters in the Billing System appropriate CPT and ICD-10 codes and bills charges. JOB RELATIONSHIPS - Works in conjunction with providers, other front office staff, and billing staff to ensure complete and accurate billing. ESSENTIAL JOB RESPONSIBILITIES - Performs initial charge review to determine appropriate ICD-10 and CPT codes to be used to report physician services to third party payers. - Assists in entering data from inpatient facesheets including but not limited to demographics, insurance plans, etc. - Interprets progress notes, operative reports, discharge summaries, and charge documents to determine services provided and accurately assign CPT and ICD-10 coding to these services. - Enters appropriate data into AllScripts PM by selecting the appropriate codes, diagnosis, modifiers, pathology, and provider information to complete the process. - Contacts physicians through EMR regarding procedures and other services billed to ensure proper coding. - Responsible for reviewing patient logs and other reports of clinical activity to ensure billing is captured for all patients. - Monitors and follows up to ensure all services that can be billed are captured and coded for billing. - Responsible for ensuring the batch processes for all coded charges. - Reviews all physician documentation to ensure compliance with third party and regulatory guidelines. - Works in conjunction with the Reimbursement staff to answer all inquiries regarding coding and billing for physicians. - Works in coordination with other members of the Central Billing Office as necessary. - Actively participates in problem identification and resolution and coordinates resolutions between appropriate parties. - Responsible for scrubbing claims to submit compliant, truthful, and correct coding based on payer rules. - Performs other related duties as required and assigned. ROLE QUALIFICATIONS - Coding Certification through AAPC (CPC) or AHIMA (CCS) required. - Surgery coding experience desirable - Urology coding experience desirable - High school diploma required; Associates degree of formal billing education preferred. - Minimum three (2) years of billing/collections experience within a clinic or physician practice. - Strong working knowledge of insurance plans, including Medicare and Medicaid. - Strong working knowledge of ICD-10 and CPT coding. - Proficiency in computer software use, including Microsoft Office, EMR and Practice Management systems. - Effective time management and the ability to prioritize work. - Excellent communication skills and the ability to interact with all levels of management, staff, and physicians. PERFORMANCE REQUIREMENTS Knowledge - Knowledge of medical billing/collections practices. - Knowledge of ICD-10 and CPT Coding and third-party operating procedures and practices - Understanding of medical terminology. Skills - Interpersonal and communication both with internal staff and external customers. - Skill in gathering and reporting insurance claim information. - Skill in reading medical chart terminology. - Time Management Abilities - Ability to communicate effectively with patients, staff, and external contacts via phone and through electronic mail. - Elicit appropriate information for patients to clinic staff. - Ability to read and understand information and ideas presented in writing. - Ability to apply general rules to specific problems to produce answers that make sense – deductive reasoning. PHYSICAL DEMANDS AND WORK ENVIRONMENT - Physical: Involves sitting for approximately 80% of the day; extensive use of computer, mouse, and phone. - Environment: Professional office setting. Requires frequent interaction with patients and staff from various backgrounds. - Stress: Frequent stress from high-volume deadlines and the need to resolve insurance conflicts quickly to prevent appointment cancellations.