Role Description In support of PPCWNY’s mission, the Medical Biller has the overall responsibility to ensure effective billing and collections on all patient accounts. - Reviews all Tasks assigned to the individual/workgroup. - Aggressively follows up on all unpaid accounts to ensure that the A/R benchmark targets are met or exceeded. - Answers patient calls and addresses questions related to insurance and patient responsibility. - Works in conjunction with other staff to successfully meet internal goals. - Performs all duties in accordance with established agency policies, protocol and the In This Together services ethos, workplace values, and service standards. - Notifies Billing Manager of any collection or workflow issues. - Shows respect to all internal and external customers for differences in backgrounds, lifestyles, viewpoints and needs. Qualifications - Associate’s degree in business, accounting, business administration, or a related field or equivalent combination of education and experience. - Minimum three years of experience in medical billing/collections. - Minimum three years of experience with computerized billing/receivables system and reports. - Experience with EPIC preferred. - Ideal candidate will have one of the following certifications, but is not required: Registered Health Information Administrator (RHIA), Certified Health Information Technician (CHIT), Certified Coding Specialist (CCS), Certified Medical Billing Specialist (CMBS), or Certified Professional Coder (CPC). - Must be sensitive to patient’s financial and clinical needs while maintaining the patient’s confidentiality. - Experience in insurance guidelines and programs (i.e., Medicaid and Medicare). - Knowledge of ICD-9/10, HCPCS and CPT codes. - Extensive experience with follow-up on unpaid claims within standard billing cycle timeframes. - Extensive experience with appealing insurance companies for denied claims. - ERA payment posting experience. - Must be able to multi-task and work in a fast-paced environment effectively under deadlines. - Accuracy and attention to detail is essential. - Extensive experience in researching issues and providing resolutions. - Strong analytical and problem-solving skills. - Must be able to work independently and as a team player. - In-depth knowledge of Government and non-Government payer sources. - Experience working with databases and Microsoft Office (i.e., Excel and Word). - Ability to work a flexible schedule (i.e., early mornings and evenings). - Must have top-notch customer service and follow-up skills. - Ability to read and interpret medical procedures and terminology. - Planned Parenthood seeks candidates who are proficient in two or more languages. Requirements - Standard health center environment. - Well-lit/ventilated. - Possess sufficient mobility to perform the Essential Functions listed in this Job Description with or without an accommodation. - Ability to lift 25 pounds with or without an accommodation. - May experience visual fatigue working at computer with potential extended periods of sitting. - Ability to travel to all agency locations as assigned. - This is a full-time, 40 hour a week, position; regular schedule will be Monday – Friday with occasional evenings and weekends. Benefits - Pay for this position ranges from $21.89 to $25.36/hour. Actual compensation will be determined by experience and other factors permitted by law. - Extensive benefits package with generous Paid Time Off. - 10 paid holidays. - Affordable medical, dental, and vision options. - Health Savings Account or Flexible Spending Account. - 401(k) with match. - And much more!

Role Description This position is remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC, OK, SC, SD, TN, VA. - Ensures high quality documentation that is thorough, accurate, and complete to ensure correct reimbursement capture. - Assigns diagnostic and procedure codes to simple record types up to highly complex record types. - Contributes to the proper management of health information through consistent and accurate code assignment processes adhering to all regulatory coding principles, rules, and regulations. What you will do: - Organizes and prioritizes assigned work to ensure that work is completed within the assigned time frame. - Reviews charts and entire medical records, assigning ICD and CPT code combinations to each data element. - Audits for documentation opportunities and queries clinical staff to fill in any gaps to clarify confusing, incomplete, or conflicting information and obtain any needed additional documentation. - Contacts and works with physicians as needed for clarification of details to ensure correct coding. - Accurately utilizes the ICD-10-CM classification system and CPT classification system in assigning diagnostic, procedural, and complication codes to all claims while meeting billing requirements of various payers. - Coding accuracy must be maintained at 90% or better. - Meets productivity per standards set by nationally recognized organization and specialty specific levels. - Complies with standardized coding standards, conventions and regulations, corporate compliance standards, and reimbursement policies. - Participates in specialty specific coding training. - Maintains positive provider (physician, physician assistant, and nurse practitioner) relationships as observed from provider comments, informal observation of problem-solving with providers, and feedback from Administration. - Works closely with VP/ Medical Director of RMG. - Assists patient financial services with questions on coding and billing edits. - Mentors and assists in training of other coders within the department. - Participates in the development of coding policies and procedures as identified. - Coordinates/mentors the work of designated coding employees to ensure quality and quantity of work performed through regular audits. Qualifications - High School Diploma or GED, Minimum (Required) - 1 year ICD1 Coding (Medical Practice) (Preferred) - Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) Upon Hire (Required) - Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC) Upon Hire (Required) Company Description To learn more about being a team member with Riverside Health System visit us at Riverside Health System Careers .

• Coordinate/review the work of subordinate employees and assist with the training and continuing education programs. • Code medical records utilizing ICD-10-CM and CPT-4 coding conventions. • Review the medical record to assure specificity of diagnoses, procedures, and appropriate/optimal reimbursement for hospital and/or professional charges. • Abstract information from medical records following established methods and procedures. • Review the complex medical records and accurately code the primary/secondary diagnoses and procedures using ICD-10-CM and/or CPT coding conventions. • Ensure quality and quantity of work performed through regular audits. • Assist with research, development, and presentation of continuing education programs on areas of specialization. • Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes, and surgical techniques through participation in continuing education programs.

• The Coding Specialist analyzes physician/provider documentation contained in health records (electronic, paper or hybrid) to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. • Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of Internal Classification of Diseases, Clinical Modification diagnosis and procedure codes, and Current Procedural Terminology / Healthcare Common Procedure Coding System (HCPCS) procedure codes and all required modifiers.