Cedars-Sinai Physician Billing Coordinator III - The Angeles Clinic in Santa Monica, California
The Physician Billing Coordinator III provides coding and educational support to clinical areas in the scope of coding, reimbursement and compliance with payer coding and billing requirements. Coordinates some insurance information and the review of charges in the Epic Charge Review Work queue. Provides feedback physician client base to increase knowledge of relationship between charge behavior, compliance and reimbursement levels.
Job Duties and Responsibilities:
Develops and maintains excellent working relationships with Cedars-Sinai Clinical Departments you support. Serves as liaison between Physician Billing Services and Clinical Departments in the coordination of billing and reimbursement. Serves as a resource for information on coding, billing and compliance feedback.
Make recommendations for improved operational processes so that billing information is acquired from client groups in a timely and accurate manner.
Utilizes computerized equipment to obtain various medical reports.
Maintain current CPT and ICD-10 knowledge of assigned areas so that coding remains current.
May input some charges and relative insurance information into Epic Billing and Accounts Receivable system.
Verifies some insurance eligibility Make appropriate adjustments to respective patient’s accounts. When applicable, accept patient payments.
Works as a billing liaison between the patient and office.
Assists with identification and development of appropriate coding for new services and procedures provided by clinicians.
Identifies coding deficiencies with review of medical records and financial accounts and recommended corrective action to improve third-party reimbursement and minimize audit liability.
Coordinates the review of medical records and financial accounts with coding department and providers to improve reimbursement for procedures performed.
Keeps apprised of rules and regulations affecting coding and reimbursement through appropriate Resources.
Attends meetings and participates in group problem solving.
High school diploma or GED required.
No license required. Certified Procedural Coder (CPC) is highly desirable.
Five (5) years or more of experience in a professional billing setting reviewing and interpreting patient medical records using CPT and ICD-10 CM coding systems.
Knowledge of physician billing practices and third party reimbursement guidelines and adjudication systems.
Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.