Summary
Position place: MAIN
Work schedule: M-F, 8: 00 am-5: 00 pm
This position is accountable for evaluating coding medical diagnoses, treatments and modifiers to fix and solve billing and/or coding problems, rejections, rejections and appeals.
Obtains total medical diagnosis info to guarantee correct billing code projects.
Completes insurance coverage company registration applications and arrangements.
Works with Medicaid, Medicare and industrial insurance coverage providers to fix claim mistakes and reacts to billing and coding concerns from internal and external sources.
Reviews billing charges and other information for precision and possible compensation improvement.
Runs, evaluations and sums up billing and repayment reports.
Keeps updated on coding standards.
Supervises assistance personnel and operates in cooperation with medical personnel and/or health details systems personnel, County IT and/or specialists to get billing/coding modifications in the electronic billing systems.
Works in a cross-functional group for the growth of brand-new legal contracts with a range of location insurance coverage service providers.
Acts as group lead for insurance coverage declares production, batching, submission, and appeals.
Handles delicate and secret information properly.
Posting might close at any time.
Tarrant County workers delight in exceptional health, retirement, and insurance coverage advantages.
For more info, please click the link listed below:
Essential Duties and Responsibilities
- Analyzes coding medical diagnoses, treatments, and modifiers to deal with billing and/or coding concerns, rejections, rejections, and appeals.
- Works with Medicaid, Medicare and industrial insurance coverage providers to fix claim mistakes.
- Reviews billing charges and other information for precision and prospective compensation improvement.
- Supervises and collaborates the activities of assistance personnel.
- Obtains total medical diagnosis details to make sure appropriate code project.
- Responds to concerns from insurer and customers.
- Runs, evaluates, and sums up billing and compensation reports.
- Keeps current on coding standards.
- Works in cooperation with medical personnel and/or health details systems personnel, County IT and/or professionals to acquire billing/coding modifications and/or updates in the electronic billing systems.
- Works in a cross-functional group on the growth of present and/or brand-new legal arrangements with a range of location insurance coverage suppliers.
- Performs all other responsibilities as appointed.
Minimum Requirements
NOTE: YOU MUST FILL OUT THE WORK HISTORY and EDUCATION SECTIONS OF APPLICATION TO SHOW YOU HAVE YEARS OF EXPERIENCE/EDUCATION AS REQUIRED BY HIRING DEPARTMENT OR BE DISQUALIFIED.
TO APPLY, should have an Associate’s degree or greater in Business, Health Information Services, or an associated field Four (4) full-time years of medical insurance coverage billing or coding work experience
OR
TO APPLY, need to have a High School diploma or GED Six (6) full-time years of medical insurance coverage billing or coding work experience.
TO APPLY, need to have at least One (1) full-time year of work experience in billing and coding rejection resolution.
TO APPLY, need to have ONE OF the following accreditations:
Certified Professional Coder (CPC)
Certified Outpatient Coder (COC or CPC-H)
Certified Professional Coder-Payer (CPC-P).
MUST PROVIDE LICENSING AGENCY AND LICENSE NUMBER IN “CERTIFICATES AND LICENSING” SECTION OF THE APPLICATION OR BE DISQUALIFIED.
One (1) year of supervisory experience, having actually been accountable for the work output and efficiency examination of subordinates, is chosen.
Demonstrated capability to find, research study, comprehend, and properly use Medicaid, Medicare, and personal insurance coverage guidelines and guidelines; evaluate and deal with complicated insurance coverage claim concerns to make sure precise and ideal compensation.
Knowledge and know-how to designate right Healthcare Common Procedure Coding System (HCPCS) codes and ICD-10 codes to claims and appeals.
Strong choice making, issue fixing and advanced vital believing abilities.
Ability to react successfully to modifications in rejection standards.
Must be versatile and responsive and able to stabilize the requirements of numerous concerns.
Experience with Microsoft Office (spreadsheet, discussion, and data processing software application).
Ability to find out various billing software application systems and run numerous reports from the systems.
Ability to monitor and encourage personnel and to prepare and present academic products to center personnel.
If worked with, need to supply evidence of instructional achievement
at New Hire Processing or throughout the advertising procedure.
Tarrant County will carry out background examine brand-new hires that will consist of a criminal background check associated to convictions and postponed adjudications in the previous 7 years and might consist of credit reports, automobile records, work records and academic achievement. A conviction or delayed adjudication is not an automated bar to work. Each case is thought about separately.
Physical Demands and Work Environment & Other Requirements
While carrying out the tasks of this position, the incumbent is frequently needed to flex, bring, climb up, climb up stairs, grasp/squeeze, hear, keyboard, kneel, lift listed below the waist, lift in between waist and shoulder, lift overhead, life to the side/twist, pull, press, reach, reach overhead, carry out repeated jobs, see near, sit, talk, utilize his/her hands, and work alone and with others.
Tarrant County uses a complete variety of staff member advantage programs for qualified staff members, senior citizens, and their households. These programs consist of group health insurance for medical, oral, and vision protection; an Employee Assistance Program (EAP); life and long- term special needs insurance coverage; and versatile costs represent healthcare and reliant care compensations. The County likewise supplies retirement advantages. Full-time workers take part in the Texas County & District Retirement System (TCDRS), and staff members might likewise take part in a retirement cost savings program (Deferred Compensation). In addition to these “standard staff member advantages” and retirement services, staff members benefit from a range of other programs consisting of 12 paid vacations, a Wellness Program, and more.
Note: These advantages are for Tarrant County staff members just. For advantage details relating to Community Supervision and Corrections Department (CSCD) staff members, please contact Patrice Harrison at (817) 884-1227
Tarrant County.
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