Coding and Charge Entry Specialist

Description

Arizona Arthritis & Rheumatology Associates, P.C. is the largest private Rheumatology practice in the United States. The practice has over 60 providers, 15 sites and over 300 employees providing assessment and treatments for rheumatological, podiatric, and electromyography patients. Our providers work together to keep patients healthy, and are recognized for excellence in medicine and for being pioneers in new treatments, ably supported by our Research department.

Our vision is to provide the best Rheumatology care, anywhere and, to balance sustainable operation with the highest possible level of patient care.

We are a seeking an ambitious, friendly, positive, and compassionate Coding and Charge Entry Specialist to join our billing department at our business office located in Glendale. 

The role of the Coding and Charge Entry Specialist is to perform daily charge audit functions through the validation of submitted charges in the practice management system. Validation includes to make according code updates, link diagnosis when necessary and attach modifiers and authorizations. These steps are taken for the posting of daily charges.

Responsibilities:

• Validate and post daily charges with attention to modifiers, authorizations, diagnosis linking, and code updates.
• Maintain a >98% clean claim rate.
• Coordinate with offshore and outsourced billing teams on charge and coding issues.
•  Perform routine coding audits and report trends to providers and site managers.
• Educate providers on proper coding practices and documentation requirements.
• Review and reconcile incomplete or missing encounters; resolve provider errors.
• Identify and correct claim edits and rejections from clearinghouse software.
• Post charges accurately and timely for all encounters and services.
• Serve as internal subject matter expert on insurance coding regulations and payer policy updates.
• Communicate coding and insurance updates to the billing team and clinical staff regularly.
• Other duties as assigned.

Learn more about AARA on our website at http://azarthritis.com

Requirements

Qualifications:

Essential

• High School diploma or equivalent required.
• Coding or medical billing experience required, 2 years.

Desirable

• Charge entry or coding experience in a large healthcare practice, 2 years.
• Clinical Billing and Collections, 1 year
• Certified coding credential.
• NextGen PM system, 1 year.