Job Information
McLaren Health Care Medical Billing Specialist - McLaren Careers in Detroit, Michigan
Job Summary:
Under indirect supervision, audit medical charges and record for compliance with federal coding regulations and guidelines ensuring that medical billing is correct and conforms to legal and procedural requirements; ensure the integrity of department billing.
Responsibilities:
Audit billing reports to ensure patient encounters are billed and identify encounters not reported; prepare reports of findings and meet with supervisor to review results, and determine receipt of information and when necessary recreate documentation for provider/physician signature. Check encounter forms for level of service, diagnoses, faculty signature and referring physician, if required; contact clinical departments/hospitals to ensure billing problems are resolved and encounters will be coded/billed correctly.
Compete charge entry from provider outpatient encounter forms and inpatient encounters upon completion of coding by coding company.
Assist in facilitating KCC FIN assignment and medical record creation for patient encounters occurring outside of the McLaren Health System.
Research, analyze and respond to inquiries regarding coding; respond to staff questions on physician queries.
Liaise/meet with physician and other patient care providers regarding billing and documentation policies, procedures and regulations, patient notes and coding updates; obtain clarification on conflicting ambiguous or no-specific documentation.
Qualifications:
Required:
- High school diploma or GED
Preferred:
Associate degree in Medical Records Technology
Certification as a Registered Health Information Technician
2 years of coding charge entry experience in specialty
Equal Opportunity Employer of Minorities/Females/Disabled/Veterans
