Easter Seals Jobs

Overview

Maintains the productivity demands of assigned study work files including review and release of patient charges, patient complaints and research billing questions. Promotes effective billing compliance following procedures set forth by the professional coding standards, all federal and state regulations, and DHMC.

Responsibilities

• Views and releases patient charges, patient complaints, and research billing questions.

• Reviews documentation, coding and hospital and professional fee charge information in accordance with specific tools, e.g., appropriate protocol and Medicare coverage analysis, to determine if the services provided are billed appropriately. Assigns billing codes as appropriate.

• Per prescribed procedures documents the determinations made to support billing decisions.

• Handles questions and issues related to billing. Reviews patient complaints, concerns or questions regarding compliance issues, assists in the development of required action plans and communicates to the research teams.

• Participates in the development and implementation of corrective actions wherever billing activities are discovered to be non-compliant.

• Reviews medical records and evaluates documentation.

• Performs other duties as required or assigned.

Qualifications

• High school with 3 years of health care experience working with billing/regulatory issues, or the equivalent required.

• Associates Degree preferred.

• Knowledge of department’s specific billing, financial operations, third-party billing regulations with emphasis on Medicare rules, ICD Coding, and procedural terminology preferred.

• Familiarity with Medicare and Medicaid regulations. Must have the ability to research, understand and interpret complex coding, billing and documentation guidelines.

• Strong attention to detail, problem solving and judgment skills required.

• Proficiency with a variety of computer applications, including, but not limited to: ESI billing, eDH, Velos, word processing and spreadsheet software desired.

• Ability to interact with all levels of the organization including management, physicians and research staff required.

• Ability to work with minimal supervision independently or within a team environment required.

Required Licensure/Certifications

• None

• Remote:Fully Remote;

• Area of Interest:Professional/Management;

• FTE/Hours per pay period:1.00 - 1.00 - 40 hrs/week;

• Shift:Day;

• Job ID:24317;

Dartmouth Health is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

Dartmouth Hitchcock Medical Center and Dartmouth Hitchcock Clinics comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. We do not exclude or treat people differently because of race, color, national origin, age, disability, or sex.