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Billing / Coding Specialist - Central Billing, 40 hrs/wk, Mon. - Fri., Flexible Day Hours (4874)

Children's Hospital & Medical Center - Omaha Omaha, NE
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Job Description

Just like the children we serve, Children's Hospital & Medical Center is growing quickly and hiring Billing and Coding Specialists. Perform a variety of tasks related to billing the professional fee for provider services including coding verification and review. Collect and verify patient demographic and insurance information for the purpose of billing professional fees for a variety of pediatric specialists.

Essential Functions/Competencies

% of Time

 

60%

  1. Reviews and verifies assigned codes and sequences diagnosis and procedures according to regulations (e.g., ICD9CM, CPT, HCPCS, UHDDS, and HIPPA coding guidelines) and abstracts accurate clinical information to obtain the most specific code possible to ensure an accurate health information database.
  • Contacts physicians for clarification of clinical information as appropriate for account type as necessary
  • Maintains up-to-date knowledge of coding and regulatory requirements to accurately assign codes for appropriate reimbursement of healthcare services.  Continue to strive to meet continuing education requirements for certification or to maintain working knowledge of on-going changes to CPT, HCPS, and ICD codes
  • Utilize web based tools, coding books, and other available resources to facilitate providing insurance companies with required information.
  • Utilize multiple information systems to accurately select the correct patient account in order to appropriately review and verify patient billable charges.
  • Participate in and assist with audits to capture lost charges and determine the accuracy of billing as necessary.

25%

  1. Gathers demographic, insurance, and health care encounter information from a variety of sources for the purpose of billing medical provider professional fees.
  • Enter and verify the appropriate demographic information, charges, and comments into the computerized billing system.
  • Perform manual charge entry by gathering demographic, insurance, and healthcare encounter information from a variety of sources in order to accurately bill medical provider professional fees.
  • Ensure information entered in the system is done in an accurate and timely manner.  Verifying charges on accounts as needed and providing detailed and accurate comments for future reference.
  • When necessary, create a registration in the appropriate system (EPIC) from documentation provided to accurately record encounter and accurately bill the appropriate stakeholders.

10%

  1. Responds to inquires from provider offices and various internal departments in a timely and accurate professional manner.
  • Demonstrate and support good relations between Children’s Hospital, the contracted providers, and the community.
  • Make inquires to other stakeholders on the accuracy of the information, as needed.  Follow- up on pending requests when necessary

 

Regular attendance at work is an essential function of the job.

 

Perform physical requirements as described in the Physical Requirements section

SECONDARY FUNCTIONS/COMPETENCIES

5%

  1. Performs other duties as assigned

100%

 

KNOWLEDGE, SKILLS AND ABILITIES:
  • Knowledge of medical terminology.
  • Knowledge of billing CPT and ICD coding preferred.
  • Ability to type 40 words per minute with 99% accuracy.
  • Ability to pay attention to detail.
  • Ability to work independently to effectively and efficiently perform assigned duties. 

 

EDUCATION AND EXPERIENCE:
  • High school diploma or GED required.
  • Minimum total two years of experience in an insurance environment, HIM, a hospital billing or physician billing setting required and preferably two years of coding experience in one of these settings.

 

CERTIFICATIONS/LICENSURE REQUIREMENTS:

  • CPC (Certified Coding Profession) or ACA (Certified Coding Associate) certification required.

 

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Job Details

Date Posted September 12, 2017
Date Closes December 11, 2017
Requisition 961927-12120
Address 8534 Cass Street
Located In Omaha, NE
Work At Cass 2
Department Central Billing Office
Job Type Full-time Employee
Compensation Hourly Wage, Based on Experience
Shift
Daytime
Monday - Friday, Flexible day hours
Hours 40 hours per week; Monday - Friday, Days
Start Date Immediately
SOC Category 43-3021.03 Billing, Posting, and Calculating Machine Operators
Zipcode 68114

This job offers the following benefits

  • 403(b) Retirement Savings Plan
  • Dependent-Care Spending Accounts
  • Flexible Spending Accounts
  • Health-Care Spending Accounts
  • Accidental Death and Dismemberment
  • Business Travel Accident Insurance
  • Dental
  • Dependent Life Insurance
  • Employee Assistance Program (EAP)
  • Group Homeowners and Auto
  • Group Legal
  • Life Insurance
  • Long-Term Disability
  • Maternity / Paternity / Family Leave
  • Medical
  • Prescription Drug Plan
  • Short-Term Disability
  • Supplemental Insurance
  • Vision
  • Voluntary Life Insurance
  • Bereavement Pay
  • Cafeteria / Food
  • Continuing Education Program
  • Credit Union
  • Discounts on Employer Merchandise & Services
  • Employee Referral Program
  • Financial Planning
  • Free Parking
  • Health Fair
  • Nursing Facilities
  • Paid Holidays
  • Paid Vacations
  • Tuition Reimbursement
  • Wellness Program
  • Workout Facilities
  • Achievement Awards
  • Bonus Plan
  • Merit Increases

This job requires the following skills

  • Computer Usage
  • Typing
  • Medical Billing
  • Medical Coding
At a Glance
Enjoy these benefits
  • 403(b) Retirement Savings Plan
  • Dependent-Care Spending Accounts
  • Flexible Spending Accounts
  • Health-Care Spending Accounts
  • Accidental Death and Dismemberment
  • And More ...
Location