Job Details

JOB TITLE: Charge Entry

GENERAL SUMMARY OF DUTIES: Responsible for the ICD and CPT coding, charge entry and claims processing of office E&M charges, office procedures, imaging, infusions, labs and other services performed by the physicians and mid-level providers of AGA, LLC.

REPORTS TO: Charge Entry Supervisor

RESPONSIBILIITES
Duties include but are not limited to:

• Accurate coding and claims submission of services provided by AGA, LLC providers, including assigning the correct ICD and CPT codes
• Reviews and analyzes patient records to determine accurate levels of coding and other billable services
• Researches coding and claims questions thoroughly in order to maintain high quality standards
• Ensures that appropriate modifiers are assigned when needed to claims
• Work with billing company on billing, denial, and appeals
• Works denials in a timely manner and creates solutions to prevent future denials
• Understands and maintains payer edits in practice management system
• Provides support to office managers and staff in determining accurate coding and billing practices
• Participates in coding audits and educational endeavors as directed by the Charge Entry Manager and/or Revenue Cycle Manager
• Cross training within department for coverage as needed
• Continues personal education by attending seminars and classes as needed
• Stays up to date on changes and updates to the Current Procedural Terminology (CPT) and diagnosis codes (ICD-10)
• Understands and abides by CMS and other payer guidelines in coding and billing
• Meets or exceeds quality and productivity standards as set by the Charge Entry Manager and/or Revenue Cycle Manager
• Answers emails and voicemails and returns calls in a timely and efficient manner
• Completes requests for information from other AGA, LLC staff and ensures that they are handled promptly and effectively to guarantee payment on patient accounts
• Abides by and promotes HIPAA compliance; maintains strictest confidentiality with regards to patient information
• Participates in staff meetings as directed by the Charge Entry Manager and/or Revenue Cycle Manager
• Cross trains and performs other practice functions as directed by the Charge Entry Manager and/or Revenue Cycle Manager
• Any other duties and/or special projects as assigned

REQUIRED EDUCATION, SKILLS AND EXPERIENCE

• High School Diploma or GED required
• 2-3 years of coding and/or medical office and billing experience. Advanced knowledge in E&M Coding preferred
• CPC PREFERRED
• Specialty clinical experience in Gastroenterology experience preferred
• Skills and knowledge of EMR software functionality and operations
• Proficiency in multiple Microsoft Office applications.
• Knowledge and ability to respond to claims questions and denials

ADDITIONAL SKILLS AND EXPERIENCE

Charge Entry II must be able to:

• Provide a high level of quality patient care and customer service at all times
• Productivity based assignments to be completed within time frame assigned
• Plan, prioritize, and complete multiple tasks as delegated by the Charge Entry Manager and/or Revenue Cycle Manager
• Ability to work under pressure; assess, respond, and communicate issues in a timely manner
• Maintain composure and set a professional example to patients and coworkers
• Communicate clearly with patients and coworkers through the telephone, email, and in-person
• Interpret and apply clinical and non-clinical policies and procedures

PHYSICAL/MENTAL/ENVIRONMENTAL DEMANDS

Requires sitting and standing associated with a normal office environment; travel within the Metro area required.

DRUG FREE WORKPLACE

AGA, LLC is a drug free workplace. All offers of employment are contingent upon passing a pre-employment drug screening.

EQUAL OPPORTUNITY EMPLOYER

AGA, LLC is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, military or veteran status, gender, color or national origin in its employment practices.