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Job Descriptions:

NECS is currently seeking a Remotefull-time Monday- Friday Billing Specialist-Charge Entry to join our professional billing team. As a Billing Specialist-Charge Entry you will review provider schedules and charges to ensure accurate coding, following CPT and ICD-10 guidelines. The position is responsible for verifying the provider charges based on the documentation and level of services reflected in the clinical record, while sequencing diagnoses and procedures to optimize reimbursement.

NECS is a private medical practice composed of 18 Oncologists and hematologists. Serving the State and region from 5 different locations in Maine. NECS is committed to achieving the best outcome and providing unmatched support in all areas for every patient. i NECS brings together top clinicians, researchers, and dedicated medical professionals, clinical and non-clinical to create the best possible experience for our patients.

Essential Duties and Responsibilities:

+ Review daily charges for accuracy and completion

+ Monitors final diagnoses and procedures stated by the provider for validity and completion, following up with appropriate personnel as required.

+ Review electronic medical record to ensure proper coding and compliance with federal and state regulatory bodies.

+ Quantitative Analysis of records for: patient and record identification, signatures and dates where required, and all other necessary data in the presence of the report which appears to be indicated by the nature of the treatment rendered.

+ Qualitative Analysis of records for: documentation consistency and adequacy, ensuring that the final diagnosis accurately reflects the care and treatment rendered.

+ Analyze provider documentation to assure the appropriate Evaluation & Management levels are assigned using the correct CPTO codes.

+ Accurately Bill hospitals, laboratory and or radiology charges from the provider schedule.

+ Accurately following coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies.

+ Maintains compliance standards in accordance with department policies and practice Code of Conduct.

+ Performs other related duties as required by managers and the practice

Required Experience:

+ High School Graduate or Equivalent

+ Requires working knowledge of ICD10 and CPT

+ Must have 2+ years of medical billing and coding experience

+ Surgical Billing experience preferred

+ Radiation Oncology Billing experience preferred

+ CPC Certification preferred

+ Medical Terminology

+ Strong Customer Service Background

+ Attention to detail and accuracy

+ Must be able to work in a team environment

+ HIPPA compliant and have an understanding of patient confidentiality

Keyword: Medical Billing Specialist, billing, healthcare insurance,coder,code entry, CPC Certification, CPC, ICD10

From: New England Cancer Specialists