RESPONSIBILIITES

Duties Include But Are Not Limited To

• Claim scrubs for clean claim submission.
• Works appeals/denials in a timely manner and creates solutions to prevent future denials.
• Communicate and work in tandem with billing company, hospitals, and insurance payers as required
• Accurate coding and claims submission of services provided by Atlanta Gastroenterology Associates providers, including assigning the correct ICD and CPT codes.
• Reviews and analyzes patient records to determine accurate levels of coding and other billable services.
• Research coding and claims questions thoroughly in order to maintain high quality standards.
• Ensures that appropriate modifiers are assigned when needed, to claim.
• 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 Supervisor
• 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 Supervisor.
• Answers emails and voicemails and returns calls in a timely and efficient manner.
• Completes requests for information from other Atlanta Gastroenterology Associates 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 Supervisor.
• Cross trains and performs other practice functions as directed by the Charge Entry Supervisor.
• Any other duties and/or special projects as assigned.