Title: Medical Coder and Biller
Department: Kirkhof College of Nursing
Based on information from client visit, coding of visit and services performed and submits bill to appropriate source - insurance or individual client. Maintains knowledge and skills in this rapidly developing area of health information.
Primary Duties & Global Responsibilities:
- Ensures that all client data is properly entered into billing system
- Verifies coding of visit based on documented services provided
Analyzes information and compares with HCFA guidelines for ICD-9 and CPT Medical Coding
- Collaborates with care provider to adjust coding, based on analysis
- Formats billing according to software system and insurer's specifications
- Submits bills either electronically or manually, according to insurer's guidelines
- Ensures that bills are submitted in a timely manner (depends on each insurer's guidelines)
- Prepares and submits statements to patients
- Enters receipt information when payment received
- Follow up on collections
- Handles clients questions and/or concerns related to billing in a timely and courteous manner
- Communicates courteously, confidently with health care providers, their office staff and clients
- Maintains confidentiality of client records
- Collaborates as member of the health care team, developing goals and strategies for health centers to continuously improve the quality of service delivery
- Participates in annual self, peer and supervisor evaluation
- Meets established goals annually
- Seeks and takes opportunities to improve own knowledge and skills for personal and professional growth
Minimum Required Qualifications:
- High school graduate.
- Completion of education program focused on medical coding and billing and one year of experience or two years experience doing medical billing and coding in health provider office environment
- Ability to utilize computer and billing software
- Ability to use excellent grammar and proofreading skills
- Ability to maintain satisfactory work performance and attendance record
- Ability to work confidently, under pressure and meet deadlines
- Possess strong verbal and written communication skills
- Ability to maintain positive interpersonal relationships
Accidents or Health Hazards:
Requires exposure to communicable diseases and/or body fluids, toxic substances, medicinal preparations and other conditions common to a health care clinic environment.
Supervision Received: (Who provides supervision?)
Receives supervision and work assignments from Nurse Practitioner and/or Director, although other staff in health center may provide work direction
Supervision Exercised: (Whom do you supervise?)
Collaborates with data manager for generation of reports as needed. May supervise student employees as needed.
Revised Date: September 1997
For questions regarding employment, email Human Resources Employment Information. TDD Callers: Call Michigan Relay Center 1-800-649-3777.