Clinical Billing Associate

Job Description

To review pertinent clinical documents and assign appropriate clinical diagnostic and procedural codes, and post the respective hospital charges to the patient account via the online hospital billing system. To complete and forward charge documents to Data Entry and Medical Records as required. Reconciliation of charges entered to revenue reports.

Responsibilities

To obtain required clinical documents and assign appropriate diagnostic and procedural codes, and post the respective hospital charges to the patient account via the on-line hospital billing system. Reconciliation of charges entered to revenue reports. Must maintain facility established productivity standards and Patient Accounts Quality Guidelines (i.e. 100% accuracy of 90% of all registrations). - 40% � Reconcile daily charge documents and daily patient visits. - 5% � Reconcile daily disposition/registration summary reports. - 5% � Reconcile hospital billing charges and diagnostic codes. - 5% � Ensure that all financial documents are forwarded appropriately and timely. - 10% � Post hospital charges for all billable services rendered. Analyze patient accounts, evaluate financial data for establishment of current accounts and document comments to reflect actions taken regarding accounts to maximize reimbursement. - 20% � Perform medical /surgical /dental specialized clinical hospital billing. - 10% � Gather data or Quality Assurance monitoring as required. - 5% | Review the physical demands and assign an overall average percentage of time this position performs these activities. These physical demands will not be listed or rated on the annual performance appraisal. Climbing:�Ascending or descending stairs, ladders, ramps, etc, using feet and legs and /or hands and arms - 0% Stooping:�Bending body downward and forward by bending spine at the waist - 5% Kneeling:�Bending legs at knees to come to a rest on knee or knees - 5% Reaching:�Extending hand(s) and arm(s) in any direction - 10% Standing: Remaining upright on the feet, particularly for sustained periods of time - 10% Walking:�Moving about on foot to accomplish tasks - 15% Pushing 0-10 lbs:�Use of upper extremities to press against something with steady force in order to move something forward, downward or outward - 0% Pushing 11-20 lbs: Use of upper extremities to press against something with steady force in order to move something forward, downward or outward - 0% Pushing 21-50 lbs: Use of upper extremities to press against something with steady force in order to move something forward, downward or outward - 0% Pushing 51 lbs or more: Use of upper extremities to press against something with steady force in order to move something forward, downward or outward - 10% Pulling: Use of upper extremities to exert force in order to drag, haul or tug objects in a sustained motion - 10% Lifting 0-10 lbs: Raising objects from a lower to a higher position, or moving objects horizontally from position-to-position and requires the use of upper extremities and back muscles - 0% Lifting 11-20 lbs: Raising objects from a lower to a higher position, or moving objects horizontally from position-to-position and requires the use of upper extremities and back muscles - 10% Lifting 21-50 lbs: Raising objects from a lower to a higher position, or moving objects horizontally from position-to-position and requires the use of upper extremities and back muscles - 0% Lifting 51 lbs or more: Raising objects from a lower to a higher position, or moving objects horizontally from position-to-position and requires the use of upper extremities and back muscles - 0% Carrying 0-10 lbs: Holding and moving/transporting an object about - 5% Carrying 11-20 lbs: Holding and moving/transporting an object about - 5% Carrying 21-50 lbs: Holding and moving/transporting an object about - 5% Carrying 51 lbs or more: Holding and moving/transporting an object about - 5% Fingering: Picking, pinching, typing or otherwise working primarily with fingers rather than with the whole hand or arm, as in handling - 60% Feeling: Perceiving attributes of objects such as size, shape, temperature or texture by touching with skin, particularly that of (using) fingertips - 0% Talking: Expressing or exchanging ideas by means of the spoken word - must convey detailed or spoken instructions to others accurately, loudly or quickly - 80% Hearing: Perceiving the nature of sounds at normal speaking levels with or without correction, and having the ability to receive detailed information through oral communication - 80% Seeing: The process of perceiving objects by use of the eyes to perform an activity - visual acuity requirements include ability to discern position of object(s), shape of object(s), color, depth perception or visual inspection - 100%

Qualifications

An Associate Degree or graduate of a certificate program in diagnosis coding and medical billing, preferred. | RHIT, CCS, CCS-P preferred. | A certificate from an accredited program in diagnosis coding and medical billing with at least one-year experience in the field, preferred. Three to four year?s experience in diagnosis coding and medical billing may be substituted.