Responsible for all aspects of coding, quality assurance, and compliance with federal payer documentation guidelines for the Department of Oncology at Green Spring Station. Works closely with department management and supports clinical/research billing operations, patient billing responsibilities, and documentation review. Applies in-depth knowledge of EPIC Professional billing systems, insurance verification, coding, charge capture, and related billing workflows. Also supports office services by processing accounts payable transactions, performing basic monthly reconciliation of accounts, monitoring purchases, processing routine financial transactions, and entering basic financial data into university systems.
- Serve as departmental expert on coding questions
- Exercise independent judgment in code selection
- Hold bills and seek corrective action when documentation requirements are not met
- Research and answer billing and documentation questions to ensure compliance with payer regulations and CPA policies
- Support compliance efforts through training and education programs
- Conduct feedback and training sessions for physicians regarding medical record documentation
- Gather and verify information needed to produce clean claims
- Maintain billing accuracy through encounter verification
- Review and resolve Epic Charge Review edits daily
- Assist with charge entry as needed
- Review patient charges, extract chargeable items, and troubleshoot diagnostic and procedure codes, insurance information, and other billing details
- Support coverage for Coding Specialist III when needed
- Complete missing information forms for the Pro Fee Tracking Database
- High school diploma or equivalent
- Three years of coding experience with demonstrated analytical skills
- Knowledge of medical terminology, anatomy, and physiology preferred
- CPC certification or department-approved certification preferred
- Experience with Medicare regulations preferred
- Epic experience and understanding of third-party payer issues preferred
- Strong knowledge of HIPAA and PHI handling
- Ability to perform advanced problem solving in medical billing and coding
- Ability to work independently and make regular judgment-based decisions
Location
Baltimore, Maryland, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 week ago