Billing Coordinator / Coder

Responsible for coordinating the day-to-day billing operations for the department and hospital outpatient billing service using a centralized medical information system. The role focuses on accurate abstraction of patient data according to ICD-10-CM, CPT, HCPCS, and CMS coding guidelines, entering abstracted information into the electronic medical record, and querying physicians when documentation is unclear or incomplete.

Key duties include:

• Coordinating pertinent medical record information for physician billing submission
• Verifying insurance and serving as a liaison for patient billing questions and outstanding balances
• Ensuring authorizations, referrals, and required forms are complete
• Analyzing medical records and identifying documentation deficiencies
• Monitoring work queues for coding and billing corrections
• Assigning CPT, HCPCS, and ICD-10-CM codes for reimbursement and data collection
• Communicating with physicians and advanced practice providers for missing or incomplete documentation
• Addressing NCCI, NCD, and LCD edits
• Maintaining productivity and quality standards
• Reporting unusual circumstances, errors, discrepancies, and risk factors to management