Jobs at harbor Village Inc (Now Hiring) — 5 open

Role and Responsibilities

This position will ensure that the provision and regulations for billing, coding, documentation quality and criteria is met prior to the census going out to be billed. This person will ensure HIPPA and patient documentation retention. Medical documentation; charge capture risk areas include: medical necessity documentation, physician orders, and coding accuracy.

Essential Functions

• Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes.
• Ensure codes areaccurateand sequenced correctlyin accordance withgovernment and insurance regulations.
• Review Servicesrenderedto Authorization toroster billed. Maintainaccuratecharges and service approved to billed charges.
• Follow up with the provider on any documentation that is insufficient or unclear.
• Communicate with other clinical staffregardingdocumentation.
• Medical Necessity reviews
• Patient status designation level of care (Inpatient vs. Outpatient) reviews
• Search for information in cases where the coding is complex or unusual.
• Physician Order Retention
• Documents, edits, tracks, reviews,submits, and distributes reports, logs, and other related documents, databases, and/or software withinrequiredtimeframeand deadlines.
• Claim denial processing review
• Chart Audits from the billing perspective servicerenderedcensus matches (Authorization, Servicerenderedand claim match)
• Maintain continuing education requirements.
• Reviews anddischargesdispositions entered and corrects when necessary.
• Maintains codingtimeframeswithin acceptable guidelines by ensuring all work items assigned processedin a timely mannerin order tosatisfy the insurer on Audits andadditionaldocumentationrequest.
• Educate in the importance of proper documentation, structured assessmentincludesdisorder identification test and screenings, interventions are documented 

Qualifications and Education Requirements

• Multiple facilityaudit experience Medical and or Behavioral health. 
• Medical Terminology, Knowledge of coding, clinic operating policies and Proficient in CPT-4, and ICD-10 coding
• Healthcare Systems, Diagnostic Coding and Procedural Codes
• CPC Certification through AAPC or AHIMA
• Knowledge of ASAM Criteria

Preferred Skills- Google, Microsoft suites, Auditing, Coding, Behavioral Health and Census