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Role Description

Reports directly to the Revenue Cycle Manager and is responsible for ensuring all patient visits are entered into the Practice Management System with appropriate and accurate ICD-10 and CPT codes. The charge capture specialist will be the immediate liaison for documentation improvement and optimization for revenue and compliance purposes. They will also have interactions with providers and their medical office staff within the MSO.

• Ensures accurate billing of services provided by OLS providers, including assigning the correct ICD-10 and CPT codes, modifier usage, and knowledge of NCCI edits.
• Review documentation thoroughly in order to maintain high-quality results for submission of clean claims.
• Reviews pending missing billing slips and ensures appropriate follow-up as necessary for timely billing.
• Review DME reports daily to ensure appropriate billing. Correspond and coordinate with medical staff to escalate any issues.
• Able to maintain quantity and quality goals for metrics in place.
• Attends regular staff meetings, as requested.
• Promote and adhere to OrthoLoneStar’s mission, core values, and vision.
• Maintain satisfactory attendance in accordance with policy.
• Other duties as assigned.

Qualifications

• High School Diploma or equivalent work-related history.
• College education or trade school preferred.
• Certified Professional Coder, Certified Coding Specialist, or Certified Medical Coder preferred.
• Experience with Physical Therapy or Orthopedic coding preferred.
• Minimum 1 years’ experience working in a physician group practice billing department preferred.

Requirements

• Extensive knowledge of CPT, ICD-10 and HCPCS coding conventions.
• Appropriate knowledge of CMS guidelines and ability to apply them accurately.
• Extensive knowledge of anatomy, physiology, and medical terminology.
• Knowledge of third-party payer reimbursement guidelines.
• Strong written and verbal communication skills.
• Computer literate, with keyboard skills and operational knowledge preferred.
• Ability to maintain the confidentiality of sensitive information according to HIPAA.
• Skill in establishing and maintaining effective working relationships with other employees, patients, and organizations.
• Close attention to detail and ability to work in a fast-paced environment, which may include pressure generated by deadlines and peak workload periods.

Working Conditions and Requirements

• High quality and reliable internet to perform remote duties efficiently.
• Remote, work-from-home setting with a 40-hour work week, Monday through Friday. Overtime is available, if necessary.
• Equipment is provided but must be placed in a secluded environment.
• Adequate childcare during work hours.

Physical Demands

• Requires manual dexterity to operate a keyboard, calculator, and other office equipment.
• Near-visual acuity with color perception in order to view computer screens and decipher fine print.
• Auditory acuity for hearing telephone conversations or team meetings.
• Frequent sitting and use of standard office equipment.
• Ability to lift 15 pounds of office supplies or equipment, if necessary.