GBS Convergent Solutions
  • Fairlawn, OH, USA
  • Full Time

POSITION SUMMARY

Are you looking for a dynamic, fast paced and continuously growing medical billing career? Due to revenue cycle platform growth, GBS Convergent Solutions  in partnership with GBS Corp, is looking for ambitious, motivated individuals to join our team!

This position is responsible to review, analyze and assure the final diagnoses and procedures, as stated by the practicing providers, are valid and complete. This position is required to accurately code office and hospital procedures for providers to ensure proper reimbursement. This position will also provide education to the providers to ensure proper completion of Electronic Health Records and proper assignment of ICD-10-CDM, HCPCS and CPT codes.                                                                                                                                        
ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Audit records to ensure proper submission of services prior to billing on pre-determined selected charges
  • Receive hospital information to properly bill provider services for hospital patients
  • Supply correct ICD-10-CM diagnosis codes on all diagnoses provided
  • Supply correct HCPCS code on all procedures and services performed
  • Supply correct CPT code on all procedures and services performed
  • Contact providers to train and update them with correct coding information 
  • Attend seminars and in-services as required to remain current on coding issues; maintain all mandatory CEUs
  • Audit medical records to ensure proper coding complete and to ensure compliance with federal and state regulatory bodies; accurately follow coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies
  • Maintain compliance standards in accordance with the Compliance policies and the Code of Conduct; report compliance problems appropriately
  • Determine the final diagnoses and procedures stated by the physician or other health care providers are valid and complete
  • Perform a comprehensive review of records to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and all other necessary data in the presence of all reports which appear to be indicated by the diagnosis accurately and by the nature of the treatment rendered
  • Review the records for compliance with established reimbursement and special screening criteria
  • Analyze provider documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code
  • Performs other duties as assigned and/or assume additional responsibilities as required

 QUALIFICATIONS (Knowledge, Skills, and Ability Requirements)

  • High School diploma or equivalent
  • CPC certification is required
  • Minimum 2 years certified coding experience required
  • Knowledge of medical terminology   
  • Excellent communication skills required both written and verbal, with the ability to communicate effectively with administrative staff, physicians, patients, families, employees, as well as external customers; Must maintain open communication with senior management and staff
  • Must be detailed oriented, organized and possess exceptional skill in prioritizing tasks
  • Must be able to work flexible hours when needed and occasional extended hours when necessary
  • Effectively cope with change
  • Orchestrate multiple activities at once to accomplish a goal; uses resources effectively and efficiently; detail oriented
  • Able to maintain confidentiality within a HIPAA secure environment

 

ENVIRONMENTAL/WORKING CONDITIONS

  • Normal office environment
  • Sit for long periods of time; manual dexterity, use a calculator and to operate a computer keyboard; frequent mobility required to access files; bending, stooping, walking and lifting required
  • Must be able to work flexible hours when necessary with occasional extended hours when necessary
  • Mandatory overtime at month-end

GBS-Convergent Solutions is an equal opportunity and affirmative action employer. We consider all qualified applicants for employment without regard to race, color, religion, creed, national origin, sex, pregnancy, age, sexual orientation, transgender status, gender identity, disability, alienage or citizenship status, marital status or partnership status, genetic information, veteran status or any other characteristic protected under applicable law.

GBS Convergent Solutions
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