Patient Account Specialist

This position is responsible for reviewing appropriate ICD-10, HCPCS and CPT codes for accuracy to maximize reimbursement for EVMS Medical Group.

Reviews clinical documentation to ensure timely, accurate, and compliant charge capture prior to submission.
• Follows department procedures and policies allowing for consistency and completeness of charge capture processes and reimbursement.
• Validates and reconciles daily charges and diagnosis coding within the patient medical record.
• Performs comprehensive coding and documentation reviews.
• Applies correct coding and applicable coding guidelines.
• Communicates all charge related issues to the designated areas for correction. Identify charge issues/opportunities and works with departments to make recommendations, resolve issues and enhance charge capture and compliance.
• Review clinical documentation for inpatient charge tickets accuracy and submit.
• Review and work error corrections and denial spreadsheets.

• Participate in continuing education programs to maintain an understanding of anatomy, physiology, medical terminology, disease processes to support the effective application of coding guidelines and maintains professional credentials required by this position.

• Performs other duties as assigned.

Candidate should possess relevant experience in a health care billing and collections environment. Experience in ICD-9/CPT coding, knowledge of third party rules and regulations. Current CPC or must obtain within one year of employment. Medical software applications experience required. This position requires an individual that is detailed oriented as this job requires that you pay attention to the details and monitor charge capture/billing trends.

Associates degree preferred, but not required.