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Ambulatory Coding/Billing Account Tech - Radiation Oncology-16th St

This job posting is no longer active.

1988 South 16Th St
Wilmington, NC

Date Posted: Oct 20, 2020

Job Description

Description

About NHRMC

NHRMC, established in 1967 in Wilmington, NC, is recognized as a preeminent healthcare organization focused on leading our community to outstanding health. We have an 855 bed network of hospitals and multi-specialty physician group practices with more than 200 physicians. With a network of primary, specialty, neighborhood clinics and regional medical centers; you will find our culture is the very definition of best in practice. Join us and find out how many ways NHRMC offers you the chance to focus on what really matters - our patients and community.

About the Job

Location: NHRMC Radiation Oncology

Department: Radiation Oncology-16th St

Full Time Equivalent: FTE: 1.000000

Work Type: 64 to 80 Hours Pay Period

Work Schedule: 8HR DAY - Most of shift btwn 7A-3P

Exempt from Overtime: Exempt: No

What You'll Do

Summary:

Under the general direction of the Assistant Administrative Director of Radiation Oncology, this technician is responsible for accurate coding and charging of all Radiation Oncology encounters including diagnosis and procedure charges, billing and collection of accounts, posting of payments, and providing customer service regarding the disposition of accounts. Coding classification systems include ICD-10-CM and CPT/HCPCS. This technician performs ongoing record reviews to assess completeness and timeliness of information.This person is responsible for validating and correcting charges for professional services, as well as planning, treatments, and procedures for the radiation oncology service line and responding to line item and claim level edits and denials. He/She works with physicians and professional staff to obtain any necessary clarification concerning diagnosis and procedures and is responsible for monitoring certain reports such as the daily charges and reconciliation lists. He/She must have a thorough understanding of service line specific reimbursement rules and edits, and application of Local and National Coverage Determinations (LCD/NCDs) and billing policies. This person performs all work independently, with a high degree of autonomy.All work is carried out in accordance with the department’s approved policies and procedures. This position is an advanced level technical position within Radiation Oncology.


Responsibilities:

1.Assigns, validates and corrects codes and charges for Radiation Oncology services according to the appropriate classification system, and in accordance with applicable policies, procedures and guidelines. following the interpretation of these provisions as issued by the American Hospital Association, American Society of Therapeutic Radiation Oncology (ASTRO), American Medical Accounting and Consulting (AMAC), and all governmental and private Third-Party rules and regulations.

2.Identifies and interprets claim edits and payment variances, ensuring accurate reimbursement from third party payers. Resolves/responds to claim denials for designated service line in a timely manner to mitigate revenue loss.

3.Calculates and posts charges for professional services, as well as planning, treatments, and procedures for the radiation oncology service line. Adds appropriate modifiers and reviews accounts for charge errors, correcting them or referring them to the appropriate resource to ensure accurate billing.

4.Consistently meets (100%) productivity target, and quality requirements (95% or higher).

5.Completes continuing education required to maintain competency and credentials if applicable, and to stay current with applicable guidelines and rules.

6.Functions independently in a high volume, multi-task setting and competently completes assigned work within a highly computerized/technical environment. Maintains or adjusts work schedule to enhance team/department performance.

7.Collaborates with physicians and other direct patient care professionals in questions regarding level of detail for diagnostic and charge entries, according to the organization’s guidelines.

8.Promotes public relations through prompt and courteous service.

9.Fosters respect for patient privacy by maintaining confidentiality in all phases of work.

10.Performs those duties necessary to ensure all accounts are processed accurately, timely, andefficiently.

Position Requirements

Credentials:

Nonessential:
* Cert Coding Specialist
* Certified Professional Coder

Education:
Essential:
* High School Diploma

Other information:

Experience: One to two years coding/ professional billing required. Coding experience in an ambulatory setting, as well as experience with encoding software and electronic medical records preferred. Advanced medical terminology, clinical medical concepts, and human anatomy and physiology required.Education may be through formal programs of study or through sequenced in-service training. Must possess equivalent training or experience in ICD-9-CM, ICD-10-CM or CPT coding classifications, advanced medical and anatomical terminology, clinical medicine theory, and reimbursement principles.

Demonstrates standards of performance (ownership, teamwork, communication, compassion) that support patient satisfaction and principles of service excellence. 

Performs other duties as assigned. 

Individual will possess commensurate combination of education, experience and qualifications. 

Other Information

This position description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications which may be required of the employee assigned to the position. Depending on the location of the job, duties may vary. Receipt of the job description does not imply nor create a promise of employment, nor an employment contract of any kind; my employment with the Company is at will.

  • Member Top 100 Hospitals – In 2016 NHRMC was recognized as a Top 100 Hospital demonstrating significant investment and financial sustainability for the communities we serve. 
  • Newsweek's 2020 list of Best Maternity Care Hospitals - NHRMC Betty H. Cameron Women's & Children's Hospital was named as a Best Maternity Care Hospital by Newsweek. 
  • Forbes America’s Best Large Employers 2018 and 2019Link 
  • Becker’s 150 Top Places to Work in HealthcareLink 
  • Healthgrades Outstanding Patient Experience

Consider a career at NHRMC and become part of this award winning team!

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