Laboratory Revenue Cycle Specialist - (US-MN-Saint Paul - 55191)

Minimum Education: None
Job Type: Full Time
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Responsibilities : Ensures all services provided are accurately captured in the medical record and billed appropriately. This is accomplished using the following methods:2. One-on-one chart review with each provider3. In-depth understanding of EMR in the areas of charting tools (i.e. order entry, smart sets etc), charge dropping, and charge update, Charge review work-queues4. A review of each provider individual charting tools and preference lists to ensure accurate CPT, HCPC and ICD-9 coding5. Investigation into clinical and anatomic pathology laboratory testing ordered at each clinic and a review of appropriate coding and billing for them6. Working all CCI/LMRP edits, claims manager rules and other coding associated charge review WQ rules for each clinic or department supported.7. The ability to provide feedback to each provider based on identified coding trends.8. Maintains a current knowledge of regulations and legislation regarding laboratory coding and billing compliance issues.B.) Denial Management1. Working all coding related denials.2. Working all coding related patient complaints3. The ability to provide feedback to each provider based on identified denial trends.

Requirements :BS degree in Medical Technology, or related field, or equivalent work experience2. Three years demonstrated knowledge of coding3. Certified Professional Coder or Certified Coding Specialist certification may obtain Certification within 6 months.4. Ability to present information in one-on-one and group settings5. Ability to communicate information in a professional and confident manner6. Must demonstrate a thorough understanding of the front and back end revenue cycle components in a physician practice7. Demonstrated ability in critical thinking, self initiative, and self direction8. Understanding of physiology, medical terminology, and disease process is required9. Must understand and be able to apply the following regulations: CMS/HCFA Evaluation and Management Documentation Guidelines CMS/HCFA Teaching Physician Guidelines CMS/HCFA Correct Coding Initiative Third Party Payer Reimbursement Policies and Procedures.

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