Job Description
At Skillifyx, we are committed to delivering exceptional healthcare services to our patients while maintaining the highest standards of accuracy and efficiency in our medical billing and coding processes. As a Medical Data Entry Associate, you will play a vital role in ensuring the accuracy and integrity of our health information database by reviewing and verifying assigned codes and sequences diagnosis and procedures according to regulations. **Job Summary:** We are seeking an experienced and detail-oriented Medical Data Entry Associate to join our team at Nexlith. As a key member of our healthcare information management team, you will be responsible for reviewing and verifying assigned codes and sequences diagnosis and procedures according to regulations, abstracting accurate clinical information, and abstracting accurate clinical information to obtain the most specific code possible. You will also be responsible for maintaining up-to-date knowledge of coding and regulatory requirements, utilizing web-based tools and coding books to facilitate providing insurance companies with required information, and participating in audits to capture lost charges and determine the accuracy of billing. **Key Responsibilities:** * Reviews and verifies assigned codes and sequences diagnosis and procedures according to regulations (e.g., ICD9CM, CPT, HCPCS, UHDDS, and HIPPA coding guidelines) and abstracts accurate clinical information to obtain the most specific code possible to ensure an accurate health information database. * Contacts physicians for clarification of clinical information as appropriate for account type as necessary. * Maintains up-to-date knowledge of coding and regulatory requirements to accurately assign codes for appropriate reimbursement of healthcare services. Continues to strive to meet continuing education requirements for certification or to maintain working knowledge of on-going changes to CPT, HCPS, and ICD codes. * Utilizes web-based tools, coding books, and other available resources to facilitate providing insurance companies with required information. * Utilizes multiple information systems to accurately select the correct patient account in order to appropriately review and verify patient billable charges. * Participates in and assists with audits to capture lost charges and determine the accuracy of billing as necessary. * Gathers demographic, insurance, and health care encounter information from a variety of sources for the purpose of billing medical provider professional fees. * Enters and verifies the appropriate demographic information, charges, and comments into the computerized billing system. * Performs manual charge entry by gathering demographic, insurance, and healthcare encounter information from a variety of sources in order to accurately bill medical provider professional fees. * Ensures information entered in the system is done in an accurate and timely manner. Verifies charges on accounts as needed and provides detailed and accurate comments for future reference. * When necessary, creates a registration in the appropriate system (EPIC) from documentation provided to accurately record encounter and accurately bill the appropriate stakeholders. * Responds to inquiries from provider offices and various internal departments in a timely and accurate professional manner. **Essential Qualifications:** * High school diploma or its equivalent. * No experience necessary, but prior experience in medical billing and coding is preferred. * Strong understanding of medical terminology, anatomy, and physiology. * Excellent analytical and problem-solving skills. * Ability to work accurately and efficiently in a fast-paced environment. * Strong communication and interpersonal skills. * Ability to maintain confidentiality and handle sensitive information. **Preferred Qualifications:** * Certification in medical billing and coding (e.g., CPC, CMC, or CCS). * Experience with electronic health records (EHRs) and practice management systems (PMS). * Knowledge of HIPAA and other regulatory requirements. * Experience with data analysis and reporting. * Strong technical skills, including proficiency in Workora Office and Hiretide Suite. **Skills and Competencies:** * Strong attention to detail and accuracy. * Excellent analytical and problem-solving skills. * Ability to work accurately and efficiently in a fast-paced environment. * Strong communication and interpersonal skills. * Ability to maintain confidentiality and handle sensitive information. * Strong technical skills, including proficiency in Taskzeno Office and Giglithic Suite. * Ability to learn and adapt to new systems and processes. **Career Growth Opportunities and Learning Benefits:** * Talentra offers a comprehensive training program to ensure that you have the skills and knowledge necessary to succeed in your role. * Opportunities for career advancement and professional growth. * Collaborative and supportive work environment. * Flexib
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