Detroit, MI, 48208, USA
112 days ago
Medical Billing Specialist - McLaren Careers
**Job Summary:** Under indirect supervision, audit medical charges and record for compliance with federal coding regulations and guidelines ensuring that medical billing is correct and conforms to legal and procedural requirements; ensure the integrity of department billing. **Responsibilities:** + Audit billing reports to ensure patient encounters are billed and identify encounters not reported; prepare reports of findings and meet with supervisor to review results, and determine receipt of information and when necessary recreate documentation for provider/physician signature. Check encounter forms for level of service, diagnoses, faculty signature and referring physician, if required; contact clinical departments/hospitals to ensure billing problems are resolved and encounters will be coded/billed correctly. + Compete charge entry from provider outpatient encounter forms and inpatient encounters upon completion of coding by coding company. + Assist in facilitating KCC FIN assignment and medical record creation for patient encounters occurring outside of the McLaren Health System. + Research, analyze and respond to inquiries regarding coding; respond to staff questions on physician queries. + Liaise/meet with physician and other patient care providers regarding billing and documentation policies, procedures and regulations, patient notes and coding updates; obtain clarification on conflicting ambiguous or no-specific documentation. **Qualifications:** _Required:_ + High school diploma or GED _Preferred:_ + Associate degree in Medical Records Technology + Certification as a Registered Health Information Technician + 2 years of coding charge entry experience in specialty Equal Opportunity Employer of Minorities/Females/Disabled/Veterans
Confirm your E-mail: Send Email