Billing Specialist - Charge Entry

Job Description

NECS is currently seeking a Remote full-time Monday- Friday Billing Specialist-Charge Entry to join our professional billing team. As a Billing Specialist-Charge Entry you will review provider schedules and charges to ensure accurate coding, following CPT and ICD-10 guidelines. The position is responsible for verifying the provider charges based on the documentation and level of services reflected in the clinical record, while sequencing diagnoses and procedures to optimize reimbursement.

NECS is a private medical practice composed of 18 Oncologists and hematologists. Serving the State and region from 5 different locations in Maine. NECS is committed to achieving the best outcome and providing unmatched support in all areas for every patient. i NECS brings together top clinicians, researchers, and dedicated medical professionals, clinical and non-clinical to create the best possible experience for our patients.

Essential Duties and Responsibilities:

Review daily charges for accuracy and completion

Monitors final diagnoses and procedures stated by the provider for validity and completion, following up with appropriate personnel as required.

Review electronic medical record to ensure proper coding and compliance with federal and state regulatory bodies.

Quantitative Analysis of records for: patient and record identification, signatures and dates where required, and all other necessary data in the presence of the report which appears to be indicated by the nature of the treatment rendered.

Qualitative Analysis of records for: documentation consistency and adequacy, ensuring that the final diagnosis accurately reflects the care and treatment rendered.

Analyze provider documentation to assure the appropriate Evaluation & Management levels are assigned using the correct CPTO codes.

Accurately Bill hospitals, laboratory and or radiology charges from the provider schedule.

Accurately following coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies.

Maintains compliance standards in accordance with department policies and practice Code of Conduct.

Performs other related duties as required by managers and the practice

High School Graduate or Equivalent

Requires working knowledge of ICD10 and CPT

Must have 2+ years of medical billing and coding experience

Surgical Billing experience preferred

Radiation Oncology Billing experience preferred

CPC Certification preferred

Medical Terminology

Strong Customer Service Background

Attention to detail and accuracy

Must be able to work in a team environment

HIPPA compliant and have an understanding of patient confidentiality

Benefits:

New England Cancer Specialists offers competitive pay and benefits to our employees. Benefits include medical, prescription, dental, and vision insurances. Short Term and Long Term disability insurances. Tuition reimbursement. Generous Paid Time Off. Company paid holidays. Paid membership to professional organizations.

We support and encourage employees to continue their education. Employees may attend in-services, seminars, professional conventions or postgraduate seminars (CME Events), as well as participating in professional societies so far as is reasonable and practical.

The Practice is committed to helping professionals maintain their certifications by providing them with opportunities to earn Continuing Education, which may include reimbursement for tuition costs and examination fees; and time off for continuing education and exams. The company also pays for reasonable travel and lodging if needed for continuing education events, registration cost, and meals if needed.

Our employees donate 100% of their Friday Jeans Money back to our patients. When we wear jeans to work on Friday, we agree to donate $2.00 to help those in need. This money is distributed to the Financial Advocates in our Brunswick, Scarborough, and Kennebunk sites, and then changed into gift cards to help our patients with food, gas, and other necessity they may need assistance with.

Full-time