Clinic Claims Coordinator

Job Description

Job Description

Position Summary : Responsible for reviewing all Provider billing information, correcting errors and creating claims in Athena on day of service. Work directly with the clinic team and Providers to obtain information to correct claims. Educate Providers on proper billing and coding. Communicate incomplete billing tabs and missing documentation to Providers.

Qualifications : High School Diploma. Minimum 2-3 years of coding and billing experience. Athena experience preferred.

Key Responsibilities :

• Ensure Provider has marked billing tab reviewed.
• Review all CPT and IDCD10 codes are present.
• Enter undocumented ICD10 codes into encounter.
• Ensure modifiers are utilized when appropriate.
• Ensure units are entered and correct on injections.
• Complete the NDC information for compound injections and Gadavist claims.
• Select appropriate laterality on x-rays and viscosupplmentation injections.
• Remove any administration fees for viscosupplementation or Gadavist procedures.
• Enter the Supervising Provider for Physician Assistant, Nurse Practitioner and DME / Casting clinics.
• Contact clinic for any missing information required to complete the claim.
• Provide education to the clinic team and Provider for any continued errors on billing tab.
• Communicate with Providers on any incomplete billing at the end of the day or following business day.
• Continued communication with Providers with incomplete billing information.
• Provide updates to Clinic Manager and Director on any delinquent Provider claims.
• Assist Patient Account Coordinators with patient calls during downtime
• All other duties as assigned.

At FOI our goal is to provide our patients with world-class orthopedic care.

Our mission of providing the best care encompasses not only the care the physician provides, but all medical and administrative aspects of the patients encounter with Florida Orthopaedic Institute (FOI) as well. Every staff member plays a vital role in this mission. We take pride in receiving the Patriot Award from the Department of Defense for the support that we give to National Guard and Reserve members who are employed by FOI. We are committed to encouraging a culture of inclusion reflective of the communities we serve, and we provide equal opportunity to all. Florida Orthopaedic Institute conforms to the spirit as well as to the letter of all applicable laws and regulations.

What we offer :

Full time opportunities available, with room for career growth and advancement.

Excellent job security and stability, to promote an optimal work life balance.

Be part of this dynamic and growing high level Revenue Cycle team!

Orthopaedic Solutions Management is a Drug Free Workplace

We are committed to maintaining a safe, healthy, and productive work environment. As part of this commitment, we operate as a drug-free workplace. All candidates will be required to undergo pre-employment drug screening and / or be subject to random drug testing in accordance with applicable laws and company policy.