Clinical Records Reviewer Execute comprehensive reviews of clinical records to ensure the precise data entry of billable services and diagnostic codes into the practice management system. This role serves as a vital link between clinical services and revenue cycle management, optimizing reimbursement cycles and mitigating administrative claim rejections.
Responsibilities:
Conduct thorough research to gather all data required for the completion of billing workflows.
Acquire charge data from medical providers while validating ICD-10 and CPT-4 codes alongside appropriate modifier application.
Execute the entry of insurance claims in strict alignment with program-specific policies.
Manage and preserve digital billing documentation and records.
Oversee the scanning, indexing, and routing of necessary paperwork.
Uphold full compliance with HIPAA standards and data privacy regulations.
Qualifications:
Minimum of 2 years of experience in billing or healthcare administration.
High school diploma or equivalent educational attainment.
Certified Medical Billing and Coding professional (preferred).Strong background in a medical office environment (preferred).Proven organizational capacities alongside exceptional customer service abilities.
Key Attributes: Demonstrate outstanding accuracy and a steadfast commitment to detail-oriented tasks.
Apply a thorough knowledge of medical terminology to all aspects of billing.
Use logical reasoning and problem-solving skills to navigate complex billing scenarios.
Enhance and organize work processes using strong time-management and coordination skills. Consistently deliver precise outcomes in a rapid, high-volume workspace.
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
