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JOB TITLE: Billing/Coding Specialist DEPT.: Billing

CLASSIFICATION: Full Time FLSA STATUS: Non-Exempt

SUPERVISOR: Business Office Manager EFFECTIVE DATE: 4/2024

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Location: Panorama Pediatric Group – 220 Linden Oaks, Suite 200, Rochester NY 14625

About Us: Panorama Pediatric Group is a highly reputable medical practice comprising of 9 physicians and 7 Advanced Practice Providers (APPs). We specialize in primary care for newborns to adolescents and are dedicated to providing exceptional patient care.

Job Description:

We are seeking an experienced and detail-oriented Billing & Coding Specialist to join our team at our bustling practice. The ideal candidate will have a strong background in medical billing and coding, along with excellent organizational and communication skills.

Essential Job Functions/Responsibilities:

Coding/Auditing:

· Evaluates medical record documentation and encounter coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support the outpatient visit, and to ensure that data comply with legal standards and guidelines.

· Interprets medical information such as diseases or symptoms, and diagnostic descriptions and procedures for a given visit in order to accurately assign and sequence the correct ICD 10, CPT codes and HCPCS II.

· Reviews Medicaid, Medicaid Managed Care, and Commercial reimbursement claims before submission for completeness and accuracy and to minimize claim denial.

· Provides technical guidance to clinical providers and other departmental staff in identifying and resolving issues or errors, such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, or codes that do not conform to approved coding principles/guidelines.

· Educates and advises staff on proper code selection, documentation, procedures, and requirements.

· Identifies training needs, prepares training materials, and conducts training for clinical providers and support staff to improve skills in the collection and coding of quality health data.

· Measure and report trends in provider coding

Billing Process:

· Responsible for gathering/entering charge information, coding, database information and distributing appropriate information, including submitting claims to all insurance companies.

· Submit third party claims to payers for processing

· Evaluate encounters for completeness and ability to be billed.

· Responsible for problem solving denials and rejections from insurance companies and clearing houses.

· Responsible for researching outstanding claims for insurance companies and taking the appropriate action needed to expedite processing of claims.

· Resubmit denied claims as necessary

· Responsible for researching overpayments and taking appropriate action needed to resolve the overpayment per NYS Unclaimed Funds guidelines.

· Responsible for working all patient and client accounts to industry-specific applications to include invoice creation, billing and posting receivables, receipts log, daily edits, prepare deposits, and reconciliations per PPG standards.

· Contact patients to resolve billing problem

· Aggressively follow-up on collection of aged accounts receivable

· Interact with Case Management staff on insurance problems

· Compliance activities as directed

Payment Processing:

· Post third party remittances

· Post payments received on patient and client accounts in a timely manner.

· Work denials and rejections from payers

· Reconcile industry-specific applications to general ledger and resolve differences in a timely manner

Credentialing:

· Maintain Provider insurance panels and credentialing

· Assure all payer contracts are up to date and maintained

Cash Receipts:

· Post cash receipts (electronic and manual) to the general ledger in a timely manner.

· Reconcile cash receipts received (the daily edit) to the EMR ledger (daysheet posting)

Miscellaneous:

· Provide support within the Finance dept. in the event of another staff member’s absence.

· Ensure patient demographics and insurance information is accurately entered in the EMR system.

· Requires the ability to relate to people of diverse backgrounds, cultures, races, sexual orientations and gender identities or expressions.

· Responsible for maintaining confidentiality of all patient, proprietary and protected information.

· Miscellaneous filing, copying, faxing, etc. as needed to support Finance staff.

· Employees are accountable for meeting performance standards of their departments. They participate in compliance audits and quality improvement plans.

· Other job duties as assigned by supervisor.

Essential Competencies:

· Carry out these duties in a responsible professional and ethical manner, upholding the mission and values of the Practice

· Participate in departmental and Practice-wide staff meetings and other training in-service as assigned.

· Demonstrate awareness of Practice mission, organizational goals, values, policies, and procedures; work effectively across departmental boundaries, represent the Practice in professional manner

· Requires the ability to relate to people of diverse backgrounds, cultures, races, sexual orientations and gender identities or expressions.

Skills and Abilities:

· Skill in computer programs, spreadsheets, and applications.

· Analytical and problem-solving skills.

· Skill of persistence is needed when necessary.

· Ability to examine documents for accuracy and completeness.

· Ability to read, understand and follow oral and written instruction.

· Ability to communicate effectively and work with others.

· Knowledge of office billing practices, policies, and procedures.

· Knowledge of coding policies.

· Knowledge of medical terminology, ICD 10-CM and CPT coding.

· Knowledge of the insurance industry.

· Knowledge and ability to use proper English, grammar, spelling, and punctuation.

· Ability to handle multiple projects and duties simultaneously while maintaining high levels of confidentiality and strict adherence to deadlines.

· Ability to work with many interruptions.

· Ability to analyze, interpret and draw inferences from research findings.

· Excellent organizational skills and attention to detail.

· Excellent verbal and written communication skills.

· Excellent customer service skills and knowledge (both over the phone and in person).

· Excellent computer skills – Word, Excel, Outlook, EMR.

· Excellent problem-solving abilities.

· Ability to make administrative/procedural decisions and judgments.

· Ability to problem solve and use critical thinking skills.

· Ability to work independently.

Education and Experience:

· One year experience in a medical office setting required. Experience with Medent and EMR preferred.

Physical Requirements:

· Sedentary work, ability to sit for extended periods of time.

· Manual dexterity for using an adding machine/calculator and computer keyboard.

· Required to stand, sit, walk, use hands to finger, handle or feel; reach with hands and arms, talk and hear.

· Occasionally, the employee must stoop, bend and lift or move up to 25 lbs.

· Specific vision abilities required include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus.

· Ability to read data on the computer monitor and written documents.

· Extensive use of computer software, typing and concentration.

Job Opening for a small private Neurosurgery office. 

Monday-Wednesday, 7:30am-4:00pm. 

Can discuss options for adding on an additional Thursday or Friday hours to schedule. 

Salary: $16.00 - $18.00 per hour

EMR-Medent experience is a plus. 

Job duties include obtaining patient vitals and rooming patients for provider, chart preparation, answering phones and routing communication appropriately. Must be able to work independently. 

Please forward resume to Whitney Morabito at neurosurgerywny@gmail.com

Whitney Morabito

Neurosurgery of Western NY

Job Details

Description

Physician House Calls-Staff Physician Part Time 24 hours/week (3 days/week)
Salary Range: $138,000 to $156,000 (Pay information will vary depending upon relevant experience for the position; this is for 60% time) plus variable compensation based on performance.

GENERAL SCOPE: The physician provides primary care including direction and coordination of medical care for patients in the Physician House Calls practice. Physician House Calls is a unique primary care home visit program serving homebound, primarily older, persons in the eastern portion of Monroe County. This program provides high quality primary medical care using an interdisciplinary approach including an advanced practice provider, social worker, and registered nurse-coordinator. Program objectives include maximizing quality of life for participants and emergency department and hospital avoidance. The physician will be responsible for performing home visits, attending weekly team meetings, and collaboration with the rest of the interdisciplinary team.

 

EDUCATION / QUALIFICATION:

• Doctor of allopathic or osteopathic medicine.
• Licensed to practice medicine in New York State.
• Board Certified in family medicine or internal medicine required. Additional board certifications in geriatrics and/or hospice and palliative medicine desirable but not required.
• Unrestricted, valid driver’s license.

ESSENTIAL FUNCTIONS:

• Provide medical care that meets standards of practice, the needs of patients and families, regulatory requirements, and documents such services.
• Perform appropriate home and telehealth medical visits.
• Coordinate care with interdisciplinary team and, where appropriate, with facility staff and other appropriate service providers and medical providers.
• Skilled in use of electronic medical record.
• Participate equitably in the on-call coverage system as assigned.
• All other job duties as assigned.

EXPERIENCE:

• At least 3 years of primary care experience preferred.

This description is not meant to be an all-inclusive list of duties and responsibilities but constitutes a general definition of position scope.

Jewish Senior Life is committed to equal employment opportunity. We will not discriminate against employees or applicants for employment on any legally-recognized basis [“protected class”] including, but not limited to: veteran status, uniform service member status, race, color, religion, sex, sexual identity, gender identity or expression, national origin, age, physical or mental disability, genetic information or any other protected class under federal, state, or local law.

For more information:

dmendelson@jewishseniorlife.org

585-944-4363 (mobile)

585-784-6410 (desk)

Elmwood Pediatrics is growing and looking to add an LPN or RN to our clinical team.  This is a 35 hour/week position, flexible schedule, occasional weekend shifts.   Competitive salary, 401k, Paid holidays, health insurance, dental, vision, paid time off. Please send resume to Lenos@elmwoodpediatrics.com

Pediatric practice with locations in Brighton and Pittsford is looking to hire a full time medical receptionist.  We offer a competitive salary, 401k, Paid holidays, health insurance, life insurance, dental, vision, paid time off. Please send resume to Lenos@elmwoodpediatrics.com 

Job description

Ob/gyn Medical Assistant

• Essential Duties of a Medical Assistant:The primary purpose of this position is to perform clinical and administrative duties that assist in patient care management.
• Verify patient information by recording medical history and confirming purpose of visit.
• Prepare patients for examination by performing preliminary physical tests such as, but not limited to, manual blood pressure, height, weight, BMI and pulse and interview patient regarding reason for visit.
• Conduct chart preparation.
• Perform point of care testing, collect lab specimens, as appropriate.
• Complete prior authorizations for medication and imaging services.
• Answer phones and route communication appropriately.
• Manage the inventory of clinical supplies, stock, and clean exam rooms.
• Maintain safe, secure, and healthy work environment by establishing and following standards and procedures, in accordance with internal and legal regulations.
• Assist with examination and in-office treatment as required.
• EMR-Medent experience a plus

Job Type: Full-time

Salary: $17.00 - $19.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Free parking
• Health insurance
• Life insurance
• Paid time off
• Retirement plan

Medical specialties:

• Ob/Gyn

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday
• No weekends

Work setting:

• In-person
• Office
• Outpatient

Experience:

• EMR systems: 1 year (Required)
• Medical Assistant: 1 year (Required)

Small private practice with one physician looking for a part time a.m. Medical Assistant with some prescription experience. Pay range is $16.00 to $17.00 per hour and will commensurate with experience. Please contact Rochelle at hwaok.kim293@gmail.com or call 585-436-1620.

Job Description: Radiologist – Per-diem Remote

The Radiologist will utilize advanced imaging techniques to diagnose neurological conditions of the brain, spinal cord, head, neck, and surrounding structures.

Responsibilities:

• Interpret a variety of imaging studies including magnetic resonance imaging (MRI), computed tomography (CT), positron emission tomography (PET), and ultrasound.
• Analyze imaging findings in the context of the patient's medical history and clinical presentation to provide accurate diagnoses and treatment recommendations.
• Ensure the quality and accuracy of imaging studies through adherence to established protocols, standards, and guidelines.
• Provide accurate and timely reports of imaging findings to referring physicians and other healthcare professionals.

Lisa Wishard, RN, CCRC Site Director Finger Lakes Clinical Research An Evolution Research Group Portfolio Company

885 Winton Road South Rochester, NY  14618

lwishard@ergclinical.com 585-261-5567 (mobile)