"Account Assistant 3"

Overview

Under the direction and supervision of the Manager, YM Coding and Billing, the Coding/Charge Review position provides work queue resolution of medical billing charges by reviewing specific elements in clinical documentation to validate diagnostic (ICD-9/ICD-10) and procedural (CPT/HCPCS) codes for Yale Medicine. Ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. Maintains effective workflow processes to assure complete, accurate and timely billing activity and optimal reimbursements. Computes, classifies, and records numerical data to keep financial records complete. Performs any combination of routine calculating, posting, and verifying duties to obtain primary financial data for use in maintaining accounting records. This opportunity is currently remote (work from home) within CT.

Required Skills and Abilities

1. Knowledge of ICD and CPT coding, medical terminology, and EMR systems. Demonstrated ability using databases and Microsoft Office Suite (especially Word and Excel). Ability to adapt to new software
2. Demonstrated initiative with the ability to use sound independent judgement and critical thinking to effectively and appropriately manage workload. Strong verbal and written communication skills. Well-developed attention to detail.
3. Ability to handle a high volume of accounts. Ability to maintain motivation and perform under pressure. Ability to multi-task in a high-volume environment. Flexible with changing priorities and workflows.
4. Proficient in providing superior customer service, including the ability to handle communication in a professional, courteous and tactful manner. Ability to handle challenging/complicated situations professionally.
5. Demonstrated record of excellent attendance, punctuality and time management, as attested by references.

Preferred Skills and Abilities

Current Certified Professional Coder (CPC) certification, or ability to obtain certification once employed within six months. In-depth knowledge of EPIC.

Principal Responsibilities

1. Receives, classifies, and codes information. Reviews account records to ensure accuracy and completeness. Prepares and distributes billing statements.
2. Obtains and provides information related to accounts, procedures, and regulations. Establishes, maintains, and reconciles account records.
3. Reviews, logs, codes, and posts payments. Identifies and corrects errors. Totals and reconciles cash transactions daily. Monitors account records. Composes correspondence related to problem accounts.
4. Refers delinquent accounts to supervisor and collection agencies. Researches individual accounts. May summarize findings in brief reports.
5. Completes and processes forms. May present account information at legal proceedings.
6. Performs clerical functions incidental to account activity.

Required Education and Experience

Four years of related work experience, two of them in the same job family at the next lower level, and a high school level education; or two years of related work experience and an Associate's degree; or an equivalent combination of experience and education.

Hourly Range

27.74

Job Category

Administrative Support

Time Type

Full time

Work Model

Remote

Location

221 Whitney Ave, New Haven, Connecticut