Polyclinic Medical Center- Matthews, North Carolina

**Please note that this position is not affiliated or associated with CCPN. CCPN provides recruitment assists to independent primary practices in North Carolina and all position content was approved by the practice. **

The Polyclinic Medical Center is a multidisciplinary outpatient facility which currently offers internal medicine, pediatrics, and family practice. We focus on health care delivery with excellence, compassion, and continuity. The goal at Polyclinic Medical Center is to care for patients’ and their families like they were our own.

Position Summary

The Billing and Coding Specialist is responsible for various aspects of revenue cycle management, communicating with patients as well as practice staff and providers. This position will work directly with both clients and insurance companies to bill and obtain payments for healthcare services rendered.

Essential Functions

• Coding for services and medical office visits
• Experience in medical billing and AR oversight/investigation is required
• Assist with special projects and other job-related duties as needed
• Review of medical record using ICD10/CPT methodology to ensure claims are being coded accurately.
• Verify patient insurance information is accurate and valid
• Post electronic claims
• Update claim status
• Initiate claim appeals where appropriate
• Post payments in a timely manner
• Follow-up on accounts in collection
• Provide customer service to patients, as needed

Qualifications

• High School Diploma required
• At least 2 years’ experience of electronic medical billing
• Strong attention to details
• Experience with all payers, commercial, Medicare and Medicaid (including NCTracks)

Knowledge, Skills, and Abilities

• Medical Terminology, Anatomy and Physiology knowledge
• Knowledge of Internal Medicine/Pediatrics billing (ICD10/CPT codes)
• Knowledge of claims submission and collection process
• Must have excellent organizational skills and ability to prioritize and coordinate workload with high degree of proficiency and accuracy
• Must have excellent analytical and problem-solving skills
• Ability to work easily and cooperatively with co-workers
• Ability to work independently and follow through on tasks without direct supervision
• Maintains strict confidentiality of patients’ medical records and adherence to all HIPAA policies and regulations

Working Conditions

• Prolonged periods of sitting at a desk and working on a computer. Physical demands include requirement to regularly sit; use hands and fingers; reach with hands and arms; talk and hear. The employee is occasionally required to stand and walk; lift up to 10 lbs.; vision abilities required include close vision, distance vision, depth perception, and ability to adjust focus.