Job Details

If you care about the opportunity to grow, to make a difference, to build a future and a life, then we just might have the career for you. Care to talk?

Bayhealth Medical Center is Central and Southern Delaware's healthcare leader with hospitals in Dover and Milford, as well as stand-alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton. We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore. Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand!

Bayhealth Medical Center offers a competitive salary and comprehensive benefits package (for eligible positions) including:

• Generous Paid Time Off and Paid Holidays
• Matching 401(k)/403(b) Plans
• Excellent Health, Dental, and Vision
• Disability and Life Insurance options
• On Site Child Care
• Educational Reimbursement
• Health Care and Dependent Care Flex Spending Accounts
• Plus, an array of Voluntary Benefits to include Critical Care Coverage and more!

Location: Kent Campus Hospital

Status: Full Time 80 Hours

Shift: Days

SALARY RANGE: 23.32 - 34.97HOURLY

General Summary:

Position is responsible all aspects of the medical billing process from generating completed medical claims submissions to a completed and paid A/R. Receive encounters from EMR or other means of encounters information and prepare the encounter for submission. Abstract clinical information from a variety of medical records charts and documents and assigns appropriate DX and/or CPT-4 codes. Work with WQ or per supervisor instructions. Correct errors and denials from WQ or from other sources. Maintain AR processes to achieve organization's goals.

Responsibilities:

1. Review and analyze records to identify and correct errors.
2. Prepare encounter and code correct medical billing claims generated from the EMR to bill insurance carriers or other parties.
3. Submit the claims correctly from the first time.
4. Determine the correct encounters code from patient records. Codes data from patient records. Manage detailed, specifically coded information. When needed, abstracts data from patients' medical records to maintain full diagnosis coding and charges capture.
5. Interact with physicians and assistants to ensure accuracy. As needed, responds to physician inquiries that concern the proper documentation of diagnostic procedural information and questions regarding coding assignments.
6. Track patient data over multiple visits.
7. Maintain line of communication with your providers, auditing and providing training as needed.
8. Identifies and verifies documentation and coding complacencies.
9. Inform the responsible channels of all issues that create loss of reimbursement, constant errors and other issues pertaining to management issues.
10. Maintain A/R goals and daily A/R functions. Responsible for any revenue cycle issues due to medical billing issues.
11. Correct error and denials from designated WQ.
12. Participate in department meetings. Participate in training sessions or webinars per supervisor request.
13. All other duties as assigned, within the scope and range of job responsibilities.

Required Education, Credential(s) and Experience:

• Education: High School Diploma or GED
  
  ;
• Credential(s): Certified Professional Coder
  ; Or Certified Coding Specialist (CCS).
• Experience:
  Required: Three (3) years' professional medical coding experience.
  Preferred: Three (3) years' experience with full medical coding functions.

Preferred Education, Credential(s) and Experience:

• Education:
• Credential(s):
• Experience:

To view a full list of all open position at Bayhealth, please visit: