Perfom and over see the clinical day to operations. Work to improve efficiency and quality in delivering healthcare servicesKeep up to date on new laws and regulations so that the facility in which they work complies with themSupervise assistant administrators in facilities that are large enough to need themManage the finances of the facility, such as patient fees and billing.Other dutiesSelects, trains, orients and supervises billing department personnel. Assumes supervisory duties including coaching, counseling, and progressive discipline of staff. Conducts performance evaluations of staff.Assure Codes accurately process claim charges timely.Assures all encounters/ claims are submitted timely.Monitors tasks in NG and Practice Insights to assure they are resolved timely.Reviews department performance and ensures compliance with laws and regulations.Interprets and enforces third party payer rules and regulations.Reviews billing and collection patterns and makes corrective recommendations.Identifies problems and accepts responsibility for problem-solving and advises administrative staff to make informed decisions.Maintains knowledge of payer coverage determinations and guidelines, including FQHC requirements for Medicaid payers and Medicare.Assures timely follow up on unpaid charges, denials, or rejections.Assures daily posting of patient payments and all other non-ERA/EOB third party payments.Assures adjustments are made appropriately in the Nextgen system for all sliding fee patients.Will appeal and work to resolve unpaid claims where applicable.Assure patient statement file is uploaded on a monthly basis. Review Department Bugets

Coder/Trainer Description:Reads and interprets medical record documentation to assign diagnosis codes, assigns CPT codes, assigns ASA codes and applies knowledge of payer reimbursement guidelines to ensure proper reimbursement.Essential Duties and Responsibilities    •    Adheres to the ICD-9-CM (International Classification of Diseases, 9th revision, Clinical Modification) coding conventions, official coding guidelines approved by the Cooperating Parties, the CPT (Current Procedural Terminology) rules established by the American Medical Association, and any other official coding rules and guidelines established for use with mandated standard code sets. Selection and sequencing of diagnoses. Audit charts for complete documentation and correct coding levels. Work with Compliance to find trends and training opportunities 140+ physician

Lead and help manage a office of 15 individuals, consisting of M.A. As a Customer Service Representative Supervisor. I help coordinate the schedule for 5 physician including the Pediatrician's office who also specializes in Accunpunture. I keyed in charges and assigned diagnosis to daily encounters. Verified and trained employees on various jobs assignments. I obtained and initiated authorization from insurance company and acted as the Liason between the physician patients and insurance companies. I order supplies to mayain our Vaccine for children program and also played a vital role in PQRI for clinical incentives. I work on various projects and studies. I was a super user for the EHR since Epic. In the billing department I keyed in and coded charts also work on VA and Worker Comp Claims to ensue payment in a timely manner.

in charge of posting payments, obtain authorization from insurance companies and managing referrals, preformed excellent customer services and place icd codes to get referred patients authorization. Preform and lead Clinic Huddles.