Experienced Medical Data Entry Associate – Health Information Management and Coding Specialist

Introduction to blithequark At blithequark, we are passionate about delivering exceptional healthcare services that make a meaningful difference in people's lives. As a leader in the healthcare industry, we recognize the importance of accurate and efficient health information management. Our team of dedicated professionals is committed to ensuring that our patients receive the best possible care, and we are now seeking an experienced Medical Data Entry Associate to join our dynamic team. If you have a keen eye for detail, excellent analytical skills, and a passion for healthcare, we encourage you to apply for this exciting opportunity. Job Overview As a Medical Data Entry Associate at blithequark, you will play a critical role in ensuring the accuracy and integrity of our health information database. Your primary responsibility will be to review and verify assigned codes and sequences, diagnose and procedures according to regulations, and abstract accurate clinical information to obtain the most specific code possible. You will also be responsible for maintaining up-to-date knowledge of coding and regulatory requirements, utilizing web-based tools and other available resources to facilitate providing insurance companies with required information, and participating in audits to capture lost charges and determine the accuracy of billing.

Key Responsibilities

• Review and verify assigned codes and sequences diagnosis and procedures according to regulations (e.g., ICD9CM, CPT, HCPCS, UHDDS, and HIPPA coding guidelines) and abstract accurate clinical information to obtain the most specific code possible to ensure an accurate health information database.
• Contact physicians for clarification of clinical information as necessary for account type.
• Maintain up-to-date knowledge of coding and regulatory requirements to accurately assign codes for appropriate reimbursement of healthcare services.
• Utilize web-based tools, coding books, and other available resources to facilitate providing insurance companies with required information.
• Utilize multiple information systems to accurately select the correct patient account in order to appropriately review and verify patient billable charges.
• Participate in and assist with audits to capture lost charges and determine the accuracy of billing as necessary.
• Gather demographic, insurance, and health care encounter information from a variety of sources for the purpose of billing medical provider professional fees.
• Enter and verify the appropriate demographic information, charges, and comments into the computerized billing system.
• Perform manual charge entry by gathering demographic, insurance, and healthcare encounter information from a variety of sources in order to accurately bill medical provider professional fees.
• Ensure information entered in the system is done in an accurate and timely manner, verifying charges on accounts as needed and providing detailed and accurate comments for future reference.
• Create a registration in the appropriate system (EPIC) from documentation provided to accurately record encounter and accurately bill the appropriate stakeholders.
• Respond to inquiries from provider offices and various internal departments in a timely and accurate professional manner.

Essential Qualifications

To be successful in this role, you will need to possess a high school diploma or its equivalent. While no experience is necessary, previous experience in medical data entry or a related field would be an asset. You should also have excellent analytical and problem-solving skills, with the ability to work accurately and efficiently in a fast-paced environment.

Preferred Qualifications

Preferred candidates will have a strong understanding of coding and regulatory requirements, including ICD9CM, CPT, HCPCS, UHDDS, and HIPPA coding guidelines. You should also be proficient in utilizing web-based tools and other available resources to facilitate providing insurance companies with required information. Excellent communication and interpersonal skills are also essential, with the ability to respond to inquiries from provider offices and various internal departments in a timely and accurate professional manner.

Skills and Competencies

To excel in this role, you will need to possess a range of skills and competencies, including:

• Attention to detail: You should have a keen eye for detail, with the ability to accurately review and verify assigned codes and sequences.
• Analytical skills: You should have excellent analytical and problem-solving skills, with the ability to work accurately and efficiently in a fast-paced environment.
• Communication skills: You should have excellent communication and interper