Imagine waking up excited to come to work, at a place where you have the opportunity to serve others. You make a difference - and have fun doing it! People are drawn to Women's Healthcare Associates because of our values-driven culture.

The Senior Billing and Coding Specialist reviews claims data to ensure the assigned procedural and diagnosis codes meet required legal and insurance rules. 

 *This is a 40 hr/week position (Monday-Friday).

DUTIES

• Runs daily schedules to cross-reference that charges are entered into the EMR. 
• Audits each charge to ensure billing codes are accurate prior to claims submission.
• Runs weekly reports to capture missing charges.  Researches missing charges and enters the change when appropriate. 
• Runs monthly reports to track billing for pregnancy services.  Verifies delivery, antepartum and postpartum care are billed accurately and makes corrections when needed.
• Verifies hospital services within the hospital medical records system.
• Enters ancillary services such as central lab, DEXA, mammograms and ultrasound.
• Supports A/R department by analyzing and problem solving complex coding errors.
• Adds correspondence notes whenever a claim has been changed or reviewed.
• Acts as a liaison between business office, clinicians and other staff in communicating information regarding patients' services, insurance guidelines and billing. 
• Educates clinicians and staff regarding coding questions.
• Provides feedback to clinicians if there are trends of coding errors.
• Bills all services in a timely manner.
• Stays up to date with coding changes, including but not limited to CPT, ICD-9, ICD-10 and insurance changes.
• Writes up adjustments as needed.
• Assists with training new staff and mentoring staff members as requested.
• Works with Financial Counselors to assure correct CPT and diagnosis codes are being put on prior authorizations for surgeries.
• Takes responsibility for and demonstrates safe work practices.
• Maintains regular and predictable attendance.
• Maintains WHA confidentiality standards.
• Attends WHA meetings, department meetings and other group meetings as assigned.
• Models The Values Statement and The Patient Experience of WHA.

QUALIFICATIONS

• High school diploma or GED required.
• Coding certification with 4 years of coding experience, or 7 years of coding experience.
• At least two years of experience in medical billing required. 
• Knowledge of medical terminology and coding, including ICD-9, ICD-10, CPT and HCPCS required. 
• Demonstrated ability to effectively work with others required.  
• Demonstrated problem-solving skills in order to resolve complex billing issues required.
• Knowledge of collection law and practices preferred.
• Knowledge of local and major national medical insurance practices preferred.
• Knowledge of proper business writing standards for letters and memos including the ability to write correspondence with proper punctuation, grammar, spelling, etc.
• Proven effective verbal, listening and written communications skills.
• Knowledgeable in Microsoft Office Products (Word, Outlook), the internet and navigating insurance websites.
• Ability to demonstrate The Values Statement and The Patient Experience of WHA.
• Ability to perform the essential functions of the job.  

Women's Healthcare Associates, LLC is an equal opportunity employer.

Oregon employers are required by a number of state and federal agencies to display a variety of workplace notices and posters, including:
Federal Family and Medical Leave Act
https://www.dol.gov/whd/regs/compliance/posters/fmlaen.pdf
Oregon Family Leave Act
www.oregon.gov/boli/TA/docs/oflaposter2016englishlarge.pdf