Senior Executive - Medical Billing (Charge Posting)

Senior Executive - Medical Billing

Key Responsibilities:

• Accurately review and post charges

  for medical services provided by healthcare providers.

• Analyze patient encounter documentation

  , such as superbills, operative reports, and medical records, to ensure proper charge capture and appropriate code assignment.
• Collaborate with coding professionals to

  verify the accuracy of assigned codes and modifiers

  , resolving any discrepancies before charges are posted.
• Adhere strictly to all

  billing and coding compliance guidelines

  , including

  HIPAA regulations

  , insurance payer guidelines, and government regulations (e.g., Medicare, Medicaid).
• Maintain a high level of

  accuracy in charge entry

  , double-checking all entries for completeness and correctness to minimize errors and discrepancies.
• Conduct thorough

  charge reviews

  to identify any potential coding errors, missing charges, or other issues that could impact revenue.
• Collaborate with the

  denial management team

  to promptly resolve charge-related denials and rejections.
• Analyze

  denial patterns

  and recommend process improvements to minimize future denials.
• Meet or exceed established

  productivity and timeliness targets

  for charge posting.
• Maintain accurate records and metrics related to charge posting activities, preparing reports and analyses as needed to highlight trends, discrepancies, and performance indicators.

Job Requirements:

• Prior experience in

  charge posting

  or

  healthcare revenue cycle management

  .
• A strong understanding of

  medical billing, coding, and reimbursement processes

  .
• Knowledge of

  medical terminology

  , and coding systems including

  CPT, HCPCS, and ICD

  .
• Familiarity with insurance payer guidelines, including

  Medicare and Medicaid

  .
• Proficiency in using

  healthcare billing systems and electronic medical records (EMR) software

  .
• Exceptional

  attention to detail and accuracy

  .
• Excellent analytical and problem-solving skills.
• Effective communication and interpersonal skills.
• Familiarity with

  HIPAA regulations

  and compliance requirements.
• A

  Bachelor's degree or equivalent

  is preferred.