At arenaflex, we are committed to delivering exceptional healthcare services to our patients while maintaining the highest standards of accuracy and efficiency in our medical billing and coding processes. As a Medical Data Entry Associate, you will play a vital role in ensuring the accuracy and integrity of our health information database, while also providing excellent customer service to our healthcare providers and internal departments.
**Job Summary:**
We are seeking an experienced Medical Data Entry Associate to join our team at arenaflex. As a key member of our healthcare information management team, you will be responsible for reviewing and verifying medical codes and sequences, abstracting accurate clinical information, and maintaining up-to-date knowledge of coding and regulatory requirements. You will also be responsible for entering and verifying demographic information, charges, and comments into our computerized billing system, as well as performing manual charge entry and responding to inquiries from provider offices and internal departments.
**Key Responsibilities:**
* Reviews and verifies assigned codes and sequences diagnosis and procedures according to regulations (e.g., ICD9CM, CPT, HCPCS, UHDDS, and HIPPA coding guidelines) and abstracts accurate clinical information to obtain the most specific code possible to ensure an accurate health information database.
* Contacts physicians for clarification of clinical information as necessary for account type.
* Maintains up-to-date knowledge of coding and regulatory requirements to accurately assign codes for appropriate reimbursement of healthcare services. Continues to strive to meet continuing education requirements for certification or to maintain working knowledge of on-going changes to CPT, HCPS, and ICD codes.
* Utilizes web-based tools, coding books, and other available resources to facilitate providing insurance companies with required information.
* Utilizes multiple information systems to accurately select the correct patient account in order to appropriately review and verify patient billable charges.
* Participates in and assists with audits to capture lost charges and determine the accuracy of billing as necessary.
* Gathers demographic, insurance, and health care encounter information from a variety of sources for the purpose of billing medical provider professional fees.
* Enters and verifies the appropriate demographic information, charges, and comments into the computerized billing system.
* Performs 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.
* Ensures information entered in the system is done in an accurate and timely manner. Verifies charges on accounts as needed and provides detailed and accurate comments for future reference.
* When necessary, creates a registration in the appropriate system (EPIC) from documentation provided to accurately record encounter and accurately bill the appropriate stakeholders.
* Responds to inquiries from provider offices and various internal departments in a timely and accurate professional manner.
**Essential Qualifications:**
* High school diploma or its equivalent.
* No experience necessary, but prior experience in medical data entry or a related field is preferred.
* Strong understanding of medical coding and regulatory requirements, including ICD9CM, CPT, HCPCS, UHDDS, and HIPPA coding guidelines.
* Excellent analytical and problem-solving skills, with the ability to accurately review and verify medical codes and sequences.
* Strong communication and customer service skills, with the ability to respond to inquiries from provider offices and internal departments in a timely and accurate manner.
* Proficiency in computerized billing systems and multiple information systems.
* Ability to work accurately and efficiently in a fast-paced environment, with a high level of attention to detail.
**Preferred Qualifications:**
* Certification in medical coding, such as CPC or CCS.
* Experience with EPIC or other electronic health record systems.
* Strong knowledge of healthcare regulations and compliance requirements.
* Experience with medical billing and coding software, such as Cerner or Meditech.
* Strong analytical and problem-solving skills, with the ability to identify and resolve issues related to medical coding and billing.
**Skills and Competencies:**
* Strong analytical and problem-solving skills, with the ability to accurately review and verify medical codes and sequences.
* Excellent communication and customer service skills, with the ability to respond to inquiries from provider offices and internal departments in a timely and accurate manner.
* Proficiency in computerized billing systems and multiple information systems.
* Ability to work accurately and efficiently in a fast-paced environment, with a high level of attention to detail.
* Strong knowledge of medical coding and regulatory requirements, including ICD9CM, CPT, HCPCS, UHDDS, and HIPPA coding guidelines.
* Ability to maintain up-to-date knowledge of coding and regulatory requirements, with a strong commitment to continuing education and professional development.
**Career Growth Opportunities and Learning Benefits:**
* arenaflex is committed to providing ongoing training and professional development opportunities to our employees, including certification programs, workshops, and conferences.
* Opportunities for career advancement and professional growth, with a focus on developing the skills and competencies necessary for success in the healthcare industry.
* Collaborative and supportive work environment, with a focus on teamwork and open communication.
* Flexible work arrangements, including remote work options and flexible scheduling.
**Work Environment and Company Culture:**
* arenaflex is a dynamic and fast-paced healthcare organization, with a strong commitment to delivering exceptional patient care and services.
* Our team is dedicated to providing a supportive and collaborative work environment, with a focus on teamwork and open communication.
* We offer a range of benefits and perks, including flexible work arrangements, professional development opportunities, and a comprehensive benefits package.
**Compensation, Perks, and Benefits:**
* Competitive salary and benefits package, including medical, dental, and vision insurance, as well as a 401(k) retirement plan.
* Flexible work arrangements, including remote work options and flexible scheduling.
* Opportunities for professional development and career advancement, with a focus on developing the skills and competencies necessary for success in the healthcare industry.
* Collaborative and supportive work environment, with a focus on teamwork and open communication.
* Comprehensive benefits package, including paid time off, holidays, and sick leave.
**How to Apply:**
If you are a motivated and detail-oriented individual with a passion for healthcare and a commitment to excellence, we encourage you to apply for this exciting opportunity. Please submit your resume and cover letter to [insert contact information]. We look forward to hearing from you!
**Equal Employment Opportunity:**
arenaflex is an equal opportunity employer, committed to diversity and inclusion in the workplace. We welcome applications from qualified candidates of all backgrounds and perspectives.
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