Under the general direction of the Regional Laboratory Director, the Regional Laboratory Coder is responsible for monitoring Laboratory billing processes and makes corrections as needed. Manages the timely and accurate posting of Laboratory charge data for both patient and client-billed accounts. Identifies, corrects, and maintains appropriate billing data within the Laboratory information system. Resolves insurance claim errors and regulatory edits related to Laboratory billing. Handles customer billing inquiries. Serves as a resource for billing and compliance activities related to the Laboratory. The Regional Laboratory Coder will allocate 25% of their time to each of the four facilities (Children's Hospital of San Antonio, Medical Center, New Braunfels, and Westover Hills). The Regional Laboratory Coder will be housed at the Children's Hospital of San Antonio Laboratory.
Education: Minimum of Associates Degree required, Bachelor's Degree preferred. Computer literacy required, specifically in Microsoft Office. Must be proficient with spreadsheets and word processing applications. Working knowledge of financial accounting and billing procedures. Completion of Medical Terminology and anatomy/physiology courses, medical coding/billing certification, or related experience is required in order to classify procedure codes. Experience: Minimum four years extensive CPT and ICD 9/10 CM coding experience required. Medical billing and reimbursement experience in regards to laboratory procedures highly preferred. Thorough knowledge of applying third party and government payor regulations required. Experience providing education and trend analysis related to laboratory reimbursement preferred. License, Registrations, Certifications: RHIT minimum required and RHIA highly preferred