100% REMOTE, WITH QUARTERLY ONSITE MEETINGS. CANDIDATES MUST RESIDE IN MD, DC, PA, VA OR WVA .
Coordinates the daily billing activities of assigned areas. Works independently to maintain consistent workflow of all billing activities. Works collaboratively with the Professional Billing Office, physicians and third party payers.
Provides and performs coding functions to optimize revenue enhancement. KEY
Coordinates and monitors daily revenue cycle activities to optimize reimbursement opportunities. Verifies benefit coverage to determine patient financial liability. Works proactively and collaboratively to investigate and resolve patient billing issues.
Provides documentation requested by third party payers to enhance reimbursement opportunities. May perform patient registration and appointment scheduling into the system and update information as applicable. Optimizes facility and professional charge entry and subsequent collections for all services provided.
Reviews patient encounter forms for accuracy and completeness. Consults with providers when additional information is required. Performs charge entry functions.
Works in collaboration with the Professional Billing Office to provide attachments and supporting documentation required to process claims. Reviews and resolves front desk edit reports, missing charge reports and claims manager edit reports. Serves as a technical resource to department for coding recommendations.
Performs abstraction of clinical documentation and reviews and assigns codes. Verifies and/or assigns diagnosis codes and modifiers Ensures accuracy of code linkage diagnosis to procedure. Identifies repetitive coding/documentation issues.
Works in conjunction with Practice Manager and Compliance Department to investigate and resolve claims and compliance audits. Enters all coded services including surgical procedures, diagnostic tests and office visits. Follows up on outstanding referrals and may prepare reports.
Bachelor's degree preferred
3-5 years of experience Certification: CCS-P or CPC required Salary range $25 to $30, dependent on experience and internal equity
Medical, dental, and vision coverage starting the first of the month after hire, plus wellness programs and mental health support 403(b) retirement plan with employer match, pension, and life and disability insurance Tuition reimbursement toward advanced degrees and specialty certifications Generous paid time off, fitness discounts, and free on-site parking About Sinai Hospital Sinai Hospital of Baltimore is a nationally recognized academic medical center, a designated Level II Trauma Center, and the largest community hospital in Maryland.
As part of LifeBridge Health - one of the region's most comprehensive healthcare systems - Sinai delivers advanced care with a mission to improve the health of the communities we serve, and to take care of the people who take care of patients. About LifeBridge Health LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to "improve the health of people in the communities we serve." Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care.
With over 14,000 employees, 130 care locations, and two million annual patient encounters, we combine strategic growth, innovation, and deep community commitment to deliver exceptional care anchored by five leading centers in Maryland. Our organization thrives on a culture of CARE BRAVELY-where compassion, courage, and urgency drive every decision, empowering teams to shape the future of healthcare. LifeBridge Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression.
LifeBridge Health does not exclude people or treat them differently because of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression.