Job Details: Job Location: Midtown Plaza (PLZ) - Nashville, TN, Position Type: Full Time, Salary Range: Undisclosed, Job Shift: Day, Job Category: Finance, SUMMARY: The Charge Entry Specialist captures and reviews all billing codes prior to electronic claims filing, for accuracy and adherence to payer specific coding guidelines, for a multi-specialty physician group practice. ESSENTIAL DUTIES AND RESPONSIBILITIES: Reviews daily charges from the electronic health record to ensure coding and billing guidelines are followed Utilizes CPT, ICD-10CM, and HCPCS coding and modifier usage during daily reviews Utilizes various coding and billing references to resolve complex billing scenarios Ensures progress notes are coded accurately and to the highest level of specificity Maintains strong knowledge of payer billing guidelines and policies Researches front-end claim rejections and works cooperatively with appropriate staff to resolve discrepancies Timely alert any identified issues and/or risk that may require further research Fulfill month end requirements ensuring all charges capture Ability to meet deadlines and prioritize responsibilities   Secondary Responsibilities: Maintains strong knowledge of both local and national CMS policies, as well as various private-payer coding and billing guidelines. Utilizes the Correct Coding Initiative Edit List (CCI) when billing for multiple services during the same encounter and understands how to correctly apply Modifiers. Informs Patient Accounts Department when additional account balance reviews are needed. Researches front-end claim rejections and works cooperatively with appropriate staff to resolve discrepancies. Utilizes various coding and billing references to resolve complex billing scenarios. Consistently follows internal coding and billing protocols and policies. Demonstrates a commitment to expand coding & billing knowledge by participating in various continuing education opportunities each year. Demonstrates a positive willingness to take on additional assignments and responsibilities. Must maintain professional and courteous relationships with all team members at all times.  Must have predictable and consistent attendance and follow all attendance policies. Skills/Qualifications:  Active Certified Coder License CPD, CCS). Required experience in OB/GYN.  Epic experience is desirable.    SUPERVISORY RESPONSIBILITIES None               Qualifications: CERTIFICATES, LICENSES, AND REGISTRATIONS Active Certified Coder License preferred (CPC, CCS)     EDUCATION and/or EXPERIENCE High school diploma required OB/GYN Coding Experience Preferred 5+ years of Charge Entry or Medical Billing experience required Multi-Specialty physician coding experience preferred Completion of an accredited Medical Coding/Billing Program preferred Must have knowledge of CPT and ICD10 Experience with EPIC EMR System and Electronic Charge Capture preferred   KNOWLEDGE, SKILLS, AND ABILITIES Advanced knowledge of CPT, ICD-10CM, HCPCS coding and of Modifier usage for multiple specialties Knowledge of CMS billing and documentation guidelines and CCI Edit Lists Advanced understanding of medical documentation requirements for E/M coding and office procedures Ability to abstract key information from the medical record to ensure accurate coding Effective communication skills, to explain guidelines to new employees in an easy to understand manner Excellent computer skills, including advanced typing speed, ten-key and mouse click selection skills Ability to easily and quickly maneuver through various computer software programs such as MS Outlook, Word, Excel, electronic health records, patient billing systems, and other medical information software systems Exceptional attention to detail and the ability to quickly identify discrepancies or uncommon billing situations Strong judgment skills and ability to work through complex matters independently Excellent time management and organizational skills Ability to prioritize work responsibilities and complete assignments in a timely fashion Strong initiative to anticipate departmental needs and work supportively to respond to such needs. Ability to work effectively and cooperatively with all levels of management, physicians, team colleagues, and other departments.   PHYSICAL DEMANDS Must be able to sit for long periods of time Requires moderate walking, bending, pushing, pulling, twisting and lifting Mental alertness WORK ENVIRONMENT High volume, faced paced office environment with a strong commitment to timeliness and organization Office environment-limited exposure to communicable diseases. No exposure to blood-borne pathogens or contaminated body fluids