With the direction from the Billing and Reporting Manager, acts as a senior billing person.  Responsible for training, coordinating and monitoring the duties of billing and support staff to ensure all activities are completed in a timely manner. Assists with the adherence of the Department's coding and documentation polices.  Participates in medical chart/record audits for coding compliance according to federal and state regulations and guidelines.  Prepares reports of findings and works with staff to provide education and training on accurate coding and documentation practices. Assists with developing materials used for training staff.  

Essential Functions

1. Organizes and prioritizes the duties of billing support staff to ensure all activities are completed in a timely manner.  As a senior billing staff, works with support staff to explain situation, and respond to questions related to the billing and payment entry process. 
2. Assists the Billing and Reporting Manager with developing staff training.  
3. Provides in person onboarding/training to new and existing Billing and Reporting staff.  
4. Identifies issues with coding submissions and works to achieve corrections and performance improvements. 
5. Provides training to health care and behavioral health providers with regards to coding and billing requirements. 
6. Audits medical record documentation to identify miscoded and under/up coded and training on accurate coding practices and compliance issues.  
7. Uploads claims into current software system for processing.  
8. Monitors electronic payment files to ensure timely posting of payments. Acts as back-up to the Billing and Reimbursement Clerks as well as Charge Entry Clerks. 
9. Keeps updated on all changes to insurance requirements based on contracts, industry standards and new regulations.  Reviews and interprets state documentation and policies related to program benefits and billing. 
10. Works in conjunction with the Centralized Service Manager for training and support to front end staff. 
11. Evaluates and responds to requests from the Electronic Health Record Team
12. Builds, adapts and monitors reports utilized by Billing and Reporting staff

Other Functions:

• Performs other duties as assigned.
• Must adhere to departmental standards in regard to HIPAA and other privacy issues.
• During a public health emergency, the employee may be required to perform duties similar to but not limited to those in his/her job description.
• Ability to meet deadlines in a timely manner, change focus on projects as needed and multitask
• Dependable and regular attendance required.
• Ability to handle stressful situations on an occasional basis 

• Ability to maintain excellent customer service during stressful situations.

    (An employee in this position may be called upon to do any or all of the above tasks. These examples do not include all of the tasks which the employee may be expected to perform.)

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Employment Qualifications

*Education:  *High School graduation or equivalent with specialized or technical training generally acquired through seminars. Workshops, which cumulatively is viewed as equivalent to 12 credits or less of college.  

*Certification:  *Certified Professional Coder (CPC) or equivalent required or the ability to obtain CPC Apprentice Status within 12 months of hire.   Plus a Certified Professional Medical Auditor (CPMA) preferred. 

Experience:  2 to 4 years in Medical Billing or a Medical Office setting with medical terminology, medical billing and reimbursement.

*Other Requirements:  *None  * (The qualifi*