Memorial Health

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1964, BILLING ANALYST

Job Locations US-IL-Springfield
ID
2025-28692
Category
Clerical, Administrative and Business Support
Position Type
Full-Time

Overview

Serves as a billing technology resource in support of Medical Imaging Services information systems and associated components. Responds to requests for technical assistance (including error correction) and evaluates requests for new billing codes or modifications. Develops associated training materials and conducts training for all users regarding Medicare or other payer coding changes. Reviews all imaging system daily charge interfaces. Responsible for daily review of imaging charges for supplies, contrast, and select procedures for proper documentation in imaging documents in accordance with the rules, regulations and coding conventions as established by the American Medical Association (AMA), ICD9, CMS, and Memorial Health System (MHS).

Qualifications

Education:

·       Bachelor’s degree in health-care related discipline preferred.

Licensure/Certification/Registry:

·       Registered radiographer (ARRT-R) in good standing required.

Experience:

·       Two or more years work experience in Medical Imaging with a working knowledge of department workflow and operations is required.

Other Knowledge/Skills/Abilities:

·       Excellent oral and written communication, problem-solving, training, and project management skills are required.

·       Ability to work in a team setting and collaboratively with all levels inside and outside of the organization, including physicians and external suppliers as needed.

·       Good working knowledge of word processing, spreadsheet, data base presentation, and project computer application software is required. Experience with Microsoft Office products (Word, Excel, Access, Power Point, and Project) is strongly preferred.

·       Responds to request from internal departments regarding proper coding, billing and documentation of Medical Imaging patient charges.

·       Ability to multi-task while working on multiple system responsibilities simultaneously is required.

Responsibilities

  1. Maintain working knowledge and understanding of CPT’s and HCPS codes that relate to Medical Imaging procedures and supplies.

 

  1. Manages the creation, deletion, and edits on all Imaging CPT / HCPC codes set forth by the AMA and Medicare carrier for this region. Stays current with all regulation changes and understands how those changes impact the codes.

 

  1. Works closely with Finance and IT in order to update Imaging CPT/HCPC and charge master billing codes within the hospital systems due to regulatory changes.

 

  1. Provides assistance in building new imaging charge codes and the related components to ensure compliance with regulations and reimbursement.

 

  1. Reviews daily Imaging patient charges that interface with the hospital billing system to ensure documentation and appropriateness.

 

  1. Educate staff on changes to imaging charge codes to ensure accurate use.

 

  1. Analyze, discuss and resolve any Imaging report documentation discrepancies with imaging physicians.

 

  1. Maintains a working knowledge and understanding of local and national coverage decisions (LCD/NCD) that relate to Medical Imaging.

 

  1. Maintain working knowledge and understanding of the Medical Imaging Information system (RIS) and hospital billing systems.

 

  1. Participates in required continuing education and compliance training programs to maintain an understanding of disease processes and Interventional Radiology surgical techniques to support effective application of ICD and CPT coding guidelines for outpatient imaging procedures.

 

  1. Thorough understanding of medical terminology and human anatomy.

 

  1. Promotes MHS guest relations philosophy, Statement of Values and follows MHS Behavior Standards and Code of Conduct.

 

  1. Performs other related work as required or requested.

 

 

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

 

 

 

 

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