Frontline National is currently seeking a Medical Office and Billing Specialist for a Full-Time opportunity in the Bethesda Maryland area. Please call our office directly at 513-528-7823 to learn more about this great opportunity!
Frontline National, LLC, founded in 2004, is a nationally-renowned staffing firm dedicated to identifying and placing superior candidates who possess the qualification, energy, and talent to match the high standards of client's expectations.
Frontline National is an SBA certified 8(a), Women-Owned Small Business (WOSB) firm, headquartered in Cincinnati, Ohio. Frontline National is dedicated to providing superior customer service to our clients and candidates. We have a proven track record and marketplace expertise to successfully recruit and place professionals on a National scale.
Frontline National is proud to announce its participation in the Department of Defense Military Spouse Employment Partnership. By joining the Military Spouse Employment Partnership, Frontline National is becoming part of an even larger collective effort to support military spouse employment!
- Utilize current billing software to prepare billing invoice for all billable encounters to include: Current Procedural Terminology (CPT)/ CHAMPUS Maximum Allowable Charges rate (CMAC)/Master Sharing Agreement (MSA) Discount.
- Run billing reports for ancillary encounters (laboratory tests, radiology tests), outpatient clinics, and inpatient encounters. Coordinate with 81 MDG coders to verify all encounters have been coded and ready for billing. Maintain an electric file of all billing transactions and trackers on G drive and file paper copy in billing office. Coordinate with Inpatient/Outpatient clinics to collect necessary data. Responsible for gathering, collecting, and organizing financial, clinical, and utilization data records from various medical information systems, including: Armed Forces Health Longitudinal Technology Application (AHLTA), Eccentrics, Composite Health Care System (CHCS) and its ad-hoc component, Accounting, Billing and Carrier Utilization Systems (ABACUS) billing software.
Education: Completion of the following:
- High School Diploma or GED
Experience: Candidates must have the following experience:
- Possess a minimum of one (1) year of full-time experience as Administrative Medical Assistant/ Medical Office Assistant/Medical Secretary.
Mandatory knowledge and skills:
- Possess knowledge of Composite Health Care System (CHCS) I, Armed Forces Health Longitudinal Technology Application (AHLTA) and Advanced Data Systems (ADS) coding systems in order to enter and retrieve data relevant to patient medical records/charts, to track and monitor procedures, medications, etc., and to produce required reports. Ability to become a CHCS I – AHLTA super user.
- Possess thorough knowledge of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM), Current Procedural Terminology (CPT) and Evaluation and Management (E&M) coding to reflect the patient’s condition (including diagnosis and problem), management in the clinic (including diagnostic and therapeutic procedures), and the complexity of the medical decision-making process.
- Possess knowledge of anatomy, physiology and pathological processes. Knowledge of medical terminology to maintain patients’ records and charts and to transcribe physicians’ orders. Understanding of medical terminology to include diagnosis, procedures, tests, pharmaceuticals, operations, psychological and other specialty terms. Skill in using medical reference materials.
- Shall be able to read and understand medical information well enough to interpret medical information from hand written comments, identify erroneous data from medical reports such as documentation discrepancies and missing information, and provide corrective action.
- Shall understand CHCS I and II, as well as command mission and policies, well enough to communicate verbally to orient medical staff as to coding in CHCS I, II and documentation policies and procedures to fulfill the command mission requirement.
- Possess knowledge of confidentiality and code of ethics for the health care profession, including Health Insurance Portability and Accountability Act (HIPPA) and Protected Health Information (PHI) policies. Must be familiarized with Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) policies and procedures for completion of patient records, audits, and committee assistance.
- Possess knowledge of regulations, administrative policies and standard operating procedures to ensure accurate instructions to patients on check-in and when arranging appointments.
- Shall be able to read, write, speak and understand English well enough to communicate effectively with patients and others having business with the clinics. Shall also have sufficient knowledge and experience to effectively communicate with patients who are experiencing pain and may be distraught.
- Demonstrated proficiency with electronic medical records (EMR - following government furnished training) and Microsoft Office, including Word, PowerPoint, and Excel.
- Must be a qualified typist at 45 words per minute or faster.
- Possesses exemplary customer service and communication skills.
- Shall be knowledgeable of equipment and supply terminology and skill sufficient to identify and use necessary equipment and supplies properly and to communicate proper use with nurses, medical staff, patients, and family members.
Job Duties include but are not limited too:
- Enter and retrieve data relevant to patient medical records/charts in order to track and monitor procedures, medications, etc. and to produce required reports via CHCS I, AHLTA, ADS system.
- Code patient record entries to reflect the patient’s condition (including diagnosis and problem), management in the clinic (including diagnostic and therapeutic procedures), and the complexity of the medical decision making process. Assigns appropriate ICD-9-CM code for each diagnosis addressed during the inpatient visit and for chronic diagnosis that may complicate the current episode of care entered in CHCS I. Clinic procedures are coded using CPT classification system. The appropriate E&M code is identified for each visit, ensuring database and billing integrity.
- Maintain patients records and charts, transcribe physicians’ orders, and use medical reference material. Read and interpret medical information from hand written comments. Identify erroneous data from medical reports, such as documentation discrepancies and missing information, and provide corrective action.
- Communicate verbally to orient medical staff as to coding in CHCS I, II and documentation policies and procedures to fulfill the command mission requirement. Communicate effectively with patients who are experiencing pain and may be distraught, and with others having business with the clinics.
- Use Microsoft Office applications such as Word, PowerPoint and Excel.
- Schedule appointments for the Pain Clinic. Coordinate special procedures with patient, Anesthesiologist and Radiology CT physician. Take telephone messages for and place calls to maintain contact with the Anesthesiologists, to schedule appointments for physicians/patients, and to arrange telephone consults for patients when necessary. Ensure completion of Established Onset Date (EOD) for the Mobile Pain Medicine Center.
- Prepare daily planned work schedules encompassing last minute changes; assembles Preoperative, Regional Block, APV/Same Day surgery packets for use in the clinics. Maintain shadow records ensuring all original documents are placed in outpatient medical records when available, otherwise ensuring it is sent directly to the Department of Outpatient Medical in compliance of Joint commission on accreditation of health care organizations (JCAHO).
- Enforce PHI guidelines corresponding to HIPPA protocol, requiring daily monitoring of PHI disclosures in compliance of JCAHO. Ensure compliance of clinics’ privacy policies regarding PHI disclosures and providing patient information.
- Perform intake/check-in for patients in for appointments, retrieve related radiology and laboratory reports and ensure all relevant data is available, arrange all follow-up appointments and maintain all medical records/charts for patients. Type orders for laboratory tests, consults, letters and other correspondence.
- Retrieve required reports for research and academic requirements for anesthesia residents. Obtain data required for physician evaluation. Review and process consults, ensuring 72-hour completion in compliance with command policy and JCAHO. Assist and ensure orientation for oncoming residents and new appointed pain staff physicians in accurate documentation and completion of correct ICD-9 and CPT codes via AHLTA. Monitor inpatient/outpatient encounter clinic forms for completeness and presence of elements needed to remain compliant with Centers for Medicare & Medicaid Services (CMS) documentation requirements, improving physician productivity.
- Maintain daily job status reports, including completed activities, all metrics, incomplete activities, and the status of any special interest data projects.
- Participate in the provision of in-service training to clinic staff members, including daily resident teaching conferences.
- Follow and comply with Clinic Standard Operating Procedures (SOPs).
- National Background
- Must be US Citizen
- Must have reliable transportation to and from work site
- 6:00am-5:00pm (with 1 hour lunch)
- No more than 40 Hours per week