Lab Billing & Coding Rep - Must have Lab experience

Overview The Laboratory Billing & Coding Representative is responsible for accurate and timely billing of Laboratory services. Responsible for understanding medical terminology, patient registration, insurance eligibility, payer rules, CPT/HCPCS bundling, CCI modifiers, and lab-related coding for problem resolution. Responsible for understanding and applying compliance and regulatory guidelines to resolve charge review edits, claim edits, billing-related issues, and assigned work queues. Functions as a lab-billing resource for internal and external parties. This position uses Carle electronic medical record systems and Lab Information System to review clinical encounters and laboratory results. Responsibilities Responsible for resolving Lab-related CPT, HCPCS, and applicable ICD-10 inquiries for internal and external parties.Responsible for editing laboratory test charges to ensure CPT/HCPCS codes are appropriate for tests being billed and appropriate modifiers are applied. Ensures all charges are corrected when additional tests are ordered, or tests are cancelled at a later date.Responsible for researching and resolving assigned billing reports and work queues on a daily basis for registration errors, charge review, claim edits, etc.Responsible for understanding and applying compliance, regulatory, and CPT/HCPCS bundling rules for Laboratory billing.Facilitates maximization of revenue by ensuring correct coding initiatives and payer-specific guidelines are applied approp