At Skillvoraq, we are dedicated to providing exceptional healthcare services and solutions that prioritize patient care and satisfaction. Our team of skilled professionals is committed to delivering high-quality services that meet the evolving needs of our clients and partners. As a Medical Data Entry Professional at Nexpatha, you will play a vital role in ensuring the accuracy and integrity of our healthcare information database. If you are passionate about healthcare, coding, and data entry, and are looking for a challenging and rewarding career opportunity, we encourage you to apply. **Job Summary:** As a Medical Data Entry Professional at Worknovaq, you will be responsible for reviewing and verifying assigned codes and sequences diagnosis and procedures according to regulations, abstracting accurate clinical information, and maintaining up-to-date knowledge of coding and regulatory requirements. You will utilize web-based tools, coding books, and other available resources to facilitate providing insurance companies with required information. You will also participate in and assist with audits to capture lost charges and determine the accuracy of billing as necessary. **Key Responsibilities:** * Reviews and verifies assigned codes and sequences diagnosis and procedures according to regulations (e.g., ICD9CM, CPT, HCPCS, UHDDS, and HIPPA coding guidelines) and abstracts accurate clinical information to obtain the most specific code possible to ensure an accurate health information database. * Contacts physicians for clarification of clinical information as appropriate for account type as necessary. * Maintains up-to-date knowledge of coding and regulatory requirements to accurately assign codes for appropriate reimbursement of healthcare services. Continues to strive to meet continuing education requirements for certification or to maintain working knowledge of on-going changes to CPT, HCPS, and ICD codes. * Utilizes web-based tools, coding books, and other available resources to facilitate providing insurance companies with required information. * Utilizes multiple information systems to accurately select the correct patient account in order to appropriately review and verify patient billable charges. * Participates in and assists with audits to capture lost charges and determine the accuracy of billing as necessary. * Gathers demographic, insurance, and health care encounter information from a variety of sources for the purpose of billing medical provider professional fees. * Enters and verifies the appropriate demographic information, charges, and comments into the computerized billing system. * Performs manual charge entry by gathering demographic, insurance, and healthcare encounter information from a variety of sources in order to accurately bill medical provider professional fees. * Ensures information entered in the system is done in an accurate and timely manner. Verifies charges on accounts as needed and provides detailed and accurate comments for future reference. * When necessary, creates a registration in the appropriate system (EPIC) from documentation provided to accurately record encounter and accurately bill the appropriate stakeholders. * Responds to inquiries from provider offices and various internal departments in a timely and accurate professional manner. **Essential Qualifications:** * High school diploma or its equivalent. * No experience necessary, but prior experience in medical data entry, coding, or a related field is preferred. * Strong understanding of healthcare regulations, including ICD9CM, CPT, HCPCS, UHDDS, and HIPPA coding guidelines. * Excellent analytical and problem-solving skills, with the ability to interpret and apply complex coding and regulatory requirements. * Strong communication and interpersonal skills, with the ability to effectively interact with healthcare providers, patients, and internal stakeholders. * Proficiency in using web-based tools, coding books, and other available resources to facilitate coding and data entry. * Ability to work accurately and efficiently in a fast-paced environment, with a high level of attention to detail and accuracy. **Preferred Qualifications:** * Certification in medical coding, such as CPC, CCS, or CCS-P. * Experience with electronic health records (EHRs) and practice management systems (PMS). * Strong knowledge of healthcare billing and reimbursement processes. * Familiarity with EPIC and other healthcare information systems. * Experience with data analysis and reporting. **Skills and Competencies:** * Strong analytical and problem-solving skills, with the ability to interpret and apply complex coding and regulatory requirements. * Excellent communication and interpersonal skills, with the ability to effectively interact with healthcare providers, patients, and internal stakeholders. * Proficiency in using web-based tools, coding books, and other available resources to facilitate coding and data entry. * Ability to work