NorthBay Solutions

Medical Billing and Coding

• Accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes
• Abstracting demographic and physician data to meet both internal and regulatory requirements for reporting utilizing the hospital’s abstracting system
• Collaborating with providers via email, phone call, or in person to educate or discuss coding requirements
• Ensuring compliance with AAPC/AMA CPT Guidelines, AAPC/AMA Coding Clinic, ICD 10-CM CMS, HCAI, and NorthBay Health coding guidelines
• Working in an environment focused on delivering high-quality patient care

ED Professional Fee Coder

Account Manager

• Responsible for the processing of accounts of all patient types
• Resolving phones calls and correspondence related to their accounts
• Working accounts from initial billing until zero balance or assignment to a collection agency
• Adhering to standard billing practices and compliance with regulatory policies and requirements

Patient Account Representative III, Hospital Billing Unit

• play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes
• accurately and timely for professional surgery charges in the outpatient and inpatient settings
• effectively communicate with providers via email, query, phone call or in person to educate or discuss coding requirements
• work is performed using the approved classification Coding systems to include the modifiers
• carry out work in accordance with the rules, regulations and coding conventions of the AAPC/AMA CPT Guidelines, AAPC/AMA. American Hospital Association (Coding Clinic), ICD 10-CM CMS, HCAI, and NorthBay Healthcare coding guidelines

Professional Surgical Coder II

• responsible for preparing the daily receipts lockbox
• processing the 835 Electronic Remittance
• correctly posting payments and adjustments to patient accounts in the financial system
• posting denial codes
• accelerating patient statements
• resolving unidentified cash
• working closely with Accounting to reconcile the cash clearing accounts

Patient Account Representative I, Cash Applications Clerk

Customer Support

• Supervise daily Customer Service operations, ensuring service levels, productivity, quality, and customer experience standards are consistently met.
• Lead, coach, and develop staff through hiring, training, performance management, and ongoing feedback.
• Serve as escalation point for complex patient inquiries, billing issues, and service recovery situations.
• Monitor and manage call center performance metrics (e.g., AHT, ASA, abandonment rate, quality scores) and adjust staffing and workflows to meet service level targets.
• Ensure timely, accurate, and compliant handling of all patient interactions, including phone and electronic communications.
• Drive resolution of patient complaints, billing discrepancies, and account issues while identifying root causes and trends.
• Oversee accurate documentation of account activity to ensure compliance with regulatory and organizational standards.
• Analyze KPIs and operational data to identify trends, improve performance, and enhance patient financial experience.
• Develop and implement workflows, policies, and process improvements to increase efficiency, reduce errors, and support revenue cycle outcomes.
• Partners with internal departments, physicians, payers, and vendors to resolve issues and improve end-to-end processes.
• Collaborate with leadership and IS teams to optimize system functionality, reporting, and automation.
• Lead initiatives that support denial prevention, cash acceleration, and overall revenue cycle performance.
• Conduct regular audits and quality reviews to ensure adherence to policies, procedures, and regulatory requirements.
• Support special projects and organizational initiatives as assigned.

Supervisor, Patient Financial Services, Customer Service

• Administers various employee benefits programs, such as health, dental, vision, life insurance
• Handles benefit enrollments, terminations, and changes
• Serves as the primary contact for employees regarding benefit questions
• Ensures compliance with federal, state, and local regulations concerning employee benefits
• Develops and delivers benefits communications to employees
• Provides administrative support to the leaders of HR
• Manages the calendar of the HR VP and assists with scheduling meetings

ED Professional Fee Coder

Patient Account Representative III, Hospital Billing Unit

Professional Surgical Coder II

Patient Account Representative I, Cash Applications Clerk

Supervisor, Patient Financial Services, Customer Service

HR Benefits and Support Specialist – Onsite