Medical Controller / Coding Specialist

Medas factoring GmbH

• Independent analysis and evaluation of patient files, surgical reports and medical documentation to identify and assess billable services
• Creation and verification of private medical invoices according to GOÄ with focus on surgical services (Section L), anesthesia services (Sections D and E) and inpatient elective services
• Technical review and quality assurance of software-supported coding and billing proposals
• Ensuring correct and audit-proof billing taking into account increase factors, exclusion provisions and material cost regulations according to DKG-NT and BG-NT
• Close cooperation with physicians and clinic staff to clarify billing-related issues
• Processing and technical response to queries, objections and reimbursement requests
• Active participation in building and further developing the file billing business area
• Support in creating and optimizing internal processes, billing guidelines and quality standards

• Completed training as a medical assistant (m/f/d), medical office assistant (m/f/d) or a comparable qualification in healthcare
• Basic knowledge of the German Medical Fee Schedule (GOÄ) and private medical billing logic
• Confident handling of medical documentation and medical terminology
• Pronounced quality awareness and a structured, careful and independent working style
• High willingness to learn, analytical thinking and enjoyment of complex matters
• Confident handling of common MS Office applications
• Professional experience in file billing, private liquidation or inpatient chief physician billing according to GOÄ
• Knowledge in the fields of anesthesiology, orthopedics and/or surgical disciplines
• Sound knowledge of GOÄ special features in the hospital sector, particularly regarding elective service deductions, material cost billing according to DKG-NT/BG-NT as well as pool and participation regulations
• Experience with billing and coding software
• Knowledge in correspondence with private health insurers and benefit offices
• Experience in receivables management and dunning