professional service claims related to Evaluation and Management coding. Closely works with Charge Coding & Revenue Management... opportunities for system and process improvement and submit to management. Working with MGBO Edit Committee, physician coding...
for these and other established services occur Essential Job Functions Claims Edit Monitoring and Resolution- Provides... to reduce future denials – including automation, claims edit creation, and education. Helps create template letters for common...
for these and other established services occur Essential Job Functions Claims Edit Monitoring and Resolution- Provides... to reduce future denials – including automation, claims edit creation, and education. Helps create template letters for common...
including, but not limited to: Follow Up; Claim Edit; Charge Review (Audit and Review); Missing Guarantor. Research and analyze... by reviewing chart and office notes, pre-authorizations, hospital documents, etc. Ensure charges drop for claims processing. Work...
for claims processing. Works closely with practice coder in resolution process. Enters necessary patient demographics if new... in Epic including, but not limited to: Follow Up; Claim Edit; Charge Review (Audit and Review); Missing Guarantor. Resolves...
including, but not limited to: Follow Up; Claim Edit; Charge Review (Audit and Review); Missing Guarantor. Resolves work queue... is met or exceeded. Responds to patients and staff for billing and insurance questions. Ensures charges drop for claims processing. Works...
: Coding certification CPC-Certified Professional Coder or - Certified Coding Specialist required (external candidates holding... cycle (e.g. HIM, PFS/Billing, CDM), charge capture, or coding/edit resolution. Preferred experience coding in acute...
including, but not limited to: Follow Up; Claim Edit; Charge Review (Audit and Review); Missing Guarantor. Research and analyze... by reviewing chart and office notes, pre-authorizations, hospital documents, etc. Ensure charges drop for claims processing. Work...
: Coding certification CPC-Certified Professional Coder or - Certified Coding Specialist required (external candidates holding... cycle (e.g. HIM, PFS/Billing, CDM), charge capture, or coding/edit resolution. Preferred experience coding in acute...
including, but not limited to: Follow Up; Claim Edit; Charge Review (Audit and Review); Missing Guarantor. Research and analyze... by reviewing chart and office notes, pre-authorizations, hospital documents, etc. Ensure charges drop for claims processing. Work...
to bring the two aspects of the business together to inform configuration that supports accurate claims processing. Act... with configuration teams (i.e.., Claims and Product) is vital to ensure codes are established in the system in order to pay claims...
edit, and denial claim reviews ensuring revenue metrics do not exceed claims submissions. Coordinates monthly external...), surgical, and diagnostic services. Ensure accurate CPT, HCPCS, and ICD-10-CM code assignment by physicians for all PB claims...