collectors with resolution for proper reimbursement. Prepare or assist with appeals process as necessary. CODING PRODUCTIVITY...
and follow up on unpaid claims Process appeals on aged insurance claims/denials Ability to analyze, identify and resolve issues... Follow up on appeals/corrected submitted claims Review and correct billing errors, which require a strong knowledge of CPT...
reviews. Performs quarterly complex coding quality audits on each coder. Reviews 100% of coding performed by new staff... for each coder at yearly evaluation. Assists FMOLHS in reviews related to internal or external investigations. Quality/Compliance...
all audit documentation and serve as a liaison for internal and external auditors Lead and coordinate internal coder... and appeals, take appropriate action with responses (including correcting data and educating providers and coders). to daily...
. Proficiency in CPT, ICD-10, HCPCS, and modifiers. Demonstrated denials management and appeals experience. Strong communication... role within professional billing License/Certification Preferred: Certified Professional Coder (CPC) or equivalent...
and respond timely to ensure claims are processed and resolved efficiently. Prepare and submit payor appeals with supporting.... Write and file detailed appeals with insurance carriers, using clinical coverage policies and payer-specific documentation...
and facilitate ongoing documentation improvement. Responsible for performing appeals for the Wellstar MGBO for professional services... are met. Must ensure timely, accurate and thorough appeals for all accounts assigned and apply critical thinking skills to ascertain root...
(S): Bachelors, or equivalent work experience CPC (AAPC Certified Professional Coder) – or equivalent from another organization... management of processes. Experience in Coding, Billing Denials, Edits, Appeals, Utilization Management, Charge Capture...
and initiating appeals for denied ones within standard billing cycle timeframes Tracking the progress of claims through the... of experience as a Medical Biller/Coder for Medical and Behavioral Health Services Bachelor's Degree in Business or related field...
Assist internal teams with subject matter expertise such as appeals, QA, Second Set of Eyes, True Positive Rate Re-review...: High School Diploma / GED Active Certified Coder AHIMA or AAPC Certified coder (CPC, CCS, CCA, or COC) Must be 18 years...
Researches and analyzes denials on a daily basis, identifies root causes, and processes resubmissions/appeals with the goal... (Certified Professional Coder (CPC)). Associate Degree required (Medical Billing experience). Certified Professional Coder (CPC...
for drafting letters in order to coordinate appeals Acts as key point person for Revenue Cycle staff and Account Inquiry Unit...) or Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS). Zero (0) to two (2) years of experience...
. · Assist RC Denial and Appeal Specialists with drafting and verbiage to use in appeals. · Stays current on all CPT and ICD-10... Medical Billing experience preferred. · MUST be a Certified Professional Coder (CPC), through the American Academy...
projection of cash collections. Monitor compliance with all third-party payor regulations, exception handling, appeals... Qualifications Bachelor's degree in business or health care administration Certified Professional Coder preferred Five plus years...
, coordinating appeals, and collaborating with clinical staff and payers to optimize reimbursement outcomes. Compile and analyze... billing, coding, or revenue cycle management, such as: Certified Professional Coder (CPC) Certified Coding Specialist (CCS...
of the Business Office & Registration areas. Responsible for completion of payer appeals and reconsideration correspndence... Professional Coder certification is required (can be obtained within six (6) months after hire). Additional Skills: Knowledge...
of the Business Office & Registration areas. Responsible for completion of payer appeals and reconsideration correspndence.... Must possess strong Microsoft Excel and analytical skills. Certified Professional Coder certification is required (can...
compliance, ensuring accurate claim submission, effective rebuttals & appeals, and optimal reimbursement. Under general... appeals, and conducts in-depth regulatory, coding, and clinical research to support rebuttals. The role collaborates closely...
guidelines and write and submit appeals as appropriate. Manage collections. Complete VA prior authorizations. Review.... POSITION REQUIREMENTS Education: High School Graduate. Certified Medical Coder (AAPC or AHIMA) preferred...
, collections, denials, and appeals. Serve as a liaison between specialty services and other departments, fostering collaboration... party payors specific to specialty services, including underpayments, appeals, and contractual discrepancies. Stays current...