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...
arrangements in patient records Claims Denial Management & Appeals Analyze claim denials and rejections to identify root causes... Prepare and submit formal appeals for denied claims with supporting clinical documentation and policy justification Track...
arrangements in patient records Claims Denial Management & Appeals Analyze claim denials and rejections to identify root causes... Prepare and submit formal appeals for denied claims with supporting clinical documentation and policy justification Track...
arrangements in patient records Claims Denial Management & Appeals Analyze claim denials and rejections to identify root causes... Prepare and submit formal appeals for denied claims with supporting clinical documentation and policy justification Track...
arrangements in patient records Claims Denial Management & Appeals Analyze claim denials and rejections to identify root causes... Prepare and submit formal appeals for denied claims with supporting clinical documentation and policy justification Track...
arrangements in patient records Claims Denial Management & Appeals Analyze claim denials and rejections to identify root causes... Prepare and submit formal appeals for denied claims with supporting clinical documentation and policy justification Track...
arrangements in patient records Claims Denial Management & Appeals Analyze claim denials and rejections to identify root causes... Prepare and submit formal appeals for denied claims with supporting clinical documentation and policy justification Track...
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...
Specialist (CCS) or Certified Coding Specialist - Physician (CCS-Phy) or Certified Professional Coder (CPC) or Registered Health...) or Certified E&M Coder (CEMC) or Certified E&M Auditor (CEMA) or Certified Documentation Integrity Practitioner (CDIP) or Certified...
in our work and observe best practices to ensure accurate, optimal coding. If you are a credentialed coder with strong coding... or GED Five (5) + years of coding experience, preferably in a multi-specialty group practice. Certified Professional Coder...
maintaining timely claims submissions and timely Appeals processes as defined by individual payors. Resubmit insurance... companies for status and resolution of outstanding claims. Status appeals, reconsiderations and denials. Make outbound...
Medical Coder to help shape this critical function from the ground up. If you’re passionate about coding accuracy, payment... of Payment Integrity Policies Review and respond to escalated provider appeals Drive process improvements related to provider...
when medical record requests are received Assists with review of audit findings and development of audit appeals... and receive instructions/directions. Licenses/Certifications: CPC – Certified Professional Coder (preferred) CCS – Certified...
maintaining timely claims submissions and timely Appeals processes as defined by individual payors. Resubmit insurance... companies for status and resolution of outstanding claims. Status appeals, reconsiderations and denials. Make outbound...
communicates with physicians and allied health personnel. Assists with writing compelling appeals to all DRG denials from outside... Issuing Body, Certified Professional Coder (CPC) - EV Accredited Issuing Body, Registered Health Information Administrator...
trends and assisting with challenging cases and claims’ appeals. Create internal educational materials and customer...: Preferred Certified Professional Coder (CPC), Certified Professional Biller (CPB), or Certified Billing and Coding Specialist...
with claim submission, follow-up, and reporting needs throughout the clinically-driven revenue cycle Submits payer appeals... Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), or Registered...
Office & Registration areas. Responsible for completion of payer appeals and reconsideration correspndence, creates payer... Professional Coder certification is required (can be obtained within six (6) months after hire). Additional Skills: Knowledge...
claims from all aging categories, including follow-up, posting, appeals, and additional documentation requests. Investigate... health or chronic care/dementia billing is highly valued. College education preferred. CPC (Certified Professional Coder...