Projects, and CMS Quality Projects. For RN Quality Reviewer only: Provides clinical support in the Grievance and Appeals... requirements. For RN Coder only: Audit Medical Record documentation for in home assessments and claims/encounters from various...
. Processing daily correspondence to ensure timely and appropriate claim resolution. Preparing and submitting written appeals... with supporting documentation. Requesting and obtaining medical records to support appeals. Managing accounts with receivable aging...
and management of the HIM Professional auditors and coders reviewing physician base charging/billing, claim edits, payer appeals... Professional Coder (CPC) and Certified Professional Medical Auditor) CPMA or Certified Evaluation and Management Coder CEMC...
Office & Registration areas. Responsible for completion of payer appeals and reconsideration correspndence, creates payer.... Must possess strong Microsoft Excel and analytical skills. Certified Professional Coder certification is required (can...
Overview: Coding Specialist, Centralized Coding, Outpatient Coder Full Time, 80 Hours Per Pay Period, Day Shift... Office personnel to resolve issues related to claims, coding, pre-cert, and denials appeals, and verifies that appropriate...
material, handbook and other educational materials. Edits/Denials/Coding - Assists with edits, denials and appeals... Preferred): CPC (Certified Professional Coder) CCS-P (Certified Coding Specialist-Phys Based) CCS (Certified Coding...