Job Description: Overview Verifies claims eligibility, reviews claims for accuracy and appropriateness of billing...
, the Company succeeds. This position is responsible for being the lead audits of hospital billing and coding practices... and auditing. Responsibilities: Identifies and presents billing discrepancies found during audit and coordinates referral...
to ensure proper DRG assignment for accurate billing. Demonstrates the ability to perform a comprehensive initial review...
advisory opinions, and other publications relative to coding, billing and reimbursement compliance in order to ensure... compliance. Reviews information from third party payers relative to claims charging, coding, and billing in order to ensure...
and maintain compatibility with billing and compliance standards. Provide appropriate training and education on coding... and other third-party billing rules and regulations. Every team member at OHH plays an integral role in our patients’ experience...
research and review and recovers undercharges and adjust overcharges on billing statements. Submits all adjustments to patient...
Functions) Performs comprehensive pre-billing coding audits, through the use of eValuator, to ensure claims are accurately... coded and charged in compliance with coding and regulatory standards. Performs comprehensive pre-billing coding data...
. Responsible for providing the highest level of service. Process check-ins and check-outs, verify billing, create reservations...
& Reporting: Generate and review daily audit reports, including room occupancy rates, reservation accuracy, and guest billing...
/surgical coding, as well as knowledge of governmental billing and coding regulations including the “Teaching Physician... reviews. 9. Designs and uses audit tools (i.e ROC) to monitor the accuracy of coding, documentation gaps, and billing...
/surgical coding, as well as knowledge of governmental billing and coding regulations including the “Teaching Physician... reviews. 9. Designs and uses audit tools (i.e ROC) to monitor the accuracy of coding, documentation gaps, and billing...
for newly existing issues related to various transactions, payments and billing practices. Maintains reports of such audits... of organizational policies and procedures for physician arrangements, billing, coding, and chart review...
, billing and collection procedures CHAA (Certified Healthcare Access Associate) or CPAR (Certified Patient Account...
regulations Knowledge of JCAHO requirements Demonstrated knowledge of insurance verification, precert, billing and collection...
. Responsible for providing the highest level of service. Process check-ins and check-outs, verify billing, create reservations...
a laptop computer. Quality Audits . Review product to be shipped against billing records to verify and document accuracy...
records. Correct discrepancies: Investigate and resolve any billing or posting errors. Check-in/check-out guests: Handle...
all appropriate patient charges are accurately processed using a working knowledge of the EMR System o Ensures that patient billing... for all procedures are accurate and processed within three business days. o Monitors and enters all implant billing to assure accurate...
and management, relaying all messages to the correct department, and assisting guest with billing and reservation concerns. - Clean...
billing. Focuses on clinical denials, observation services, documentation gaps, and payer requirements for authorization...