! What you will be doing in this role: The Claims Edit Coder (Coder II) operated under the general direction of an audit supervisor... of our commitment to creating a dynamic, inclusive environment that fuels innovation. Req ID : 13346 Working Title : Claims Edit Coder...
to increase claims payment accuracy and integrity. Ability to manage and resolve conflicting points of view from providers... and eligibility requirements are satisfied per the groups stop loss policy (SPD, stop loss policy, fee disclosure). Examine claims...
must complete several pre-employment requirements prior to starting. to learn more! Claims Compliance Specialty Coder II FINANCE.... Responsible to appeal denials and follow up with payers until the denied claims are paid. Collaborates with multiple departments...
must complete several pre-employment requirements prior to starting. to learn more! Claims Compliance Specialty Coder II FINANCE.... Responsible to appeal denials and follow up with payers until the denied claims are paid. Collaborates with multiple departments...
by providing all of your work experience, education and certifications/ license. You will be unable to edit/add/change...: Rev Cycle - PB AMB Coding Location/s: Central Billing Office-Clinton Job Title: Medical Coder - Professional...
and charge edit review, and or billing edit review required. Certified Professional Coder (CPC) required, Certified Coding... reimbursements, knowledge and expertise in reviewing and adjudicating coding services, procedures, and diagnoses on medical claims...
billing and coding questions and assisting with charge review work queue edit corrections. You will assist the Revenue... Integrity Specialist Manager with conducting comprehensive analysis of monitoring claims to ensure timely and appropriate...
Association (AMA), Medicare, and Commercial coding guidelines on claims. Communicates trends and issues to leadership... for investigation and resolution. This is a remote role working Monday-Friday, day shift hours. Responsibilities: Reviews claims...
edit, and follow up), and review denials for possible corrected claims or appeals. Coder II will work with clinic... in multiple specialties; coding both inpatient and outpatient professional fee services. Coder II staff key duties include...
edit, and follow up), and review denials for possible corrected claims or appeals. Coder II will work with clinic... in multiple specialties; coding both inpatient and outpatient professional fee services. Coder II staff key duties include...
edit, and follow up), and review denials for possible corrected claims or appeals. Coder II will work with clinic... in multiple specialties; coding both inpatient and outpatient professional fee services. Coder II staff key duties include...
and charge edit review and or billing edit review required. Certified Professional Coder (CPC) required; Certified Coding... reimbursements; knowledge and expertise in reviewing and adjudicating coding services procedures and diagnoses on medical claims...
in Epic including, but not limited to: Follow Up; Claim Edit; Charge Review (Audit and Review); Missing Guarantor. Research... by reviewing chart and office notes, pre-authorizations, hospital documents, etc. Ensure charges drop for claims processing. Work...
including, but not limited to: Follow Up; Claim Edit; Charge Review (Audit and Review); Missing Guarantor. Research... by reviewing chart and office notes, pre-authorizations, hospital documents, etc. Ensure charges drop for claims processing. Work...
, and decision-making. This role contributes to the development and refinement of claims research policies and procedures..., with a focus on process improvement. The auditor supports complex claims and workflows requiring in-depth knowledge of clinical...
billing edits as assigned. The edits are the result of claims that have previously billed and require an increased ability.... Collaborate professionally internally or with external departments when needed to resolve the edit or denial. This may require...
, and decision-making. This role contributes to the development and refinement of claims research policies and procedures..., with a focus on process improvement. The auditor supports complex claims and workflows requiring in-depth knowledge of clinical...
and claim edit WQs assigned to regional coding team to ensure coding compliance and minimize audit liability. Provides emphasis..., ICD-10-CM (ICD-9-CM) and HCPCS level II coding guidelines, along with CCI edits and Medicare claims processing manual...
by providing all of your work experience, education and certifications/ license. You will be unable to edit/add/change... Job Summary: Medical Coder-Professional is responsible for reviewing and coding medical records and documentation for healthcare...
by providing all of your work experience, education and certifications/ license. You will be unable to edit/add/change...: Medical Coder-Professional is responsible for reviewing and coding medical records and documentation for healthcare services...