research on claims and complex coding cases that require research Provide feedback/support for client and/or senior leadership...: High School Diploma / GED 18 years of age OR older Certified Coder AHIMA - OR - AAPC Certified coder (CPC, CCS, CCA,) 2...
for claims processing. Work closely with practice coder in resolution process. Respond to requests from practice Revenue Cycle... for resolving Work Queues in Epic including, but not limited to: Follow Up; Claim Edit; Charge Review (Audit and Review); Missing...
-authorizations, hospital documents, etc. Ensure charges drop for claims processing. Work closely with practice coder in resolution... Edit; Charge Review (Audit and Review); Missing Guarantor. * Research and analyze denials, correct errors to ensure charges...
for claims processing. Work closely with practice coder in resolution process. Respond to requests from practice Revenue Cycle... Queues in Epic including, but not limited to: Follow Up; Claim Edit; Charge Review (Audit and Review); Missing Guarantor...
to bring the two aspects of the business together to inform configuration that supports accurate claims processing. Act... with configuration teams (i.e.., Claims and Product) is vital to ensure codes are established in the system in order to pay claims...
supporting critical follow-up denial and claim edit work queues. In this role, you’ll play a key part in reviewing and resolving... to ensure all charges meet coding guidelines and payor-specific requirements—helping drive clean claims and faster reimbursement...
, but not required Ability to interpret claim edit rules and references Solid understanding of claims workflow and the ability to interpret..., we're looking for a Senior Payment Accuracy Analyst to play a critical role in shaping how claims are processed and paid...
for claims processing. Work closely with practice coder in resolution process. Respond to requests from practice Revenue Cycle... for resolving Work Queues in Epic including, but not limited to: Follow Up; Claim Edit; Charge Review (Audit and Review); Missing...
including, but not limited to: Follow Up; Claim Edit; Charge Review (Audit and Review); Missing Guarantor. Research and analyze... by reviewing chart and office notes, pre-authorizations, hospital documents, etc. Ensure charges drop for claims processing. Work...
for claims processing. Work closely with practice coder in resolution process. Respond to requests from practice Revenue Cycle... Queues in Epic including, but not limited to: Follow Up; Claim Edit; Charge Review (Audit and Review); Missing Guarantor...
including, but not limited to: Follow Up; Claim Edit; Charge Review (Audit and Review); Missing Guarantor. Research and analyze... 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 and analyze... by reviewing chart and office notes, pre-authorizations, hospital documents, etc. Ensure charges drop for claims processing. Work...
edits and achieve clean claims. Tracks edit volumes by type and department to identify and assist with resolutions... around existing charges. Develops coding education for internal departments. Oversees billing edit processes including CCI and MUE...
for claims processing. Work closely with practice coder in resolution process. Respond to requests from practice Revenue Cycle... Queues in Epic including, but not limited to: Follow Up; Claim Edit; Charge Review (Audit and Review); Missing Guarantor...
to seek to understand, and review medical records pertaining to impacted claims Navigate through web-based portals... claims experience Investigation and/or auditing experience Knowledge of health insurance business, industry terminology...
multi-functional teams responsible for prospective edit development, clinical and non-clinical pre-payment reviews... operates as a disciplined, analytically driven, and preventive control function. Strengthens the reliability of claims...
including, but not limited to: Follow Up; Claim Edit; Charge Review (Audit and Review); Missing Guarantor. Research and analyze... by reviewing chart and office notes, pre-authorizations, hospital documents, etc. Ensure charges drop for claims processing. Work...
: Coding certification CPC-Certified Professional Coder or - Certified Coding Specialist required (external candidates holding... cycle (e.g. HIM, PFS/Billing, CDM), charge capture, or coding/edit resolution. Preferred experience coding in acute...
: Coding certification CPC-Certified Professional Coder or - Certified Coding Specialist required (external candidates holding... cycle (e.g. HIM, PFS/Billing, CDM), charge capture, or coding/edit resolution. Preferred experience coding in acute...
including, but not limited to: Follow Up; Claim Edit; Charge Review (Audit and Review); Missing Guarantor. Research and analyze... by reviewing chart and office notes, pre-authorizations, hospital documents, etc. Ensure charges drop for claims processing. Work...