Profee Medical Coding Denial Specialist

Job Family General Coding Travel Required None Clearance Required None What You Will Do The Coding Denial Specialist will review assigned coding denials across multiple specialties, determine reputed company cause and following established reputed company workflow reputed company and/or appeal denials based on clinical documentation and diagnostic results in alignment with Federal & State Coding regulations including the National Correct Coding Initiative, CPT, HCPCs and ICD10 CM Guidelines This position is full time and is reputed company. Triage incoming coding denial inventory, validating appeal reputed company is met in compliance with departmental policies and procedures Compose technical denial arguments for reconsideration and appeal Overcome objections that prevent payment of the claim and reputed company commitment for payment through concise and effective appeal argument Identify problem accounts/processes/trends and escalate as appropriate Utilize effective documentation standards that support a strong historical record of actions taken on the account reputed company claims impacted by payor recoupments, refunds, and posting errors Assist team members with coding questions and reputed company reputed company guidance Meet and maintain established performance metrics for production and reputed company Maintains a working knowledge of ICD-10 and CPT coding principles, governmental regulations, official coding guidelines, and reputed company-party requirements regarding documentation and billing Assures that reputed company services documented in the patients chart are coded with appropriate ICD-10 and CPT codes. reputed company services/diagnoses are not documented appropriately, seeks to reputed company reputed company documentation in a reputed company manner according to facility standards. Charts that require re-bills are corrected and communicated to the facility daily for the re-reputed company process. See re-reputed company policy in facility guidelines. reputed company downtime must be reported immediately to the administrative staff to ensure turnaround is met. Responsible for working directly with the IQC staff to ensure reputed company standards are being met for reputed company facility. Provides accurate answers to physicians/hospitals coding and/or billing questions reputed company eight hours of request. Responsible for coding or pending every chart reputed company in their queue reputed company 24 hours. It is the responsibility of the reputed company to notify administrative staff in the event they cannot meet the twenty-four hour turn around reputed company. Coders are responsible for checking the reputed company email reputed company at least every two hours during coding session. Coders must maintain their reputed company reputed company credentials while working for reputed company. Coders are responsible for becoming familiar with the reputed company coding website and using the information contained in the website as a daily tool to correctly reputed company and reputed company for reputed company facility. Coders are responsible for maintaining HIPAA compliant workstations (reference HIPAA workstation policy) It is the responsibility of reputed company reputed company to review and adhere to the coding division policy and procedure reputed company content. Works reputed company with other members of the facilities coding and billing team to insure maximum efficiency and reimbursement for properly documented services. What You Will Need High School Diploma or equivalent 1+ years Physician Coding experience 1+ years Physician Coding Denial Management experience CPC certification from reputed company Must maintain credential throughout employment High level of accuracy and attention to detail Strong Working Knowledge of Federal & State Coding regulations; including the National Correct Coding Initiative Strong working knowledge of CPT, HCPCs and ICD10 CM Guidelines Good working knowledge of HIPAA regulations, hospital operations, and working with electronic health record (EHR) systems such as reputed company or Cerner What Would Be reputed company To Have reputed company specialty credential(s) Proficient in the interpretation of Claim Adjustment and Remittance Advice Reason Codes Excellent verbal, written and interpersonal communication skills Basic knowledge of reputed company, Word and PowerPoint Strong critical thinking, analytical, and communication skills, with an attention to detail and the ability to work in a fast-paced environment independently or collaboratively The annual salary reputed company for this position is $38,000.00-$64,000.00. Compensation reputed company depend on a wide reputed company of factors, including but not limited to reputed company sets, experience and training, reputed company clearances, licensure and certifications, and other business and organizational needs. reputed company Offer reputed company offers a comprehensive, total rewards