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Ensures the financial integrity of the UF Health and assigned department(s) by ensuring continuous quality improvement of physician coding and team billing practices. Review of and recommendations for ICD-10/CPT coding to ensure compliance with institutional compliance policies for coding and claim submission, as well as payer guidelines. This includes high-level data analysis, detailed research of complex denials, reporting for trended claim issues, reading and interpreting Managed Care payer contracts, and reviewing reimbursement variance issues. Compiles detailed appeals containing documentation to substantiate effective reimbursement, including complex coding appeal language, substantial medical documentation and literature, and referencing specific payer guidelines supporting services billed.
Minimum Education and Experience Requirements:
Shift hours: 8 a.m. - 5 p.m., Monday-Friday
Full Time
$44k-58k (estimate)
04/25/2024
06/24/2024