Description

Responsible to resolve denials that are coding related which could include research and analysis of the denials. Works with ambulatory coding supervisor, coders, revenue integrity, billing staff, and customer service staff to denials are worked timely and accurately to best reflect the services that provided.

This individual uses coding and billing guidelines along with awareness of state and federal billing regulations to resolve coding related denials Work Experience One year coding or billing experience.

Requires a working knowledge of diagnostic and procedural terminology, CPT, ICD-10 and HCPC ’s coding, prospective payment systems and clinical practice / technology.

Knowledge of applicable state and federal law, rules and regulations surrounding coverage and coding guidelines. Ability to interpret payer rules, policies, procedures and guidelines.

Educational Requirements :

Associates degree required with a preference in healthcare or business related field

Required Qualifications :

1 year of coding experience

Education Qualifications :

None

One of the following required within 2 years of hire :

• AHIMA credential (RHIA (Registered Health Information Administrator), RHIT (Registered Health Information technician), CCS (Certified Coding Specialist), CPC -H (Certified Professional Coder Hospital))
• AAPC credential (CPC (Certified Professional Coder)

FTE :

Possible Remote / Hybrid Option :

Remote

Shift Rotation :

Day Rotation (United States of America)

Shift Start Time : varies

varies

Shift End Time : varies

varies

Weekends : Holidays :

Holidays : Call Obligation :

Call Obligation : Union :

Union :

Union Posting Deadline :

Last updated : 2024-04-24