Denials And Appeals Coder
2 weeks ago
Join a team of dynamic, results oriented professionals
Named among "The World's Most Admired Companies" by Fortune Magazine
Named among "America's 100 Most Trustworthy Companies" by Forbes magazine
Named among "Great Places to Work" by Becker's Hospital Review
~ Career Growth Opportunities
~ Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
~401K program (Discretionary matching funds available)
~ Employee Assistance Program
~ Referral Program
~ Dental plans & Vision plans
~ GENEROUS Personal time off
~ Eight Paid Holidays per year
~ Quarterly incentive plans
~ Employee of the month awards with monetary gift and parking space
~ Training Programs
~ Wellness programs
~ Flexible work schedule
JOB DESCRIPTION OVERVIEW:
The Coding ETM Representative is responsible for reviewing rejections according to the rejection posted. And to verify coding following TeamHealth's coding criteria.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Maintain QA standards of 5% or below.
Maintain required set production for ETM and Letters
Work ETM daily invoices to maintain view age at required department standard
Work Claim and TES Edits daily
Report Coding errors
Work diagnosis
Work various reports as requested
Perform production coding as needed
Report any payer problem to ETM Senior or Supervisor.
Works with other department to resolve Coding Rejections
Assist the Supervisor and Educational Manager with any duties that need to be completed
QUALIFICATIONS / EXPERIENCE:
High school diploma or equivalent required. College course work preferred in a health care related field. Additional training in coding and medical documentation required.
Extensive knowledge of medical terminology, regulatory requirements and physician billing.
Record of passing Level 2 QA audits.
Proficiency in ICD-10 coding and CPT procedural coding.
CPC, RHIT or CCS-P certification preferred.
Minimum two (2) years medical coding experience.
Excellent organizational, analytical and communication skills.
Maintain confidentiality at all times.
PHYSICAL / ENVIRONMENTAL DEMANDS:
Job performed in a semi-quiet setting
Prolonged sitting
Occasional lifting or carrying
This position may require manual dexterity and/or frequent use of the computer, telephone, 10-key calculator, office machines (copier, scanner, fax) and/or the ability to perform repetitive motions and/or meet production standards to comply with the essential functions. Also, may require physical and/or mental stamina to work additional hours beyond a regular schedule and/or more than five days per week.
DISCLAIMER:
Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position. All employees must be able to work with others beyond giving and receiving instructions. This includes getting along with co-workers, peers and management without exhibiting behavior extremes. Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor. Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.
-
Certified Coder
2 weeks ago
Louisville, Kentucky, United States UofL Health Full timeOverview: WE ARE HIRING! Location: 100% Remote About Us UofL Physicians is one of the largest, multi-specialty physician practices in the Kentuckiana region. With over 700 providers, 200 practice locations and 78 specialties, UofL Physicians’ academic and community physicians care for all ages and stages of life, from pediatrics to geriatrics with...
-
Appeals Representative
6 days ago
Louisville, TN, United States TeamHealth Full timeJoin a team of dynamic, results oriented professionals! Named among “The World’s Most Admired Companies" by Fortune MagazineNamed among "America's 100 Most Trustworthy Companies" by Forbes magazineNamed among “Great Places to Work" by Becker’s Hospital Review Career Growth Opportunities Benefit Eligibility (Medical/Dental/Vision/Life) the first of...
-
Medical Billing Specialist
1 week ago
Louisville, Kentucky, United States UofL Health Full timeOverview: WE ARE HIRING ACCOUNTS RECEIVABLE REPRESENTATIVES I and II AT UOFL HEALTH PHYSICIANS GROUP! Location:300 E. Market St., Louisville, KY 40202 About Us UofL Physicians is one of the largest, multi-specialty physician practices in the Kentuckiana region. With over 700 providers, 200 practice locations and 78 specialties, UofL Physicians’...
-
Accounts Receivable Representative II
2 weeks ago
Louisville, Kentucky, United States UofL Health Full timeOverview: WE ARE HIRING! Location:300 E. Market St., Louisville, KY 40202 About Us UofL Physicians is one of the largest, multi-specialty physician practices in the Kentuckiana region. With over 700 providers, 200 practice locations and 78 specialties, UofL Physicians’ academic and community physicians care for all ages and stages of life, from...
-
Cross Coverage Representative
2 weeks ago
Louisville, United States TeamHealth Full timeJoin a team of dynamic, results oriented professionals! Named among "The World's Most Admired Companies" by Fortune Magazine Named among "America's 100 Most Trustworthy Companies" by Forbes magazine Named among "Great Places to Work" by Becker's Hospital Review Career Growth Opportunities Benefit Eligibility (Medical/Dental/Vision/Life) the first...
-
Accounts Receivable Representative II
6 days ago
Louisville, United States UofL Health Full timeWE ARE HIRING! Location:300 E. Market St., Louisville, KY 40202 About Us UofL Physicians is one of the largest, multi-specialty physician practices in the Kentuckiana region. With over 700 providers, 200 practice locations and 78 specialties, UofL Physicians’ academic and community physicians care for all ages and stages of life, from pediatrics to...
-
Counselor
1 week ago
Louisville, United States ADDICTION AND MENTAL Full timeCornerstone of Recovery is committed to helping patients achieve treatment success as one of the most respected drug and alcohol treatment centers in the nation, its what we provide to our patients, and it permeates everything we do. Our mission for more than three decades is that we remain committed to: Cornerstones vision is to be a national leader...
-
Louisville, United States TeamHealth Full timeThe TeamHealth Anesthesia Billing Center has an immediate opening for an Accounts Receivable Representative! This position offers remote work following on-site training at our facility in Louisville, TN! TeamHealth is named among the “150 Great Places to Work in Healthcare” by Becker’s Hospital Review and has ranked three years running as “The...
-
Patient Account Representative
3 weeks ago
Louisville, United States Gastroenterology of the Rockies Full timeJob DescriptionJob DescriptionStatus: Non-ExemptPay Range: $20.00 - $22.00Type: Full-timeLocation: Louisville, CO About Us: Medamorph is a Management Services Organization providing services to Gastroenterology of the Rockies and its affiliates including joint-ventured endoscopy centers with Boulder Community Health and Intermountain Health. We are currently...
-
Patient Account Representative
6 days ago
Louisville, United States Gastroenterology of the Rockies Full timeJob DescriptionJob DescriptionStatus: Non-ExemptPay Range: $21.00 - $24.00Type: Full-timeLocation: Louisville, CO About Us: Medamorph is a Management Services Organization providing services to Gastroenterology of the Rockies and its affiliates including joint-ventured endoscopy centers with Boulder Community Health and Intermountain Health. We are currently...
-
AR Specialist
1 week ago
Louisville, United States Ellis and Badenhausen Ortho Full timeMain Function Reports directly to the Billing Manager and responsible for submitting claims and statements to third-party payers and guarantors. Maintains correspondence regarding billing questions and fields calls regarding billing. Works on reducing company AR. Collects on insurance and patient balances. Responsible for understanding and verifying coding...
-
AR Specialist
4 weeks ago
Louisville, United States Ellis and Badenhausen Ortho Full timeJob DescriptionJob DescriptionMain FunctionReports directly to the Billing Manager and responsible for submitting claims and statements to third-party payers and guarantors. Maintains correspondence regarding billing questions and fields calls regarding billing. Works on reducing company AR. Collects on insurance and patient balances. Responsible for...
-
AR Specialist
2 days ago
Louisville, United States Ellis and Badenhausen Ortho Full timeMain Function Reports directly to the Billing Manager and responsible for submitting claims and statements to third-party payers and guarantors. Maintains correspondence regarding billing questions and fields calls regarding billing. Works on reducing company AR. Collects on insurance and patient balances. Responsible for understanding and verifying coding...
-
Counselor
3 weeks ago
Louisville, United States ADDICTION AND MENTAL HEALTH SERVICES, LLC Full timeJob DescriptionJob DescriptionCornerstone of Recovery is committed to helping patients achieve treatment success as one of the most respected drug and alcohol treatment centers in the nation, its what we provide to our patients, and it permeates everything we do. Our mission for more than three decades is that we remain committed to: Cornerstones vision is...
