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Medical Biller/coder
4 months ago
_**Specific Skills, Knowledge, Abilities Required**:_
- Strong Analytical skills, Proficient in Microsoft Windows with an emphasis on Excel.
- Ability to prioritize and coordinate workflow and attention to detail.
- Knowledge of CPT, HCPC and ICD 10 coding requirements with emphasis on modifiers and diagnosis association.
- Working knowledge of LCD’s, NCCI, and MUE edits as well as a general knowledge of Commercial, HMO, and Medicare Advantage claims, authorization, and documentation requirements.
- **Essential Responsibilities**:_
- Demonstrates compliance with the Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
- Analyze denied, underpaid, and unpaid claims. Appeal underpaid and denied claims within timely filing periods.
- Identify, track, and report on denial trends.
- Maintain an appeals database to identify and report outcomes and opportunities.
- Identify any billing and/or coding trends resulting in denials and report to the Coding manager.
- Identify any other trends resulting in denials and report to Manager.
- Attend all available coding and appeals related seminars as available.
**Job Type**: Contract
Pay: $1,000.00 per week
Schedule:
- 8 hour shift
Work setting:
- Nursing home
Work Location: In person
