Certified Coder (Hybrid) - Physicians Billing Service

Job description

Scheduled Hours 40 Position Summary: Performs advanced coding and appeal activities; investigates payer issues; responsible for timely filing of appeals to insurance companies; handles charge corrections. Job Description: Primary Duties & Responsibilities: Responsible for appealing claims denied by third-party payers. Creates appropriate letters and compiles documentation to substantiate the validity of claims. Investigates and problem solves reimbursement issues in collaboration with other coding staff and faculty. Works directly with physicians and other clinical staff as needed to provide documentation feedback and to develop appeals. Researches payer policies and processes. Review clinical documentation in the medical record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patient's conditions and treatment. Works with coders and IBC staff with medical terminology and policy interpretation as required. Codes evaluation and management services to the appropriate CPT code level. Ensures ICD codes are linked appropriately to services provided. Responsible for charge corrections when necessary. Works assigned Epi...