Responsible for researching and analyzing coding related pre-bill scrubber edits , denials, and requests for review from Patient Financial services , and ensuring proper coding in compliance with government and third party payer regulations and CPT-4 , ICD, and HCPCs guidelines. Responsible to appeal denials and follow up with payers until the denied claims are paid.# Collaborates with multiple departments and participates in review of Recovery Audit Contractor and other government audits and appeals. Provides reports to Coding Resources Advisors for trending and research and clarification of coding (ICD, CPT-4/HCPCS) and abstracting of diseases and surgical procedures.# Provides education to the Coding Resources teams based on findings .Ensures adherence to all applicable Billings Clinic and regulatory compliance policies and procedures governing medical records coding, insurance billing and reimbursement methodologies. # MINIMUM QUALIFICATIONS ######### High school graduate or equivalent
, medical terminology and coding
(RHIT) or Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or other AHIMA or AAPC recognized credentials required.
-specialty clinic and/or hospital working with ICD-CM, CPT-4/HCPCS coding
-CM, CPT-4/HCPCS coding, fees and reimbursement
.# Intermediate knowledge of Microsoft Office products, including Word, Excel and PowerPoint. #