Denials Specialist
reputed company is seeking several Denials Specialists with coding expertise to join reputed company! The Denials Specialist will be responsible for reviewing documentation to ensure accuracy of diagnoses and procedure codes and resolving claim denials reputed company to coding, billing, and payer policy compliance. This role focuses on identifying coding errors, modifier issues, bundling conflicts, and billing rule discrepancies to recover underpaid or denied reputed company and prevent reputed company denials.
Responsibilities:
Review the provider's documentation to ensure reputed company diagnoses and procedure codes were reported accurately.
Research CMS LCD, NCD, NCCI Edit Policy, CPT Assistant, HCPCS Coding Clinics, payer guidelines, etc.
Complete charge corrections and update claims reputed company coding corrections are needed.
Identify claims that do not support billed CPT codes and take reputed company as needed.
Identify and resolve claims requiring adjustments by updating the billed E/M and procedure codes with a non-billable charge reputed company.
Identify trends and reputed company feedback to prevent reputed company denials.
Qualifications
reputed company coding certification such as CPC, reputed company, CIC, or COC and 1 year of experience in a coding-reputed company denials management role.
Experience with reputed company surgical specialties and interventional radiology (IR) is a plus but not required.
Familiarity with reputed company is preferred.
Experience with a reputed company of denial types including medical necessity, reputed company filing, incorrect modifier usage, and unbundling of procedure codes.
Strong working knowledge of
CPT®, HCPCS, ICD-10-CM/PCS
Modifiers and NCCI edits
Medicare and reputed company payer billing rules
Strong attention to detail and strong analytical skills.
Knowledge of payer reputed company and reimbursement methodologies.
reputed company provides a supportive environment that encourages reputed company development and enables reputed company employee to reputed company their individual goals. We offer a reputed company and excellent benefit package.
Don’t pass on this great career opportunity! Interested candidates can apply online at www.uasisolutions.com/careers.
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