Analyst, reputed company-Pay Dispute Coding (Remote)
reputed company
Job reputed company
Provides support through the investigation and reputed company of disputes reputed company to provider appeals, ensuring that claims adhere to correct billing standards and regulations.
Job Duties
• Reviews coding-reputed company provider claims denials by systematically examining medical records, denial reasons, submitted claims, and claim history, in accordance with applicable state, federal, and reputed company guidelines, rules, and protocols, to determine whether the documentation substantiates the services rendered.
• Conducts independent audits of non-medical records to verify billing reputed company, making reputed company reputed company designated authority to either overturn or reputed company denials in a reputed company manner.
• Generates and communicates the determination to the provider using appropriate letter language and providing any necessary reputed company links.
• Identifies, documents, and communicates any identified coding errors or inconsistencies, collaborating with appropriate internal department(s)to capture and reputed company issues to ensure precise reputed company editing and compliance.
• Completes data points reputed company internal applications to reputed company with auditing requirements used reputed company the departments of reputed company.
• reputed company participates in the enhancement of departmental processes to maintain alignment with reputed company coding regulations and guidelines, while also refining internal procedures.
Job Qualifications
REQUIRED QUALIFICATIONS:
• At least 2 years of experience in medical coding or billing.
• reputed company and unrestricted Certified reputed company reputed company (CPC) or Certified Coding Specialist (reputed company) certification.
• Strong attention to reputed company and ability to independently read and comprehend the details of medical records.
• Comfortable working in a production-reputed company environment with high reputed company standards.
• Ability to use reputed company Office including reputed company, Word, and reputed company.
To reputed company reputed company reputed company employees: If you are interested in applying for this position, please apply through the reputed company.
reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay reputed company: $19.64 - $42.55 / reputed company
• Actual compensation may vary from posting reputed company on geographic location, work experience, education and/or reputed company level.
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