- Drop claims for office, hospital, nutrition, pathology, biologics, imaging, pediatricians, anesthesia, and endoscopy center for accurate processing by payers.
- Review medical documentation from EMR and hospital systems for accurate coding and billing to insurance companies.
- Able to apply current billing and coding guidelines.
- Evaluate those charges provided by the physicians support the level being billed based on the documentation.
- Prepare claims with necessary fields for processing such as linking authorizations to charges, code blood work, and assign appropriate modifiers as needed.
- Provide feedback to office managers and physicians regarding clinical documentation to ensure compliance with coding guidelines and reimbursement reporting requirements.
- Manage claims for auditing purposes including placing on hold and billing once the process is complete.
- Email office managers and physicians where updates are needed to operative reports.
- Ancillary coding experience (anesthesia, pathology, imaging, etc.)
- GI Experience or any Specialty experience
- eClinical Works experience
Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.