Company

Sunrise Health Care, PcSee more

addressAddressColorado Springs, CO
type Form of workFull-Time
CategoryHealthcare

Job description

Job Description

-Review and analyze medical records to ensure accurate coding and billing
 - Assign appropriate ICD-10, CPT, ARG, ASA, and other relevant codes to medical procedures and diagnoses for a maximum outcomes within Medical best practices.
 - Verify patient insurance coverage and submit claims to insurance companies
 - Follow up on unpaid or denied claims and resolve any billing discrepancies
 - Maintain confidentiality of patient information and adhere to HIPAA regulations
 - Collaborate with healthcare providers and other staff members to ensure accurate documentation and coding
 - Stay updated on changes in medical coding guidelines and regulations
-Review and analyze medical records to ensure accurate coding and billing
- Proficient in medical billing software and electronic health record systems
 - Strong knowledge of ICD-10 minimum 3 years
 - Attention to detail and accuracy in coding and billing processes
 - Excellent communication skills to interact with patients, insurance companies, and healthcare providers
 - Ability to work independently and prioritize tasks effectively
 - Knowledge of ICD-9 coding is a plus.
-Knowledge of Epic system EHR
  • Coding Services: Properly code medical services, procedures, diagnoses, and treatments.
  • Invoicing and Claims: Prepare and send invoices or claims to insurance companies for payment.
  • Claim Corrections: Correct rejected claims to ensure smooth processing.
  • Payment Tracking: Monitor payments and follow up on outstanding balances.
  • Liaison: Act as a bridge between insurers, medical offices, and patients.
  • Confidentiality: Handle sensitive information while adhering to HIPAA laws and other medical policies.
  • Audits: Conduct audits to maintain accuracy and compliance.
  • Maximizing Reimbursement: Strive to achieve maximum reimbursement for services provided.
  • Making sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations
  • Complying with medical coding guidelines and policies
  • Receiving and reviewing patients’ charts and documents for verification and accuracy
  • Following up and clarifying any information that is not clear to other staff members
  • Collecting information made by the Physician from different sources to prepare monthly reports
  • Implementing strategic procedures and choosing strategies and evaluation methods that provide correct outcomes
  • Certified Medical Coder and Biller experience requirements
Refer code: 8684788. Sunrise Health Care, Pc - The previous day - 2024-03-22 17:18

Sunrise Health Care, Pc

Colorado Springs, CO
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