Develops curriculum and materials for documentation training programs. Assesses coder comprehension. Conducts quality assurance reviews. Reviews, researches, and responds to coding questions. Resolves coding questions from patient inquiries or denied services from insurance companies. Performs focused quality assurance reviews on coded services. Communicates updates on co

Utilizes technical coding expertise to reviews the medical record thoroughly, utilizing all available documentation abstract and code physician professional services and diagnosis codes (including anesthesia encounters, operative room and surgical procedural services, invasive procedures and/or drug infusion encounters). Additionally, may include coding for Evaluation and

Utilizes technical coding expertise to reviews the medical record thoroughly, utilizing all available documentation abstract and code physician professional services and diagnosis codes (including anesthesia encounters, operative room and surgical procedural services, invasive procedures and/or drug infusion encounters). Additionally, may include coding for Evaluation and

Utilizes technical coding expertise to reviews the medical record thoroughly, utilizing all available documentation abstract and code physician professional services and diagnosis codes (including anesthesia encounters, operative room and surgical procedural services, invasive procedures and/or drug infusion encounters). Additionally, may include coding for Evaluation and

Participates in educational and informational activities as required. Required For All Jobs Performs other duties as assigned. Complies with all policies and standards. For specific duties and responsibilities, refer to documentation provided by the department during orientation. Must abide by all requirements to safely and securely maintain Protected Health Information (

Utilizes technical coding expertise to reviews the medical record thoroughly, utilizing all available documentation abstract and code physician professional services and diagnosis codes (including anesthesia encounters, operative room and surgical procedural services, invasive procedures and/or drug infusion encounters). Additionally, may include coding for Evaluation and

Has deep understanding of disease process, A&P and pharmacology. Acts as a key collaborator with Providers and Clinical areas to ensure the medical record accurately reflects the patients service. This position trains physicians and other staff regarding documentation, billing and coding, and performs various administrative and clerical duties to support the roles core fu

Claims/Customer Care Specialist I TPA Processes routine healthcare claims while providing customer service via inbound/outbound phone calls and written communications. Assists with projects as directed by management. Performs other duties as assigned. Claims/Customer Care Specialist II TPA Processes routine to moderately complex healthcare claims and/or adjustments while

Responsible for assuring coding is being performed accurately. Is responsible for assessing coding accuracy and completeness of inpatient and outpatient medical record documentation by conducting random and focused coding audits; documenting, preparation and timely presentation of audit results. Educates individuals on the rules/regulations associated with coding. Functio

Utilizes technical coding expertise to assign appropriate ICD 10 CM and ICD 10 PCS codes to acute rehab cases and inpatient OB and Newborn discharges. Complexity is measured by a Case Mix Index (CMI) and IP Coder Associate's typically see average CMI's of 0.5759 with the OB and Newborn population. This index score demonstrates lower patient complexity and acuity. Utilizes

Utilizes technical coding expertise to assign appropriate ICD 10 CM and ICD 10 PCS codes to complex inpatient visit types. Complexity is measured by a Case Mix Index (CMI) and Coder II's typically see average CMI's of 2.2609. This index score demonstrates higher patient complexity and acuity. Utilizes expertise in clinical disease process and documentation, to assign Pres

OF POSITION Coordinates the flow of patients utilizing excellent customer service. Cleans and services assigned areas in a way that maintains department flow and provides a clean, attractive, safe environment with minimal interference to others. Orders and receives assigned supplies. Performs clerical, receptionist, and related duties on the unit, under the direction of a

Under the direction of the Billing Supervisor the Sr. Physician Coding Specialist monitors Coder Productivity, Train, Audit, Code Surgical Encounters, and be a Resource for Physicians and other Department within the system. Identifies trends with insurance related issues and reports findings to the Team. Billing experience in a multi specialty group is a plus.

Membership Billing Representative I TPA Processes routine and/or less complex member enrollment transactions such as address, name, etc. Prepares routine product invoices and reports. Reviews/updates open enrollment changes such as Coordination of Benefits (COB), dependent updates, etc. Reviews and approves enrollment information submitted by customers via the secured web