1 jobs found in Berwyn

Job Description Job Description Located in Berwyn, IL, Suburban Surgical is seeking a Medical Coder that is responsible for obtaining prior authorization for all procedural orders by successfully completing the authorization process with all commercial and HMO payers. RESPONSIBILITIES Review chart documentation to ensure patient meets medical policy guidelines Prioritize incoming authorization requests according to urgency Obtain authorization via payer website or by phone and follow up regularly on pending cases Maintain individual payer file to include up to date requirements needed to successfully obtain authorizations Initiate appeals for denied authorizations Respond to clinic questions regarding payer medical policy guidelines Confirm accuracy of CPT procedure and ICD-10 diagnosis codes order Contact patients to discuss authorization status and collect deductibles KNOWLEDGE, SKILLS, AND ABILITIES Knowledge of procedure authorization and its direct impact...