2 jobs found in Monterey

Job Description Job Description KEY RESPONSIBILITIES & DUTIES: Research and resolve all types of denials efficiently and accurately, which includes but not limited to coordination of benefits (COB), insurance eligibility, coding (e.g., modifiers, diagnoses, edits), billing (e.g., NPI, POS, DOS). Research and resolve insurance and patient credits timely and accurately.  Follow insurance appeal standards or protocols, establish an appeal correspondence to petition the denial as incorrect or inappropriate and for the third-party carrier to reconsider and adjudicate the claim correctly. May inquire with assigned coder for education or letter of appeal, if outside the scope of the AR Specialist.  Document all actions and communications taken regarding each account/session/encounter in the designated fields in the practice management system (PMS). Identify and track denial trends by payer, provider, and code.  Identify billing-related issues and...

Job Description Job Description Cypress Healthcare Partners is now hiring remote candidates for the Medical Coder II position. POSITION/JOB SUMMARY: The Coder II, is a certified coder (CPC, CCS-P or Specialty Certification) who is responsible for abstracting provider services accurately into billable codes from the medical documentation in accordance to the coding ethics of American Academy of Professional Coders (AAPC), American Health Information Management Association (AHIMA) and/or National Alliance of Medical Auditing Specialists (NAMAS) and payer coverage guidelines. Furthermore, responsible for posting and reconciling charges and communicating with provider/staff of medical necessity of services, unspecified, truncated and lack of supporting diagnoses along with incomplete or missing documentation. SUPERVISORY RESPONSIBILITIES: • None. KEY RESPONSIBILITIES & DUTIES: • Responsible for abstracting provider services into billable...