Practice Resources, LLC

Practice Resources, LLC (PRL) seeks a full-time Remote Internal Medical Coding Auditor. Job Description: Review medical documentation from physicians and other healthcare providers to validate modifiers, diagnostic and procedure codes for symptoms, diseases, injuries, surgeries and treatments according to official classification systems and standards submitted by certified medical coders and coding auditors. Experience with coding/auditing multi-specialty accounts, including and not limited to Internal Medicine, Gastroenterology, Neurology, Neurosurgery, General Surgery, Orthopedics, OBGYN, Dermatology, Emergency Medicine, and Hospitalists. Internal Auditor will convey audit results to management. Management and the internal auditor will schedule audit meetings with the coder/auditor to discuss results and provide strategies to improve accuracy if necessary. Certified medical coding specialist would thoroughly understand National Correct Coding Initiative (NCCI) edits and...

Practice Resources, LLC (PRL) is seeking a remote Medical Biller. Responsibilities: Review and entry of daily charges, modifiers and services Processing and posting of payments, research and follow up on unresolved payment issues Communicate with offices through calls, e-mails and visits to review billing concerns and provide technical support/training Receive and initiate patient calls to resolve billing or payment concerns Research, review and communicate with insurance carriers regarding open accounts receivables Review HCFAs, C4s electronic edits for submission to insurance companies Review, research and initiate collection procedures Qualifications: All potential candidates must have a high school diploma or GED equivalency required, along with strong communication, organizational and computer skills. Knowledge of Medent, Xifin, NextGen and Epic preferred. One year of experience in Medical Billing preferred. Practice Resources, LLC offers a competitive salary and...