Washington University in St. Louis

  • Saint Louis, MO, United States
Washington University in St. Louis
Washington University in St. Louis St. Louis, MO, USA
Scheduled Hours 40 Position Summary Position reviews medical record documentation to determine appropriate billing codes and necessary documentation. Performs advanced coding and appeal activities; investigates payer issues; responsible for timely filing of appeals to insurance companies; completes charge corrections. Job Description Primary Duties & Responsibilities: Reviews the documentation in the record to identify all pertinent facts for appealing the claims denied by third-party payers. Creates appropriate letters to substantiate the validity of claims. Meets with physicians to review documentation, resolve coding, and secure signature of unsigned dates of service, tagging files for follow-up. Investigate and problem-solve reimbursement issues in collaboration with other coding staff and faculty. Works directly with compliance or physicians and other clinical staff as needed to provide documentation feedback and to develop appeals....