Med-Metrix

Job Title The Coder Job Purpose The Coder utilizes coding skills to work invoice reviews and provide expert advice to billing staff. Duties and Responsibilities Conduct audits and coding reviews to ensure all documentation is accurate and precise including our co source partners Assign and sequence all PCS and ICD-10 codes for services rendered when required Comply with all Medicare policy requirements including coding initiatives and guidelines Work independently from assigned work queues Maintain confidentiality at all times Maintain a professional attitude Other duties as assigned by the management team Use, protect and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards Understand and comply with Information Security and HIPAA policies and procedures at all times Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties Qualifications CIC certification...

Job Title Denials Management Coder Job Purpose Responsible for reviewing denied claims for coding related errors and determining appropriate action. The Denials Management Coder will be responsible for corrections to individual accounts with include CPT and/or ICD-10 Corrections, applications of correct modifiers, etc. The coder is also responsible for ensuring that government and local guidelines are followed. Payers include but not limited to Medicare, Medicaid, Blue Cross, and commercial health insurance carriers. Duties and Responsibilities Read and interpret insurance carrier EOBs. Review medical reports, verify coding. Resolve coding related denial. Make any necessary coding corrections. Generate replacement claims (electronic and paper) Research carrier specific coding policies. Review and interpret carrier NCD and LCD policies. Communicate any coding denial trends to coding manager. Qualifications CPC/COC certification AAPC or CCS certification from AHIMA...

Supervisor, Accounts Receivable Services The Supervisor, Accounts Receivable Services is responsible for monitoring and overseeing the daily activities of their AR team including inventory management and staff training. Duties and Responsibilities Monitors and coordinates follow up activities to ensure work assignments are equitable, and accounts receive timely follow up and collection goals are met Perform weekly QA review of their team's work Weekly review of staff productivity reports Provide weekly staff productivity updates to the AR Analyst Provide assistance/resolution to external and internal client inquiries Prepares and maintains reports or logs as required Maintain a current working knowledge of all healthcare related issues and regulations Identifies issues and works with the manager and director to get them resolved Provide training, monitoring and feedback as well as disciplinary action as necessary Maintain a professional attitude Maintain confidentiality at all...

Job Title Denials Management Coder Job Purpose Responsible for reviewing denied claims for coding related errors and determining appropriate action. The Denials Management Coder will be responsible for corrections to individual accounts with include CPT and/or ICD-10 Corrections, applications of correct modifiers, etc. The coder is also responsible for ensuring that government and local guidelines are followed. Payers include but not limited to Medicare, Medicaid, Blue Cross, and commercial health insurance carriers. Duties and Responsibilities Read and interpret insurance carrier EOBs. Review medical reports, verify coding. Resolve coding related denial. Make any necessary coding corrections. Generate replacement claims (electronic and paper) Research carrier specific coding policies. Review and interpret carrier NCD and LCD policies. Communicate any coding denial trends to coding manager. Qualifications CPC/COC certification AAPC or CCS...

Job Purpose The Supervisor, Accounts Receivable Services is responsible for monitoring and overseeing the daily activities of their AR team including inventory management and staff training. Duties and Responsibilities Monitors and coordinates follow up activities to ensure work assignments are equitable, and accounts receive timely follow up and collection goals are met Perform weekly QA review of their team’s work Weekly review of staff productivity reports Provide weekly staff productivity updates to the AR Analyst Provide assistance/resolution to external and internal client inquiries Prepares and maintains reports or logs as required Maintain a current working knowledge of all healthcare related issues and regulations Identifies issues and works with the manager and director to get them resolved Provide training, monitoring and feedback as well as disciplinary action as necessary Maintain a professional attitude...

Job Title The Coder Job Purpose The Coder utilizes coding skills to work invoice reviews and provide expert advice to billing staff. Duties and Responsibilities Conduct audits and coding reviews to ensure all documentation is accurate and precise including our co source partners Assign and sequence all CPT and ICD-10 codes for services rendered when required Work with billing staff and system WQ's to ensure proper payment of claims Comply with all Medicare policy requirements including coding initiatives and guidelines Work independently from assigned work queues Maintain confidentiality at all times Maintain a professional attitude Other duties as assigned by the management team Use, protect and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards Understand and comply with Information Security and HIPAA policies and procedures at all times Limit viewing...

Job Title The Coder Job Purpose The Coder utilizes coding skills to work invoice reviews and provide expert advice to billing staff. Duties and Responsibilities Conduct audits and coding reviews to ensure all documentation is accurate and precise including our co source partners Assign and sequence all PCS and ICD-10 codes for services rendered when required Comply with all Medicare policy requirements including coding initiatives and guidelines Work independently from assigned work queues Maintain confidentiality at all times Maintain a professional attitude Other duties as assigned by the management team Use, protect and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards Understand and comply with Information Security and HIPAA policies and procedures at all times Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties...