Suburban Surgical Associates, Ltd.

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 on the practice's...