VIVA

VIVA United States
remote in any state except, NY, CA, HI or AK BASIC FUNCTION This position is responsible for the accurate coding of claims by providers. Under supervision, this position is responsible for researching and analyzing the itemized bills and/or medical records for facility and inpatient claims validating the coding. This position audits itemized bills and/or medical records to ensure compliance with the organization's coding procedures and standards according to the CMS Coding Guidelines and Official ICD10 Coding Guidelines and recommends coding corrections. JOB REQUIREMENTS Associate Degree OR 2 years of experience working in the health insurance industry; 2 years medical coding through medical record abstraction; National coding certification from AAPC or AHIMA to include one or more of the following : Certified Professional Coder (CPC), Certified Coding Specialist Physician (CCS P), Registered Health Information Administrator (RHIA), or Registered Health Information...

VIVA Mason, OH
Remote Monday and Friday; In office Tuesday, Wednesday, Thursday Medical Biller GENERAL FUNCTION The Medical Claims Biller is responsible for monitoring insurance carrier adjudication of TeamVision medical claims for one or more doctor practices. Utilize a practice EHR system and clearing house to review and submit claims to multiple medical insurance carriers Review open/unpaid claim balances and take required action. MAJOR DUTIES & RESPONSIBILITIES Review medical claims and transmit to the insurance carrier using the practice electronic health records (EHR) system and clearing house. Monitor rejected claim reports and adjust claims for resubmission to the insurance carrier. Download insurance carrier explanation of payments (EOPs) to post claim payments and denials in the EHR system. Determine if denied claims can be corrected and re-submitted to the carrier. Review aging reports to research open balances and resubmit within insurance carrier filing limits....