Primary Health Solutions
North Providence, RI
We meet people where they are and partner with them on their journey towards wellness.
Our Vision The destination for servant leaders to provide comprehensive and exceptional care.
Our Values R – Respect
S – Stewardship
Billing and Coding Specialist Summary Responsible for entering/auditing/coding patient services to ensure encounters transfer properly for submission to insurance payers. Analyze coding related claim issues, process gaps and denials to trend feedback for providers by location and/or specialty.
A Day in the Life Review provider documentation (including hospital procedures) and translate services into correct codes. Append payer specific modifiers and claim criteria when applicable.
Review incomplete encounters and code based on available documentation in EHR systems.
Know and understand several different coding systems, including ICD-10-CM, ICD-10-PCS, CPT, Level 1 HCPCS and Level 2 HCPCS.
Use computers / billing software to create and bill encounters that...