BBSS Beyond Blue

BBSS Beyond Blue is seeking a skilled healthcare coder to manage complex CPT/ ICD-10/ HCPCS coding, support providers and coding staff with education and resolution of difficult cases, and participate in audits and quality initiatives in Kentucky. The role emphasizes adherence to federal and payer regulations, collaboration with revenue cycle and compliance teams, and ongoing process improvements to optimize reimbursement. #J-18808-Ljbffr

Job Summary Responsible for coding complex professional billing encounters and serving as a subject matter expert for coding compliance and accuracy. Provides support to providers and coding staff through education, feedback and resolution of difficult cases. Ensures adherence to federal regulations, payer rules and organisational coding policies. Participates in audits, quality initiatives and process improvements. Responsibilities Assigns CPT, ICD-10 and HCPS codes to PB services with high-level of complexity. Maintains consistent achievement of departmental productivity and quality standards. Serves as resource for resolving escalated coding issues and complex documentation questions. Reviews and analyzes coding audit findings. Educates providers and staff on documentation requirements and coding compliance. Monitors coding productivity, accuracy and reimbursement trends. Collaborates with revenue cycle and compliance teams to reduce denials and rejections. Develops training...