Alliance Medical Center
Healdsburg, CA
Description
Summary:
Reviews patient medical charts and documents to translate diagnoses, procedures, and services into universal codes for billing, insurance reimbursement, and data tracking. Core responsibilities include analyzing patient records, assigning the correct codes according to medical coding systems such as CPT and ICD-10, communicating with physicians to clarify documentation, and ensuring compliance with coding guidelines to prevent claim denials. This role is responsible for processing claims in a timely manner and managing assigned work queues to adhere to health center and Ochin EPIC best practices.
This position is responsible for recovering costs for medical care by billing patients, insurers, third-party payers, or various medical aid programs. Also, may perform complex technical accounting assignments generally related to medical billing. This position will navigate complex PPS/APM payment models while maintaining compliance with state and federal healthcare...