2 appeal resolution coder jobs found

About the Role Nevada Pediatric Specialists is hiring a Medical Biller to manage claims, follow-up, and patient account resolution in a high-volume pediatric practice . This role is responsible for working accounts receivable, resolving denials, and ensuring accurate claim processing in alignment with internal workflows and payer requirements. Key Responsibilities Work A/R follow-up (denials, rejections, unpaid claims) Review and interpret EOBs/ERAs for accurate posting and next steps Submit and track appeals and corrected claims Resolve COB issues and insurance discrepancies Communicate with insurance companies and patients regarding claims Support patient balance resolution and payment plan processes for collection management Handle billing phone calls and provide professional patient support Role requires strong understanding of EOBs, payer responses, and accurate follow-up actions to prevent missed revenue and errors Requirements 1+ year medical billing...

Job Title: Coding Auditor Location: Reno, NV Position Overview: The Coding Auditor is tasked with coordinating the auditing schedules of the coding staff to ensure quality and proficiency, thus ensuring compliance with coding/auditing standards and documentation quality. The primary challenge is to guarantee accurate reimbursement is achieved through adherence to high-quality coding standards. This role involves auditing information coded from provider documentation and patient records within designated time frames, facilitating the billing process, ensuring accurate reimbursement, and promoting compliance. The incumbent must document and report all findings to Coding Leadership. Key Responsibilities: Coordinate coding staff auditing schedules to ensure quality and proficiency. Audit information coded from provider documentation and patient records within designated time frames. Document and report all auditing findings to Coding Leadership. Address appeals...