Betances Health Center
New York, NY, USA
Description PRINCIPAL DUTIES AND RESPONSIBILITIES: Perform billing/coding/collections duties, including review and verification of patient account information against insurance program specifications. Evaluates medical record documentation and coding to optimize reimbursement by ensuring that diagnostic and procedural codes, in addition to other documentation, accurately reflect and support the outpatient visit. Interprets medical information such as diseases or symptoms in addition to diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-10-CM and CPT codes. Reviews Medicaid and Medicare reimbursement claims for completeness and accuracy before submission to minimize claim denials. Ensures that all data complies with legal standards and guidelines. Assist in the posting of Medicare, GHI, and all other INS payments as needed. Provides technical guidance to the clinical providers and other departmental staff in identifying and...