University Hospitals
Shaker Heights, OH, USA
A Brief Overview
Under the direction of the Billing Supervisor – the Senior Physician Coding Specialist monitors coder productivity, trains, audits, codes surgical encounters, and serves as a resource for physicians and other departments within the system. Identifies trends with insurance‑related issues and reports findings to the team.
What You Will Do
Analyzes, on a daily basis and in accordance with established time frames, the outstanding insurance accounts. Initiates appropriate and effective telephone and/or written follow-up on the identified accounts.
Communicates with payors and other internal departments as required to obtain critical information that impacts the resolution of both current and future claims.
Researches and responds to all telephone inquiries from the customer service department, in a prompt, professional manner meeting departmental guidelines.
Reviews and corrects coding rejections.
May code ICD-9 from written documentation.
May abstract CPT/HCPCS...