University Hospitals
Shaker Heights, OH, USA
A Brief Overview Under the direction of the Revenue Cycle Supervisor - Coding the Physician Coding Specialist II monitors and analyzes unresolved third party accounts for multi-specialty group practices. This position initiates contact and negotiates appropriate resolutions to ensure timely payments of outstanding claims. 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 edits and denials. May code ICD-10 from written documentation. May abstract...