Full Time
All Spine Care
Clearwater, FL, USA
Description:
We are looking for a Certified Billing and Coding Specialist to review and enter claims to ensure the assigned procedural and diagnosis codes meet required legal and standardized insurance rules for an orthopedic spine practice.
Job function:
• Validates charges and documentation to ensure billing codes are accurate prior to claims submission. Seeks clarification from provider and/or clinical staff as needed.
• Applies coding (CPT, HCPCS, and ICD-10) and modifiers accurately and appropriately.
• Applies payer specific coding requirements as appropriate.
• Codes for all services performed. Services may include office visits, in-office injections, in-patient and outpatient procedures in the hospital, and procedures performed in an ambulatory surgical center.
• Assists with prior authorization coding and accounts receivable coding denial reviews.
• Adds account notes when a claim has been changed...