University Hospitals
Shaker Heights, OH, USA
Job Description – Pro Fee Denials/Follow‑Up Coder (Remote – 25000CTF)
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
Analyze, on a daily basis and in accordance with established time frames, outstanding insurance accounts and initiate appropriate and effective telephone and/or written follow‑up on the identified accounts.
Communicate with payors and other internal departments as required to obtain critical information that impacts the resolution of both current and future claims.
Research and respond to all telephone inquiries from the customer service department in a prompt, professional manner meeting departmental guidelines.
Review and correct coding edits and denials.
May code...