Neighborhood Health Plan of RI
Smithfield, RI, USA
Job Details Job Location Smithfield, RI - Smithfield, RI Position Type Full Time Education Level Undergraduate Certificate Travel Percentage Occasional Job Shift Daytime Job Category Some Experience Description Position Overview
The Claims Reconsideration Coder (CRC) is a multidisciplinary Certified Professional Coder accredited through the American Academy of Professional Coders or Certified Coding Specialist accredited through American Health Information Management Association. This role will evaluate medical record documentation by abstracting the pertinent information that supports the services billed to allow a determination for payment or denial on claim submissions that meet the criteria for a medical note review. Relies on sound review methods applied to the content of the medical notes, benefits, payment policies, clinical medical policies, NCCI edits, CMS, coding manuals (CPT, HCPC, ICD-10), and other industry supported resources required to...