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Billing And Coding Specialist
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Full-time
- The Billing and Coding Specialist is responsible for supporting the department in maximizing revenue and cash flow by validating ICD and CPT codes, performing charge entries, following up on all outstanding A/R, including resolution of denials, and generating effective written appeals to carriers to maximize reimbursement on incorrectly denied claims.
- The Billing and Coding Specialist handles all correspondence related to an insurance or patient account, contacting carriers, patients, and other facilities as needed to get maximum payment on accounts and identify issues or changes.
- They utilize training and knowledge to interpret, understand, and apply appropriate coding, apply complex Medicare guidelines to reduce claim denials, and consistently practice established Peak standards and expectations to achieve superior client satisfaction and retention.
- Perform accurate analysis of medical records to obtain necessary information for the appropriate sequencing and assignment of ICD-10, CPT, and HCPS codes
- Ensure timely follow-up of unpaid claims, resolution of denials, and other payer-related correspondence through appropriate research and appeal processes
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