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Billing Certified Coding Specialist
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- Works directly with the Billing Supervisor and Coding Manager to resolve complex issues and denials through independent research and assigned projects.
- Provides review and/or coding of any coding related denied professional services for appropriate use of CPT, ICD-9, ICD-10, HCPCS, Modifier usage/linkage.
- Analyzes work queues and other system reports and identifies denial/non-payment trends and reports them to the Billing Supervisor.
- Reviews and corrects all claims/charge denials and edits that are communicated via Epic, Explanation of Benefits (EOB), direct correspondence from the insurance carrier or others and uses information learned to educate PFS and office staff to reduce future denials and edits of the same nature.
- Assists the Billing Supervisor with the resolution of complex claims issues, denials and appeals.
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