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CRMG Billing Services Lead
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- Evaluates payor remits and denials for accuracy according to individual contracts and pursue reimbursement on accounts with general understanding of CPT, HCPCS, ICD-10 and revenue codes; composes and submits appeals to third party payers, appealing to the highest level to resolve account denial for proper reimbursement.
- Knowledge of federal and state billing and coding regulations
- Ability to analyze payor denials and determine where there is a need for performance improvement.
- Knowledge of various computer programs, including billing system, document imaging system, and Microsoft office products, especially Excel and Word
- o OR, Registered Health Information Technician (RHIT) or Certified Medical Billing and Coding through AAPC and one (1) or more years of healthcare billing experience
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