RCS - CPT Coding Denial Expert

IU Health • Indianapolis, IN

4d • Remote

About The Position

This position exists to provide accurate and timely clinical data for billing
and optimal reimbursement, quality assessment, comparative databases, physician
profiling, and administrative purposes. This position is responsible for, but
not limited to, reviewing and resolving pre-bill coding related edits as well as
coding related and non-covered service claim denials. Utilizing coding
guidelines, payer portals and policies for optimal reimbursement. Processing
charge corrections, write offs and patient balance transfers. Meeting
established productivity and quality goals.

Context and purpose of role:

• Position will help address the high volume of denials that are needed to be
worked

Requirements

• AAPC or AHIMA coding certification and membership
• Requires High School Diploma or equivalent. RHIA, RHIT, CCS, CCS-P, COC, or CPC credential required. Acceptable credentials or experience may vary depending on type of role (physician coding, facility coding, pre-bill coding edits).
• Requires ability to read, understand and interpret medical records and other treatment documentation.
• Requires a high level of interpersonal, problem solving, and analytic skills.
• Requires the ability to establish and maintain collaborative working relationships with others.
• Requires effective written and verbal communication skills.
• Requires strong attention to detail, problem solving and critical thinking skills.
• Requires ability to work with and maintain confidential information.

Responsibilities

• Reviewing and resolving pre-bill coding related edits
• Resolving coding related and non-covered service claim denials
• Utilizing coding guidelines, payer portals and policies for optimal reimbursement
• Processing charge corrections, write offs and patient balance transfers
• Meeting established productivity and quality goals

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees