Responsible for accurate review, abstraction, and assignment of ICD-10-CM, CPT, HCPCS, facility-specific charging methodologies, and applicable modifiers for Emergency Department (ED) facility encounters.
Responsibilities
Review emergency department medical records to assign accurate ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and applicable modifiers.
Accurately assign facility Evaluation and Management (E/M) levels in accordance with client-specific emergency department leveling guidelines and facility charging methodologies, including knowledge of the ACEP tool.
Analyze documentation from nursing staff, physicians, ancillary departments, and diagnostic services to ensure complete code assignment and charge capture.
Apply official coding guidelines, CMS regulations, National Correct Coding Initiative (NCCI) edits, and payer-specific requirements.
Review accounts for appropriate assignment of procedural services and injections/infusions when applicable.
Lead the collection group within the Revenue Cycle Management team, ensuring timely and accurate collections of accounts receivable and denials.
Locations (2)
Centennial, Colorado, United States
Englewood, Colorado, United States
Compensation
USD $22.00 - $30.00 / Hour
Responsibilities
Ensure daily accomplishments work towards company goals for cash collections by ensuring all AR over 60 days is accurately worked by aging teams and all denied claims are worked within 7 days of posted denial for denials team.
Assist the process of collections through AR analysis and denial resolution as well as assist with the receiving, batching, posting, balancing and archiving payments and adjustments to accounts receivable
Assure collection department complies with established company criteria for timeliness and accuracy of billing and collections
Research denials and outstanding balances and take necessary collection action to resolve in a timely manner
Lead and manage the full-service delivery operation across all three service lines: Revenue Cycle Management, Medical Software Management, and Population Health Management.
Locations (2)
Canonsburg, Pennsylvania, United States
Pittsburgh, Pennsylvania, United States
Compensation
Salary plus bonus opportunity!
Responsibilities
Lead and manage the full-service delivery operation across all three service lines
Serve as the operational authority on every dimension of successful private practice management
Oversee the physician practice conversion program
Ensure every client practice receives accurate, timely, compliant service delivery
Direct oversight of the RCM team and all billing operations
Requirements
MBA
MHA
Nice to have: Professional Coder (CPC)
Nice to have: Certified Revenue Cycle Professional (CRCP)
Contract Medical Coder Certified - USFTGP UMSA RCO Back End
Utilizing a high degree of accuracy in obtaining and verifying that all registration data; demographic and insurance information, is correct and up to date. Maintain organized, timely support for the multispecialty Health Quest Medical Practice Care Team with communication of referrals between and with patients and insurance companies.
Compensation
Salary Range: $18.13 - $34.50 Hourly
Responsibilities
Ensure complete and accurate registration, including patient demographic and current insurance information.
Review details and expectations about the referral with patients.
Answers patient calls and schedule patient appointments for multiple sites.
Facilitates “soft” transfers of patients to the appropriate office for any additional patient needs outside the scope of the office.
Maintaining contact with all NHMP Care Teams, regarding urgency, orders, and scheduling needs of the patients.
The Certified Coder abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-10 and/or CPT-4 codes to patient records according to established procedures.
Abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings while adhering to coding and compliance guidelines.
Responsibilities
Abstracts/codes for assigned provider(s)/division(s) based on medical record documentation.
Utilizes appropriate coding software and coding resources in order to determine correct codes.
Communicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall billing.
Follows departmental policies for charge corrections.
Participates in coding educational opportunities (webinars, in house training, etc.).
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