Responsible for reviewing and coding medical records and documentation for healthcare services rendered to ensure accurate coding using standardized systems.
Locations (2)
Clinton, Mississippi, United States
United States
Requirements
High school diploma/GED
Nice to have: Associate's degree in health information management or medical coding
Follows-up, collects, and resolves all outstanding self-pay accounts receivable.
Compensation
Minimum Offer $16.66 Maximum Offer $26.70
Responsibilities
Ensures that self-pay accounts are handled in a customer service oriented manner that accomplishes the goal of collecting monies due to PHS
Assists patients to identify any eligible means of financial assistance or, if none apply, working with the patient to make acceptable payment arrangements
Maintains files containing all pertinent information for each account
Communicates all issues to teammates and Self-Pay Collections Supervisor
Contacts insurance companies, patients, and employers regarding outstanding hospital claims
Requirements
High school degree or GED
Nice to have: short-term training on insurance collections and claims processing
This position is expected to assist medical staff providers with documentation in the medical record, reviewing documentation daily to ensure patient diagnosis and procedures reflect the level of service provided.
Compensation
Compensation Pay Range Minimum $65,520.00 Maximum $111,612.80
Responsibilities
Performs concurrent reviews of the medical record for inpatient admissions to include assignments of DRG
Identifying complication and co-morbid conditions and specific co-existing conditions
Works collaboratively with Medical Staff, Nursing Staff and other patient care givers to improve the quality of chart documentation
Assist physicians with documentation requirements to support medical necessity for hospital and physician billing
Interprets clinical information in the medical record, ordered interventions, lab and test results
Requirements
Associates degree in Nursing
Bachelors degree
Nice to have: CCDS (Certified Clinical Documentation Specialist)
Nice to have: CDS (Certified Clinical Documentation Specialist)
Responsible for aspects of Candidate for Billing (CFB) workflow, reviewing billing and reimbursement policies, and working with RCM managers to improve operations and productivity.
Responsibilities
Manage Candidate for Billing (CFB) workflow including pre-bill buckets, created buckets greater than 7 days, DNBS, STOP BILLS, and claim edits
Reviews CMS, FI and Carrier websites for Bulletin, Transmittals, Program Memorandums, Local Medical Review Policies
Educates and distributes relevant information to the appropriate staff
Works with RCM managers to improve flow of operations
Solves problems and improves productivity for special situations impacting RCM operations
Requirements
High School graduate plus two years additional education in healthcare billing, accounting or business administration, or equivalent work experience
Nice to have: Minimum three years of relevant experience in healthcare
Responsible for medical billing functions, patient data management, insurance verification, and resolving denied claims within a medical office environment.
Responsibilities
Reviewing medical procedures as documented and entering Charges
Obtain proper documentation for insurance verification/billing
Payment entry
Assist patients in completion of sliding fee applications
Track and resolve incomplete and expiring sliding fee applications
We are seeking a detail-oriented and experienced Healthcare Coding Suspends Senior Specialist to join our team. The ideal candidate will have a strong background in medical coding and billing, with expertise in identifying and resolving coding-related suspends.
Compensation
Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons. This position is also eligible for a discretionary incentive bonus in accordance with company policies.
Responsibilities
Review and analyze coding-related suspends generated by coding software or systems, identifying errors, discrepancies, and missing information.
Conduct thorough reviews of medical records, encounter forms, and other relevant documentation to validate code assignments and ensure compliance with coding guidelines and regulations.
Research and interpret coding guidelines, policies, and regulations, including CPT, ICD-10, HCPCS, and payer-specific coding requirements, to accurately assign and sequence diagnosis and procedure codes.
Collaborate with coding and billing staff, clinicians, and other stakeholders to gather additional information, clarify documentation, and resolve coding-related issues.
Correct code assignments, modifiers, and other coding elements as needed to address coding-related suspends and ensure accurate claim submission.
Responsible for the timely and accurate assignment of diagnostic and procedural codes for a variety of outpatient charts for multiple facilities within Avera Health.
Compensation
The pay range for this position is listed below. Actual pay rate dependent upon experience.
$24.00 - $35.00
Responsibilities
Review all aspects of a patient's clinical documentation to identify appropriate ICD-10-CM, CPT, and HCPCS codes
Determine appropriate APC/EAPC and/or medical coding for outpatient patient types
Serve as a subject matter expert for other health professionals on coding topics
Query physicians and clinical documentation staff to ensure full capture of the clinical record
Assist or lead communication between health information management, billing, and providers
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