• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
  • Important Note: We will be performing a scheduled maintenance on 1st November 2020. The site will be offline from 7:30PM (MT) till midnight. We apologize for any inconvenience this may cause.

100% remote coder needed - pro fee coder needed asap

codinggirl2007

Contributor
Local Chapter Officer
Messages
12
Location
Charlotte, NC
Best answers
0
I have information on a remote position. This is what the recruiter sent to me. If anyone is interested please forward your resume to vhodges2007@gmail.com and I will make sure the recruiter gets your resume first hand.

The information is listed below.


REMOTE PRO FEE CODER

Pro-fee coder who can work their billing denials. This is a heavy research/denials position. This is an EDIT and DENIAL position. This is not a traditional pro-fee coding position. If the coder doesn't have the EDITS and DENIALS experience working in conjunction with the billing team, PLEASE DON'T SUBMIT THEM.
They need to be comfortable and experienced working in edits and denials. There is a lot of nuances that make this unique. The client has a heavy backlog and needs coders to get them to a manageable level. It will likely be 6 month project.

The coder will need to review the record, find the issue on the denial and communicate with the billers on whether or not an appeal is in order.

The coder will need to help the biller understand how to communicate to the payer (for example: the coder will explain to biller "you need to tell the payer that this all the modifiers are listed, it meets medical necessity, and they need to process for payment')

In many cases as well- the coder will need to talk w/ the payers and medicare directly to discuss the chart and explain the reasoning for why the claim should be paid.


Client uses IDX on the billing side, so prefers this experience (not mandatory)
Full time (daytime hours) is needed.
The coder is expected to provide a specific work schedule and is expected to stick to the schedule; communicating any deviation in that schedule if something should arise.

There is a mandatory, weekly call with the client management team, the client billing team, and the Comforce Pro-fee editors. The comforce editors will need to provide feedback on the issues they are coming across with payors, trends in recurring edits, preventable edits, etc. They need to be able to communicate with all levels of Holzer management and exude confidence in the pro-fee rules/regulations as it relates to proper billing. THIS FACILITY PRACTICES PROVIDER BASED BILLING which has unique rules in regards to modifiers, bundling, etc. experience in this area is highly desirable for the best accuracy.

3M, HPF
General Comments

Thanks,

Shomila Sondhi | Recruiter
 
Last edited:

bmyers

Networker
Messages
25
Best answers
0
position

I have been in pro fee denials. Are we talking about family practice, surgery or a variety?
 
Top