|Employer:||Women's Healthcare Associates
|Required Experience:||1 to 2 years
|Location:||7650 SW Beveland St. #200 Portland 97223, OR, US
· Ability to contribute
to various teams within Patient Financial Services Department with special
focus on coding related denials.
· Identifies and
documents coding related claim denial trends by insurance plan and works to
solve the problems efficiently.
· Has primary
responsibility for the Coding Denials WQ for the coding department.
· Works on coding
related denial issues to improve denial rate by identifying common coding
mistakes; participates on the Denials Management Team.
· Acts as first point of
contact between coding and A/R follow up teams.
· Serves as backup coder
to the coding team for unexpected staff shortages and planned PTO.
· Reports any compliance
and/or risk issues to the department supervisor. Provides suggestions on process
· Applies all coding
rules and appropriate use of CPT, HCPCS, and ICD-10 codes and modifiers.
· Reviews documentation
to ensure provider coding is adequately supported in the chart note. Assists in
educating physicians by providing feedback on specific coding documentation
· Reviews charges where
appropriate to ensure billing codes are accurate prior to claims submission.
Seeks clarification from Provider and/or clinical staff as needed.
· Provides feedback to
supervisor if there are trends of coding errors.
· Facilitates accurate
coding by providing feedback related to payer denials and policies to