| Employer: | Primary Care Partners |
| Type: | FULL TIME |
| Skills: | Medical Billing,Collections,Coding |
| Required Certifications: | CPC certification |
| Required Experience: | 3 to 4 years |
| Preferred Experience: | 3 to 4 years |
| Location: | Morris Plains 07960, NJ, US |
| Date Posted: | 8/1/2018 |
Position Summary: Responsible for reviewing, analyzing,
and coding diagnostic and procedural information that determines Medicare,
Medicaid and private insurance payments.
Responsibilities & Duties:
- Review electronic medical record sources for
accuracy and coding compliance
- Correctly code physician charges, procedures,
evaluation and management, diagnostic testing and diagnosis using
appropriate diagnosis and codes
- Maintain compliance with rules and regulations
regarding coding
- Assure the final diagnoses and operative
procedures as stated by the physician are valid and complete
- Reach out to physicians when necessary to confirm
coding
- Audits records to ensure proper submission of
services prior to billing on predetermined selected charges
- Analyzes provider documentation to assure the
appropriate evaluation and management levels are assigned using the
correct code
- Quantitative analysis – performs a comprehensive
review for the record to assure the presence of all component parts such
as: patient and record identification, signatures and dates where required,
and all other necessary data in the presence of all reports which appear
to be indicated by the nature of the treatment rendered
- Review insurance denials and determine
appropriate action on denied claims as assigned