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ProFee Edits Specialist Job in Largo, Florida

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Job Title: ProFee Edits Specialist

Employer:YES HIM Consulting, Inc.
Type:FULL TIME
Job Location:Remote
Skills:Ability to review front-end edits and rejection/denials; analyze,evaluate and review client medical records to ensure accuracy of code assignment
Required Certifications:CPC or RHIT,CCS or CCS-P
Required Experience:5 to 7 years
Preferred Experience:5 to 7 years
Location: Largo 33773, FL, US
* Note: This listing is for a remote position
Date Posted:8/3/2021

Job Function:        Professional Fee Edits Specialist

Job Type:               Full-Time  (Hourly/Eligible for Overtime)

Schedule:              Monday – Friday

Position Description

Review front-end edits and rejection/denials and/or code physician records to determine appropriate designation of diagnosis, procedure and wRVUs while maintaining compliance with coding guidelines and client guidelines. 

Position Responsibilities

  • Analyze, evaluate and review client medical records to ensure accuracy of code assignment.
  • Identify issues and remediate denials received by clients. Work and fix edits as requested by the client.
  • Code professional fee charts as needed by the client.
  • Prepare daily edits/denials logs.
  • Demonstrates proficiency in coding including both ICD-10 and CPT while maintaining a 95% accuracy.
  • Follow and adhere to AHIMA’s Standards of Ethical Coding, all applicable regulations and guidelines, and all client specific policies.
  • Maintain productivity based on national standards and/or client specific standards.
  • Work as a team player in a dynamic environment.
  • Basic knowledge and experience in Microsoft Office applications (Excel, Office, Word, Sharepoint, etc…).
  • Other duties as assigned based on company needs and client projects.


Certification/Experience

  • RHIT, CCS, or CCS-P – active and in good standing with AHIMA  or
  • CPC – active and in good standing with AAPC
  • Minimum of 5 years of physician/ProFee or payer Rejection/Denials Remediation experience

Applying


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