Job Description
Job Summary
Seeking a medical coder who is able to process back-end coding claim edits.
Responsibilities
Review and troubleshoot problematic/denied claims errors- investigate and correct/rebill claims electronically
Research claim/account and medical documentation to determine claim and billing errors
Must adhere to production and quality standards
Extensive knowledge of CPT HCPCS procedure code and ICD-10 coding methodologies
Knowledge of hospital billing requirements including UB04 revenue codes CCI and MUE edits
Payer reimbursement policies rules and regulations medically necessity criteria and applicable industry standards
Certifications Required
CPC
