Revenue Coding Analyst - (CAL000IG)
Description
Reports to the Supervisor, Ambulatory Accounts. Responsible for reviewing clinical documentation as appropriate to extract data and apply ICD-9 or ICD-10 diagnostic and procedural codes for billing, internal and external reporting.
Duties and Responsibilities
- Demonstrates proper telephone etiquette. Exercises congeniality.
- Review office encounters and surgery encounters to ensure proper coding before claims are submitted.
- Follow up on all denied claims.
- Collect payments and setup budgets for patients with outstanding balances
- Work daily credit reports.
- Process refunds to patients and insurance carriers when identified.
- Process CCI claim edits within the Nextgen system.
- Process denied claims within our clearinghouse Navicure. This consist of three different denials. (Navicure, Insurance and ERA’s)
- Process appeals for denied claims.
- Perform other duties as assigned.
- Obtain coding certification.
- Maintain patient confidentiality.
Qualifications
Qualifications:
- High school diploma or GED required, and three years of previous billing experience required.
- Extensive knowledge of medical terminology, reimbursement and coding required.
- Computer data entry or word processor experience desired.
- Must have professional telephone manner.
- CPC certification preferred.
Primary Location
: Callahan Eye Hospital
Job Category
: Clerical & Administrative
Organization
: 992007000 Callahan Eye Foundation Hospital
Employee Status
: Regular
Shift: Day/1st Shift
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