Found Description
Summary / Objective
Obtain accurate reimbursement for healthcare claims.
Essential Functions
- Reviews and resolves all assigned charges thoroughly based on coding guidelines, chart documentation and related charges in billing system.
- Audits task manager work files with charges reviewed by Claims Manager that were found to have coding errors/omissions.
- When appropriate communicates approved coding changes and/or questions to Physician’s and their office staff. Also alerts providers of missing or late charges.
- Alerts management to coding trends discovered while working daily charges/edits.
- Stays informed and up to date on coding issues by attending seminars. Possesses a comprehensive understanding of carrier specific State of Florida billing guidelines.
- Consistently stays within the department production goal set for your area.