ON-SCREEN TEXT: Tami Reller, Marketing, Digital and Experience Executive The UnitedHealthcare logo appears, then turns into three blue swirling ribbons, revealing a blonde woman in an office. All employees of Affinia Healthcare are required to be vaccinated for Covid-19.Upbeat music plays. NOTE: Affinia Healthcare is a Covid-19 Vaccine Mandated Employer. Provides backup support to billing department. Provides training support to billing department in handling of rejections and denials ofĬorrection and submission of reference lab billing requests. Identifies trends/problems in medical documentation and recommends possible solutions. Identifies clinician services provided, but not adequately documented in the medical Advise supervisor and clinicians of deficiencies to support charge capture of all billing services.Īnalyzes and resolves clinician claim rejects and denials from the billing system or insurance carriers related to codingĪssists with clinician billing and documentation training in daily interactions with clinicians and other routine training Obtains and submits copies of medical documentation with clinician charges to support billing to third party Renews appropriate ICD-10 diagnosis code(s) to accurately support the need for each clinician service. Renews appropriate CPT-4 procedure code(s) to accurately report the clinician services provided to Reviews medical record documentation to identify all services provided by License(s)/Certification(s) Required: None Required Strong knowledge of Microsoft XP products(Word, Excel, and PowerPoint)

Professional demeanor and appearance, strong ethics, team player with positive attitude. Knowledge of LCD/NCD coding policies regarding Laboratory ServicesĪbility to devise training materials to teach staff correct Knowledge and experience in a healthcare environment of billing and reimbursement of Medicaid, Medicare and other Strong written and verbal communication skills, strong analytical skills, organizational and time management skills. Three (3) years' experience as a Certified Medical Biller/Coder Experience at a Federally Qualified Health Center (FQHC) preferred. RHIA, RHIT, CCS or CCS-P certification status required. Coding certificate with AHIMA approval status. Assist with clinician billing and documentation training.Įducation: Requires an Associate degree from Accredited Heath Information Technology program, Bachelor's degree preferred. Support and participate in process and quality improvement initiatives.

Complete appropriate paperwork/documentation/system entry regarding claim and encounter information.

Position Summary: Verifies and ensures the accuracy, completeness, specificity and appropriateness of diagnosis codes on services rendered.

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