Novant Health
Coding Audit Response Specialist - Ambulatory
4 days agoWhat's your preference?
Job Description
- Req#: 234663
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Remote work opportunity, with equipment provided
- Comprehensive benefits including health, dental, vision, and life insurance
- Retirement fund with matching contributions
- Tuition assistance for qualifying team members
- Company-paid coding recertification dues
- Employee assistance programs and discounts
What to Expect (Job Responsibilities):
- Proactively manage significant issues in coding, including corresponding communications and escalation paths
- Coordinate with Revenue Cycle Services (RCS) and other departments to resolve denials
- Audit denied claims to ensure accurate billing and identify trends
- Locate and pull medical records for claims corrections and billing inquiries within assigned coding ladder
- Write appeal letters to commercial payers for applicable accounts to support coding
What is Required (Qualifications):
- CPC, CCS-P, RHIA, or RHIT licensure
- High School Diploma or GED
- 5+ years of coding experience
- 3+ years of insurance follow-up experience across multiple payor types
- Extensive knowledge of ICD-9-CM (ICD-10-CM), CPT, and HCPCS coding principles and guidelines
How to Stand Out (Preferred Qualifications):
- Strong hospital-based coding and insurance follow-up experience
- Epic experience
- Extensive knowledge of various payor types and their requirements
- Computer skills in databases and data entry experience with 3M Encoder software
- Proficiency in PC word processing and spreadsheet skills
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