Perform pattern analysis of coding and medical need related denials to perform process enhancements to eliminate/reduce rejections
Review coding and medical requirement associated rejections to recognize patterns for coder and/or service provider education and charge edit production.
Thoroughly and prompt work follow up records related to coding and medical need rejections in work lines as defined by policies and procedures.
Read and interpret EOB’s (Description of Advantages)
Present unresolved issues to Supervisor for resolution instantly with related paperwork.
No comments:
Post a Comment