NACCHO.

  • Maitland, FL


  • Permanent.

  • Full-time.
Description

Leading Factors To Operate At AdventHealth Corporate

  • Great benefits
  • Immediate Health Insurance Coverage
  • Profession growth and advancement potential

Task Place: This is a remote position

Work Hours/Shift:

  • Full-Time, Monday – Friday

You Will Be Accountable For:

  • Comprehensive knowledge of medical terminology, anatomy & physiology and pathophysiology
  • Comprehensive understanding of Coding guidelines, CCI edits, CPT, HCPCS, ICD, UB-04 Revenue Codes, modifiers, billing, regulations and guidelines
  • Ability to read medical charts or dictation, comprehend services carried out, and correlate those services to charges on the costs
  • Proficiency in Microsoft Suite applications specifically Excel, Word and Outlook
  • Strong vital thinking and problem-solving abilities with ability to multi-task or reprioritize quickly
  • Technical proficiency within Client Accounting system and suitable supplier innovations; position requires capability to navigate different modules within relevant innovations to carry out account research study
  • Self-starter with the capability to work under limited daily oversight in a remote setting
  • Capability to educate others relating to coding standards
  • Ability to maintain required efficiency and precision requirements

Qualifications

What You Will Required:

  • At least one year experience working payer denials for medical requirement, SSI and NCCI modifies, incorrect procedure/diagnosis coding
  • A minimum of 5 years current acute care coding experience to consist of; Inpatient, ED, supplementary, observation, outpatient, and surgical treatment coding.
  • Experience with HCPCS codes and resolution of OCE edits, SSI edits and CCI edits
  • Familiarity of the DRG repayment system
  • Medical Requirement and DRG appeal composing experience
  • Coding Audit experience
  • High school diploma or equivalent
  • RHIA, RHIT, CPC, or CCS accreditation or credential

Task Summary:

The Denials Management Coding Specialist is responsible for investigating and resolving coding associated rejections from payers, preventing lost repayment and promoting denial prevention. The Denials Management Coding Expert addresses both Inpatient and Outpatient claims and works as a resource for all coding related questions and guidance to the Centralized Denial Group. The Denials Management Coding Specialist will adhere to the AdventHealth Compliance Plan and to all rules and regulations of all applicable local, state and federal firms and recognizing bodies.

This center is an equal opportunity company and abide by federal, state and local anti-discrimination laws, regulations and ordinances.

NACCHO.

  • View & Apply.