Professional Denials Coder (Remote)
Why V3 Group:
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Qualifications
- 3 years of surgical specialty coding in an professional/provider setting required.
- Surgical Specialty experience in one or all of the following: Cardiovascular Surgery, General Surgery (including Colorectal) or ENT Surgical Coding
- AHIMA coding credentials – CPC
Position Responsibilities
- Will be responsible for coding and combining clinical knowledge for specialty assigned and will help to minimize risk by front end claim edits and denials of services rendered.
- Collaborate with multiple personnel across the revenue cycle and physicians teams as well as contact payers to complete the front end claim edits, appeals and any inquires.
- Completes any assigned edits and follow up queues to meet any daily productivity metrics in addition to patient account assignment resolutions within expected time frame
- Queries physician when documentation in the record is ambiguous, inadequate, unclear or incorrect for coding and compliance purposes.