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Atrium Health · 12 hours ago

Coding Reimbursement Specialist III - Post Claim Denials

United States

Full-time

Remote

Entry, Mid Level

$24.85/hr - $37.30/hr

2+ years exp

Atrium Health is a leading nonprofit, integrated health system in the United States, and they are seeking a Coding Reimbursement Specialist III. This role involves coding and analyzing medical claims, ensuring accurate charge capture, and communicating with providers regarding coding issues.

Health CareHospital

Responsibilities

Subject matter expert in at least one specialty, e.g., oncology, gynecology, surgical coding (not including primary care procedures) and infusion coding including chemotherapy and infusions involving multiple drugs

Assigns CPT and ICD codes in cases of moderate to high complexity

Reads, interprets and assigns CPT codes from provider documentation, e.g., infusion record or operative report

Performs ICD and CPT coding of provider (professional) services and verifies that all requisite charge information is entered

Appends all modifiers

Ranks CPT codes when multiple codes apply

Assigns Evaluation and Management (E/M) codes

Performs reconciliation process to ensure all charges are captured

Processes automated or manually enters charges into applicable billing system

Researches and analyzes coding and payer specific issues

Processes charges on a timely basis and communicates with team members and practice management on an ongoing basis

Communicates with providers related to coding issues that are of moderate to high complexity. Including face to face interaction, explaining coding rationales, and education with providers