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The Medical Billing and Coding Clerk completes and verifies ICD-9 coding. Responsible for reviewing, researching, coding, and generating third party billing for a medical facility. Being a Medical Billing and Coding Clerk performs basic customer service for routine patient or other inquiries. Inputs and maintains all payment records in database or systems. In addition, Medical Billing and Coding Clerk requires a high school diploma. Typically reports to a supervisor or manager. Being a Medical Billing and Coding Clerk possesses a moderate understanding of general aspects of the job. Works unde more...
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Responsible for reviewing, researching, coding, and generating third party billing for a medical facility. Completes and verifies ICD-10 coding. Inputs and maintains all payment records in database or systems. Performs basic customer service for routine patient or other inquiries. Requires a high school diploma. Typically reports to a supervisor or manager. Works under the close direction of senior personnel in the functional area. Possesses a moderate understanding of general aspects of the job. May require 0-1 year of general work experience. more...
The Medical Record Coding Auditor reviews insurance payments and denials and recommends billing corrections. Audits medical records to ensure compliance with the organization's coding procedures and standards. Being a Medical Record Coding Auditor typically requires a bachelor's degree. Trains staff members on the coding process. In addition, Medical Record Coding Auditor typically reports to a supervisor or manager. Requires CPC (Certified Professional Coder) certification from the American Association of Professional Coders. Medical Record Coding Auditor's years of experience requirement may more...
Oversees the preparation of medical bills and invoices, the calculation of provider charges, and verification of patient insurance. Maintains insurance documents and contracts. Oversees the submission of claim reports and filing procedures. Ensures billing operations are performed in an accurate and timely manner. Evaluates billing processes and procedures and assists management in developing revisions. Monitors the revenue cycle activities and resolves any issues. Needs to be familiar with ICD-10, CPT, and/or HCPCS Coding Systems as well as claim forms such as CMS-1500 and UB-04. Requires a h more...
The Medical Record Coding Quality Specialist reviews insurance payments and denials and recommends billing corrections. Audits medical records to ensure compliance with the organization's coding procedures and standards. Being a Medical Record Coding Quality Specialist typically requires a bachelor's degree. Trains staff members on the coding process. In addition, Medical Record Coding Quality Specialist typically reports to a supervisor or manager. Requires CPC (Certified Professional Coder) certification from the American Association of Professional Coders. Medical Record Coding Quality Spec more...
The Medical Record Documentation and Coding Review Specialist reviews insurance payments and denials and recommends billing corrections. Audits medical records to ensure compliance with the organization's coding procedures and standards. Being a Medical Record Documentation and Coding Review Specialist typically requires a bachelor's degree. Trains staff members on the coding process. In addition, Medical Record Documentation and Coding Review Specialist typically reports to a supervisor or manager. Requires CPC (Certified Professional Coder) certification from the American Association of Prof more...
The Medical Billing Operations Supervisor maintains insurance documents and contracts. Oversees the preparation of medical bills and invoices, the calculation of provider charges, and verification of patient insurance. Being a Medical Billing Operations Supervisor ensures billing operations are performed in an accurate and timely manner. Oversees the submission of claim reports and filing procedures. In addition, Medical Billing Operations Supervisor evaluates billing processes and procedures and assists management in developing revisions. Monitors the revenue cycle activities and resolves any more...
The Medical Billing Review Supervisor maintains insurance documents and contracts. Oversees the preparation of medical bills and invoices, the calculation of provider charges, and verification of patient insurance. Being a Medical Billing Review Supervisor ensures billing operations are performed in an accurate and timely manner. Oversees the submission of claim reports and filing procedures. In addition, Medical Billing Review Supervisor evaluates billing processes and procedures and assists management in developing revisions. Monitors the revenue cycle activities and resolves any issues. Nee more...
Researches and develops the pre-certification insurance policy standards and criteria used by case management and utilization reviewers that will ensure that requested medical services are appropriate and medically necessary. Collaborates with medical professionals to resolve questions about policy development and standards. Assigns correct ICD, CPT, or other coding assignments for medical procedures that support policy standards in claims systems. Provides expertise and solutions to users regarding the appropriate coding for claims. Has broad knowledge of medical coding systems. May require a more...
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