Provides review and/or coding of any coding related denied professional services for appropriate use of CPT, ICD-9, ICD-10, HCPCS, Modifier usage/linkage.
Periodic review of codes, at least annually or as introduced or required.
Reviews and analyzes rejected claims and patient inquiries of professional services, and recommends appropriate coding corrections.
Requirements
High School diploma or equivalent
CP (Certified Professional Coder through AAPC), CPC-A (Certified Professional Coder
Apprentice through AAPC), or CCS-P (Certified Coding Specialist Physician Based through AHIMA)
1-2 years of experience in billing, coding, denial management environment related field.