Job Description
Daily Responsibilities:
Position Purpose: Review claims for the classification or coding of patients’ illnesses, diseases and medical problems to ensure accuracy of classification/coding which determine the payment amount. Identify claims or trends that require further investigation such as coding practices, diagnoses with potential for up coding, transfers of patients billed as discharges.
· Review claims and reports for the classification or coding of patients’ illnesses, diseases and medical problems to ensure accuracy of classification/coding and payment amount
Respond to provider inquiries regarding assignment of DRGs and appropriate payment
Generate standard and ad-hoc reports and analyze for management, Medical Management, Claims or Finance
Investigate pended claims to resolve problems related to the classification and coding of medical information and services and document, research and resolve in the phone log
Perform inter-rater utilization management audits
Verify accuracy of classification/coding data in the computer system
Maintain master patient database on inpatient reviews
Qualifications
Requirements:
· RHIA or RHIT certification
· Medicare experience (Preferred)
· In patient experience
· High school diploma or equivalent
· 3+ years of (ICD)-9 coding experience, preferably with diagnosis related groups (DRG’s).
· Knowledge of medical coding principles, Medicaid managed care practices, groupers and reimbursement practices.
Hours for this Position:
M-F 8-5
Advantages of this Opportunity:
· Competitive salary plus bonus
· Fun and positive work environment
· Potential growth
Additional Information
Want More Information?
• If you are interested in applying to this position, please contact Ashley Greene @ 407-478-0332 ext 169 or email and click the Green "I’m Interested" Button to email your resume.
Company Description
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!