Document review Jobs in Jacksonville, FL

Overview

Responsible for performing timely review of charges in the charge review wqs. Verify completeness of the charge information, add and / or update as needed. Research charges for appropriate codes, modifiers and diagnosis codes based on edits within the Epic system. Utilize resources and tools to review and interpret key data elements following company policy for contracted payors.

Responsibilities

Accurately perform actions on the charges in the charge

review wqs for each patient encounter

Review, verify and interpret payor edits in the system

Timely identify, research and resolve issues that may cause

delays in resolution

Inform Team Leader on the status of work and unresolved

issues. Alert Team Leader of backlogs or issues requiring

immediate attention.

Identify clinic trends and provide essential reporting functions

as required

Perform special projects as assigned by the Team Lead or

Manager

Respond and send emails to different levels of management

within the Business Groups, Clinics, etc. to resolve charge

issues

Review and work assigned wq's on a daily basis to make any

corrections, resolve edits and submit to the payor

Qualifications

Experience Requirements :

2 years Computer experience in medical billing required

2 years Health care experience in medical billing preferred

2 years Medical Billing software required

2 years Experience with online payor tools preferred

Education :

High School Diploma or GED equivalent required Associates preferred

Certificate / Licensure :

Medical Terminology Certificate preferred at time of hire Additional Duties : Additional duties as assigned may vary.

UFJPI IS AN EQUAL OPPORTUNITY EMPLOYER AND DRUG FREE WORKPLACE