ProFee Edits / Denials Specialist

Job Description

Job Description

Description :

POSITION : Professional Edits / Denials Specialist

STATUS : Full-Time

LOCATION : Remote

SCHEDULE : Monday through Friday

FLSA STATUS : Non-Exempt / Eligible for Overtime

POSITION SUMMARY :

Review front-end edits and back-end denials and / or code physician records to determine appropriate designation of diagnosis, procedure, and wRVUs while maintaining compliance with coding guidelines and client guidelines.

POSITION RESPONSIBILITIES :

• Analyze, evaluate, and review client medical records to ensure accuracy of code assignment.
• Identify issues and remediate denials received by clients. Work and fix edits as requested by the client.
• Code professional fee charts as needed by the client.
• Prepare daily edits / denials logs.
• Demonstrate proficiency in coding including both ICD-10 and CPT while maintaining a 95% accuracy.
• Follow and adhere to AHIMA’s Standards of Ethical Coding, all applicable regulations and guidelines, and all client-specific policies.
• Maintain productivity based on national standards and / or client-specific standards.
• Work as a team player in a dynamic environment on multiple projects.
• Other duties as assigned based on company needs and client projects.

Requirements :

CERTIFICATION(s) / EXPERIENCE :

BENEFITS :

We offer a comprehensive and robust benefit package.

EQUAL EMPLOYMENT OPPORTUNITY :

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. We are a participant of E-Verify .