Job ID: 31369
Category: Billing & Health Information
Facility: Community Care Network, Inc. (Physician Practice)
Schedule: Full-time
Location: Munster, IN
Position: Denials Resolution Specialist
Location: St. John Outpatient Center, St. John, IN 46373
Job Summary:
Under general supervision, interacts daily with patients, insurance carriers, and coding staff members to ensure payor denials are resolved in a timely manner. Works on denial work queues and performs outstanding denial management by documentation review, coding review and claim appeals. According to industry standards, performs error correction tasks using ICD-10-CM and CPT. Possesses a thorough knowledge of the coding process, coding resource material, coding rules and guidelines and applicable classification systems.
Education/ Experience Requirements:- Completion of college course work in health information certificate or degree program preferred.
- 1-2 years professional billing/coding experience. Physician practice setting preferred.
- Evaluation and Management experience in a physician practice setting preferred.
- Maintain active CPC, CCS, or RHIT certification through AHIMA or AAPC preferred
- Required to demonstrate billing/coding competency via standard department testing.
- Must be able to utilize Microsoft office applications, perform internet navigation and research, and have prior experience using a computerized health information system.
- Needs to be familiar with operating general office equipment, including but not limited to: scanner, fax machine, photocopy machine, printer and adding machine.
- Must demonstrate effective communication & problem solving skills
