Job Description

Senior Medical Coder who can reviews analyzes and accurately assigns standardized medical codes (e.g. ICD-9/10CM CPT HCPCS DRG) for home-based medical services. This ensures proper reimbursement regulatory compliance and coding integrity across the patient care documentation and billing cycle.

Key Responsibilities

  • Assigning ICD and CPT codes to Homecare and Outpatient center.
  • Coordinate with insurance company for approvals.
  • Responsible for handling the insurance clarifications and reporting the details to the insurance on timely basis.
  • Handling Rejections and Resubmitting the E claims
  • Communicating documentation improvement opportunities and coding issues to appropriate personnel
  • Submission to all claims at the end of the day for outpatient Billing and submission of Homecare claims on every week without missing
  • Communicating with coworkers for Preapproval documents and tracking the approval homecare approv...

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