What are the responsibilities and job description for the ProFee Denials Specialist position at Yes Him Consulting Inc?
Job Description
Job Description
Description :
POSITION : Professional Denials Specialist
STATUS : Full-Time
LOCATION : Remote
SCHEDULE : Monday through Friday
FLSA STATUS : Non-Exempt / Eligible for Overtime
POSITION SUMMARY :
Review rejection / 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.
- Code professional fee charts as needed by the client.
- Prepare daily 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.
