•Analyze, audit and resolve claims outstanding, denied, or incorrectly paid •Review and respond to payer correspondence. •Submit appeals as needed for denied claims. •Contact insurance companies and navigate payer websites in order to secure and expedite insurance payments. •Resolves patient billing inquiries. •Document in detail all actions taken in accounts receivable system. •Meet productivity expectations as outlined by supervisor. •Recognize, document and notify Team Lead of trends resulting in nonpayment or incorrectly paid claims. •Answer and resolve inbound calls from insurance carriers. •Participate in process improvement initiatives as needed. •Keep current with Medicare and other third party administrators regulations and procedures. •Manage any special projects requested by supervisor or team lead. •Must be able to perform the essential functions of this position with or without reasonable accommodation.

Role Description This position focuses on medical insurance verification of benefits, preauthorizations, and medical claim follow-up for oral surgery, implants, sleep dentistry, bone grafting, and medically necessary dental procedures. - Complete detailed medical insurance verifications of benefits (VOBs) - Submit and follow up on medical preauthorization - Track and follow up on outstanding medical claims - Communicate with insurance companies regarding claim status and documentation requirements - Review insurance policies and benefit limitations - Maintain accurate documentation and spreadsheets - Work closely with dental offices and billing specialists - Assist with appeals and requests for additional documentation - Experience with dental or medical insurance billing preferred - Knowledge of CPT, ICD-10, and medical terminology is a plus - Strong phone and communication skills - Highly organized with attention to detail - Ability to multitask in a fast-paced environment - Experience with insurance portals such as Availity, UHC, Aetna, BCBS, Cigna, and Humana preferred - Positive attitude and willingness to learn Benefits - HMO with 1 free dependent upon hire - Life Insurance - 20 PTO credits annually - 10% Night Differential - Annual Performance-Based Merit Increases and Employee Recognition - Great Company Culture - Career Growth and Learning - Work equipment will be provided - WFH, Night Shift - 30,000 - 33,000 PHP

• Review outpatient clinical documentation to assign ICD-10-CM and CPT codes • Use 3M 360 Finder for code assignment and claim edits resolution • Ensure medical records support code assignment • Monitor outpatient uncoded reports for timely coding • Report documentation insufficiencies to responsible physician • Update patient financial accounts in billing system as required

Role Description The VISN 19 Consolidated Coding Unit (CCU) Medical Record Technician (MRT) is located within the Business Office Support Services (BOSS), Health Information Management (HIM) section, within VISN 19, Rocky Mountain VA Network. - Assigns codes to documented patient care encounters (inpatient and outpatient) covering the full range of health care services provided by the VAMC. - Patient encounters are often complicated and complex requiring extensive coding expertise. - Applies advanced knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. - Selects and assigns codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS). - Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or Evaluation and Management code to ensure ethical, accurate, and complete coding. - Applies codes based on guidelines specific to certain diagnoses, procedures, and other criteria (in inpatient and outpatient settings) used to classify patients under the Veterans Equitable Resource Allocation (VERA) program. - Monitors ever-changing regulatory and policy requirements affecting coded information for the full spectrum of services provided by the VAMC. - Performs a comprehensive review of the patient health record to abstract medical, surgical, ancillary, demographic, social, and administrative data to ensure complete data capture. - Profiles the facility services and patient population, to determine budgetary requirements, to report to accrediting and peer review organizations, to bill insurance companies and other agencies, and to support research programs. - Assists facility staff with documentation requirements to completely and accurately reflect the patient care provided. - Provides technical support in the areas of regulations and policy, coding requirements, resident supervision, reimbursement, workload, accepted nomenclature, and proper sequencing. - Ensures provider documentation is complete and supports the diagnoses and procedures coded. - Reports incorrect documentation or codes in the electronic patient health record. - Expertly searches the patient health record to find documentation justifying code assignment based on an expanded knowledge of the organization and structure of the patient record. - Corrects any identified data errors or inconsistencies in a timely manner to ensure acceptance in the national VA database within established timelines. - Uses a variety of computer applications in day to day activities and duties, such as Outlook, Excel, Word, and Access; competent in use of the health record applications (VistA and CPRS) as well as the encoder product suite. - Orients and instructs new personnel and/or students from affiliated health information or medical record technology programs, at the direction of the supervisor, on unit operations, coding, abstracting, and use of an electronic health record. - Identifies the principal diagnosis and principal procedure (when applicable) for every inpatient discharge; also identifies significant complications and/or co-morbidities treated or impacting treatment to correctly determine the proper Diagnosis Related Group (DRG). - Conducts re-reviews of codes abstracted for patient encounters (inpatient and outpatient) identified by the VERA committee to determine if specific VERA coding requirements were followed; corrects coding as needed to ensure proper patient classification in the VERA program. - Codes all Operating Room procedures reported in the Surgical Package of the VistA hospital system; applies ICD and CPT coding guidelines and selects proper codes using the current code set and the encoder product suite. - Codes diagnoses from paper forms for VA registries such as Agent Orange, Ionizing Radiation, Persian Gulf, Prisoner of War, etc. Qualifications - English Language Proficiency: Per VA Handbook 5005, Part II, Chapter 3, Section A, Paragraph 3j. - Experience: One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of health records. - Education: An associate's degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health information technology/health information management, or a related degree with a minimum of 12 semester hours in health information technology/health information management. - Completion of an AHIMA approved coding program, or other intense coding training program of approximately one year or more. - Experience/Education Combination: Equivalent combinations of creditable experience and education are qualifying for meeting the basic requirements. - Certification: Persons hired or reassigned to MRT (Coder) positions in the GS-0675 series in VHA must have either Apprentice/Associate Level Certification through AHIMA or AAPC, Mastery Level Certification through AHIMA or AAPC, Clinical Documentation Improvement Certification through AHIMA or ACDIS. Requirements - GS-4 Experience and/or Education: None needed beyond Basic Requirements. - GS-5 Experience and/or Education: One year of creditable experience equivalent to the next lower grade level (GS-4) OR successful completion of a bachelor's degree from an accredited college or university recognized by the U.S. Department of Education. - GS-6 Experience: One year of creditable experience equivalent to the next lower grade level (GS-5). - GS-7 Experience: One year of creditable experience equivalent to the next lower grade level (GS-6). - GS-8 Experience: One year of creditable experience equivalent to the next lower grade level (GS-7). Benefits - Work Schedule: Monday - Friday, 8:00am - 4:30pm. Hours are flexible with various tours available. - Remote: Yes. Remote exempted positions are reviewed annually and do not imply permanent remote work status. - Relocation/Recruitment Incentives: Not authorized. - Permanent Change of Station (PCS): Not authorized. - Financial Disclosure Report: Not required.