• Reviewing documentation in same day surgery and observation medical records • Accurately and completely assigning appropriate ICD-10-CM diagnostic and procedural CPT-4/HCPCS codes • Abstracts demographic and coding information accurately and completely • Codes and abstracts medical records with a minimum of accuracy. • A mentor to new coders • Assists with cleaning up or escalating missing documentation or other work queues

• Review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the requirements of hospital data or physician data retrieval for billing and reimbursement. • Validate APC calculations to accurately capture the diagnoses/procedures documented in the clinical record for hospitals. • Perform documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements. • Interact with client staff and providers. • Select and sequence ICD-10, and/or CPT/HCPCS codes for designated patient types which may include but not limited to: Ancillary (Diagnostic)/ Recurring; Hospital, Clinic; Physician Pro Fee; Technical Fee or Evaluation and Management. • Review and analyze facility records to ensure that APC assignments and/or Evaluation and Management codes accurately reflect the diagnoses/procedures documented in the clinical record. • Abstract clinical data from the record after documentation review to ensure that it is adequate and appropriate to support diagnoses, procedures and discharge disposition is selected. • Complete assigned work functions utilizing appropriate resources. • Act as a resource with client staff for data integrity, clarification and assistance in understanding and determining appropriate and compliant coding practices including provider queries. • Maintain strict patient and provider confidentiality in compliance with all HIPAA Guidelines. • Participate in client and Savista staff meetings, trainings, and conference calls as requested and/or required. • Maintain current working knowledge of ICD-10 and/or CPT/HCPCS and coding guidelines, government regulations, protocols and third-party requirements regarding coding and/or billing. • Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials.

• Lead and operationalize end-to-end revenue cycle across a multi-state behavioral health organization • Directly manage a team of 3–4 billing specialists • Stabilize and strengthen billing operations to support care delivery • Implement infrastructure for billing lifecycle and compliance • Ensure timely claim submission and monitor denials

• Join Outsourcey and be part of our mission to revolutionize global talent expansion! • Prepare, scrub, submit, and track behavioral health and substance use claims; follow up proactively on rejections, denials, and underpayments through payer portals and calls. • Provide clear claim status updates to internal stakeholders; research issues, correct errors, and resubmit or appeal as needed to keep A/R moving. • Verify eligibility and benefits for mental health and SUD services, confirm coverage details, and document payer requirements prior to service. • Initiate, obtain, and track prior authorizations; coordinate required clinical/ administrative details with facilities and payer reps to prevent claim delays. • Coordinate and communicate with facilities and payers; speak with clients regarding insurance questions and what is needed to support billing and reimbursement. • Use Kipu EMR to manage patient billing workflows, documentation touchpoints, and records support; complete related admin work as a medical virtual assistant to keep provider operations organized.