• Responsible for performing on-going auditing of outpatient provider coding and education. • Identify Payer Coding Denials to work with appropriate stakeholders to reduce denials. • Validate trends of missed documentation and coding opportunities presenting a professional format for provider education. • Work with third party revenue cycle company to identify coding issues/ opportunities and develop remediation plans. • Develop on-going education for current providers and education on-boarding of new providers.

• Reviewing and accurately coding professional services • Assigning ICD-10, CPT and/or HCPCS codes • Ensuring data integrity of coded patient records • Researching patient accounts for questions/errors • Complying with department productivity and accuracy standards • Communicating with providers for documentation clarification

• Responsible for training new staff on systems used for coding • Resource for all coding staff to ensure accurate coding of diagnoses and operative procedures for statistical, reimbursement, and OSHPD purposes • Abstracting and analyzing all discharged and/or outpatient surgery records

• Learn, understand, and follow established workflow processes for each client. • Create accurate and clean claims in a timely manner. • Follow up and track claims to ensure proper payment. • Append modifiers, reassign diagnosis pointers, and understand basic medical billing coding guidelines. • Write and send persuasive appeal letters when necessary. • Utilize insurance portals to track and appeal claims, confirm eligibility, communicate with insurance representatives, and locate reimbursement policies. • Strive to meet and exceed MGMA AR Benchmark Standards. • Log in to the assigned Team Phone Queue daily to assist patients with billing-related questions. • Be flexible and willing to take on additional tasks as needed.