Revenue Recovery Midwest Physician Billing Appeal Coder
Aurora Health Care
Major Responsibilities:
Provide comprehensive, consistent and accurate charge entry for assigned hospital departments. Identify, investigate, communicate and mitigate inconsistent trends in clinical documentation or charging with specific departments. Escalate issues regarding revenue capture or documentation when appropriate.Perform analysis of charges that correlate with documented medical/nursing interventions and resolve identified charging and billing issues. Collects, reports, and maintains appropriate data in relation to charge capture and/or quality. Collaborates with teammates to achieve shared goals and metrics. Perform periodic retrospective charge capture reviews of assigned departments to identify charging/billing issues. Verify and respond to questions from various departments, patients or leadership regarding charging accuracy. Provide orientation, education training and information to newly hired teammates regarding charge capture, policies, procedures, and underlying processes. Conduct quality audits of accounts processed by the team and report findings with department Quality and Education Coordinator. Review, identify, and process late, missing or lost charges for various hospital departments on an as needed basis.License/Registration/Certification:
Certified Coding Associate (CCA) issued by American Health Information Management Association (AHIMA)
Education/Experience Required:
Knowledge, Skills & Abilities Required:
#LI- remote
#LI- Coder
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
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