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CERTIFIED APPEALS CODER, REMOTE, 8:00A-4:30P

Uoflhealth
Full-timemid

Job description

<p></p><h1><b>Primary Location: </b></h1>Work From Home - KY - ULP - AMG<p></p><h1><b>Address: </b></h1>Home Office&amp;#xa;Remote, KY 40601&amp;#xa;<p></p><h1><b>Shift: </b></h1>First Shift (United States of America)<p></p><h1><b>Job Description Summary: </b></h1>UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehab Institute and Brown Cancer Center.<br>With more than 12,000 team members—physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals—UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day.<p></p><p></p><h1><b>Job Description: </b></h1><p><b>JOB SUMMARY</b></p><p>This position is responsible for managing the appeal of unpaid claims in the Central Business Office.  This position will also work closely with insurance carriers in resolving unpaid claims.</p><p><b>JOB RESPONSIBILITIES</b></p><ul><li>Review and appeal unpaid claims daily.</li><li>Completes follow-up work on appealed claims.</li><li>Works with insurance carriers on appeal issues.</li><li>Provides feedback to the coding department with coding errors or updates.</li><li>Reviews remit to ensure accurate payment was received.</li><li>Reviews denials for accuracy.</li><li>Obtains all necessary information to expedite the appeal process.</li><li>Closes and prints daily batch proof.</li><li>Makes charge corrections as needed in the practice management system.</li><li>Attends continue education programs for coding.</li><li>Other duties as assigned.</li></ul><p></p><p></p><h1><b>Additional Job Description:</b></h1><p>Education:</p><ul><li>High School education or GED required.</li><li>Must have and maintain Certified Professional Coder (CPC) certification through AAPC or must have and maintain CCA, CCS or CCS-P certification through AHIMA.</li></ul><p>Experience:</p><ul><li>3 years of prior coding experience, preferred.</li><li>Prior experience working with medical insurance.</li></ul>

Skills

CPCCCACCSCCS-PAAPCAHIMAPractice Management System