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Medical Billing and Coding Specialist - Digitech - Remote
Digitech
Remote, USA
Full-time
Entry · 1+ years experience
Remote
Discovered 2 days ago
ICD-9ICD10HIPAA
Free
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ICD-9ICD10HIPAA
Role Overview
The Billing Specialist I will utilize master billing guides and other process instructions to review PCR to ensure medical necessity, reasonableness, level of service, ICD10 coding and mileage is correct. This role is fundamental in Digitech's revenue cycle management process and ensures that claims are coded and billed accurately and timely. The selected Billing Specialist I will maintain a strong working knowledge of billing rules and regulations for all payor types in the various regions for which they process claims.
Key Skills for This Role
ICD-9ICD10HIPAA
Full Job Posting
Summary
The Billing Specialist I will utilize master billing guides and other process instructions to review PCR to ensure medical necessity, reasonableness, level of service, ICD10 coding and mileage is correct. This role is fundamental in Digitech's revenue cycle management process and ensures that claims are coded and billed accurately and timely. The selected Billing Specialist I will maintain a strong working knowledge of billing rules and regulations for all payor types in the various regions for which they process claims.
Essential Duties and Responsibilities
- Review patient medical records and supporting documentation
- Add required data elements to the account in the billing platform, including ICD-9 codes, charges, and billing narratives
- Ensure all tasks are completed in accordance with Quick Med Claims policies as well as state and federal guidelines
- Meet or exceed defined productivity standards for the position
- Properly notate accounts reviewed
- Attach necessary documentation within the system or to paper 1500s
- Obtain additional information from clients when needed, such as HIPAA forms, pre-authorizations from insurance companies, and physician medical necessity forms, in order to submit third-party claims
- Review billing documents in the billing platform using dates provided on patient care reports, physician medical necessity forms, and hospital face sheets
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