Certified Coder Job at RENAL MEDICINE ASSOCIATES LTD
Posts outpatient office evaluation and management charges for
- RMA Masthead
- Transplant Office
- RMA Las Cruces
- Verifies for correct information
- Effectively audits all incorrect information and updates as appropriate
Corrects clearinghouse errors
- Audits provider notes
- reviews patient EHRs and billing accounts
- researches into patient insurances for coverage and demographic information
- verifies administered drug dosages
- NDC numbers, quantities
- medically necessary laboratory results
- and many other methods of error corrections
Transmits electronic claim files to clearing house as needed
Mails out paper claims as needed
Follows up on all laboratory requests faxed/mailed in due to diagnosis or coding issues.
Conducts quarterly provider audits
Conducts one-on-one provider audit meetings
Compiles detailed audit reports based on audit results and findings
Updates provider auditing processes as needed
Creates, maintains, and updates audit documents, provider audit reports and summaries
Maintains and regularly updates provider audit results database for monitoring and tracking purposes
Creates in-depth provider training materials based on trends and issues arisen during quarterly audits
Follows up on claims audited as per compliance standards and initiates claims corrections, recoupments, refunds, etc. based on audit findings
Compile provider coding training
Conduct coding training sessions
- Completes provider trainings based on audit results, issues, trends, and business needs.
Periodically update providers on RMA specific coding issues, topics, updates, etc.
Vascular access procedural research and coding study
Vascular access not retrieval, audit, coding, billing, posting and uploading for billing.
Research of updated payer policies or coding methodologies
Cross-trained on patient & insurance payment posting
Cross-trained on dialysis billing
Cross-trained on inpatient billing
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